Pulsed radiofrequency ablation of median nerve in a patient with soft tissue sarcoma

Nagalaxmi Patnala

Pdf Page Numbers :- 125-127

Nagalaxmi Patnala^1,*

¹Department of Pain Medicine, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India

*Corresponding author: Dr. Nagalaxmi Patnala, MD., DNB., FIPM (Fellow in pain management), Department of Pain Medicine, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India. Mobile: 9885652104; Email: nagu.patnala@gmail.com

Received 7 July 2018; Revised 28 August 2018; Accepted 4 September 2018; Published 12 September 2018

Citation: Patnala N. Pulsed radiofrequency ablation of median nerve in a patient with soft tissue sarcoma. J Med Sci Res. 2018; 6(4):125-127. DOI: http://dx.doi.org/10.17727/JMSR.2018/6-21

Copyright: © 2018 Patnala N et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Pulsed radiofrequency (PRF) is a novel therapeutic modality with many potential applications in pain management. A 14-year-old male patient with soft tissue sarcoma of right hand in the first and second interdigital cleft came with complaints of severe pain in the region of the swelling. On polypharmacy, including narcotics, the patient had a Visual Analog Score (VAS) of 9/10. A diagnostic ultrasound guided median nerve block was given with local anaesthetic and steroid, which decreased the VAS score to 2-3/10. The pain recurred after 4 weeks and pulsed radiofrequency ablation of the median nerve was done. The VAS score now is 2/10 and the patient is comfortably using his hand.

Keywords: Soft tissue sarcoma; polypharmacy; ultrasound; median nerve; pulsed radiofrequency; visual analog score