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Chapter-136 Radiofrequency Ablation

BOOK TITLE: Ramamurthy's Decision Making in Pain Management: An Algorithmic Approach

Author
1. MS Eckmann
ISBN
9789386261458
DOI
10.5005/jp/books/14128_137
Edition
3/e
Publishing Year
2018
Pages
2
Author Affiliations
1. UT Health San Antonio, San Antonio, TX, USA
Chapter keywords
Radiofrequency ablation, RF, radiofrequency thermal lesion, large peripheral nerve, motor dysfunction, neurolysis, nerve block interpretation

Abstract

Radiofrequency ablation is well suited to small neural targets that can be identified by radiologic (x-ray, computed tomography scan, ultrasound, etc.) and/or functional (electrical stimulation) means. Such targets include sympathetic and dorsal root ganglia, the gasserian ganglion, and medial branches of the posterior primary rami of spinal nerves (for zygapophyseal joint denervation). Larger peripheral nerves are often not considered candidates for ablation, as the resulting sensory and motor dysfunction could disable the patient. Radiofrequency thermal lesions are produced by exciting ions within a field of alternating electric current at 500,000 Hz.

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