Chronic knee osteoarthritis pain and response for treatment (Genicular nerve bipolar radiofrequency ablation VS dexamethasone injection) Chronic knee osteoarthritis pain, genicular nerve, radiofrequency ablation, genicular bipolar radiofrequency, knee pain, knee arthritis
Conditions
Interventions
Skin and soft tissues will be anesthetized with 1 mL of 1% lidocaine.
•Bipolar radiofrequency ablation of genicular nerves
With the same position as diagnostic block and strictly sterile preparation
Geniculate bipolar RF Group,Sham Group
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Inclusion criteria
Inclusion criteria: 1. Age 18 - 85 years and persistent knee pain > 6 months 2. Diagnosis of radiologically verified Kellgren-Lawrence grade III or IV osteoarthritis 3. No response to conservative treatment 4. Positive response to diagnostic geniculate nerve block
Exclusion criteria
Exclusion criteria: 1. Acute knee pain with inflammation 2. Taking anticoagulant 3. History of knee surgery 4. Serious psychiatric/neurological problems 5. Known radiculopathy 6. Intraarticular injection during previous 3 months : steroids, hyaluronic acid 7. Previous RF treatment 8. Connective tissue disease affecting knee
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain Score Preintervention, Postintervention 1st, 2nd, 4th, 6th, 8th, 10th, 12th month Numerical Rating Scale (NRS) | — |
Secondary
| Measure | Time frame |
|---|---|
| Knee function and Patient Satisfaction Preintervention, Postintervention 1st, 2nd, 4th, 6th, 8th, 10th, 12th month Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and patient global impression,Procedural Complication Preintervention, Postintervention 1st, 2nd, 4th, 6th, 8th, 10th, 12th month Descriptive Data | — |
Countries
Thailand
Contacts
Public ContactWanwipha Malaithong
Ramathibodi Hospital
Outcome results
None listed