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만성 고관절 통증 환자에서 고식적 고주파 열응고술의 성공적 치료 사례 - 만성 골반 통증 환자에서의 고식적 고주파 열응고술
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Chronic hip pain is common with advancing age and can cause significant functional limitation. It can be caused by osteoarthritis, rheumatoid arthritis, and post-total hip arthroplasty pain. Conventional radiofrequency (RF) treatment of articular branches of the obturator and femoral nerve is emerging as a potential option for patients with chronic hip osteoarthritis refractory to conservative management. A 58-year-old female patient presented with right-sided hip pain. Despite receiving medical treatment with anticonvulsants and NSAIDs, the patient's pain was not effectively relieved. As a result, conventional RF ablation was performed, consisting of three procedures spaced seven months apart. Following the procedure, the patient experienced significant pain relief, with rating on numeric rating scale (NRS) decreasing to 2 for a duration of 5 months. In conclusion, conventional RF of the articular sensory branches of the femoral nerve and obturator nerve at the hip joint is a potential option for reduction of chronic hip pain.
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