• Hernia · Aug 2007

    Case Reports

    Pulsed radiofrequency for the treatment of chronic ilioinguinal neuropathy.

    • Raj Mitra, Afshin Zeighami, and Sean Mackey.
    • Stanford University Interventional Spine Center, 300 Pasteur Dr., Edwards Building, Rm. R105B, Stanford, CA 94305, USA. rmitra@stanford.edu
    • Hernia. 2007 Aug 1;11(4):369-71.

    BackgroundIlioinguinal neuropathy is a rare but disabling condition. The condition may arise spontaneously or in the setting of pelvic surgery. To date, most therapeutic options have been limited to neuropathic pain medications, anti-inflammatory medications, nerve blocks with local anesthetics, or neurectomy. Long-term results of non-surgical interventions are fair at best. We present a case of chronic ilioinguinal neuropathy treated with pulsed radiofrequency.ObjectiveTo examine the efficacy of pulsed radiofrequency (PRF) lesioning on pain in ilioinguinal neuropathy.MethodA 58-year old man with chronic ilioinguinal neuropathy was treated with PRF and was followed for 3 months.ResultsThe patient had significant pain relief at 3 months follow up.ConclusionPulsed radiofrequency lesioning may be a good treatment for chronic ilioinguinal neuropathy in cases refractory to conservative management.

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