Efficacy of Pulsed Radiofrequency Stimulation in Patients with Peripheral Neuropathic Pain: A Narrative Review

作者：Min Cheol Chang · 发表于：Pain Physician · 年份：2018 · 被引用次数：106 · 研究领域：Peripheral Nerve Disorders、Shoulder Injury and Treatment、Pain Mechanisms and Treatments

Background: Recently, clinicians have been applying pulsed radiofrequency (PRF) stimulation on various peripheral nerves to manage patients’ peripheral neuropathic pain. Objectives: To review the literature on the use and efficacy of PRF for controlling peripheral neuropathic pain. Study Design: This is a narrative review of relevant articles on the effectiveness of PRF for peripheral neuropathic pain. Methods: A PubMed search was conducted for papers published from January 1, 1980 to August 31, 2017 that used PRF to treat peripheral neuropathic pain. The key search phrase for identifying potentially relevant articles was [PRF AND pain]. The following inclusion criteria were applied for the selection of articles: 1) patients’ pain was caused by peripheral nervous system disorders; 2) PRF stimulation was applied on the peripheral nerve; and 3) after PRF stimulation, follow-up evaluation was performed to assess the reduction in pain. Review articles were excluded. Results: A total of 468 articles were found to be potentially relevant. After reading the titles and abstracts of the papers and assessing them for eligibility based on the full-text articles, 63 publications were finally included in this review. For radicular pain from spinal diseases, the evidence supports that PRF is an effective treatment. Similarly, PRF appears to be effective for postherpetic neuralgia and occipital neuralgia. On the other hand, for trigeminal neuralgia, the results of previous studies indicate ...