Anesthesia and Pain Medicine  2012;7(2):114-116

Pulsed radiofrequency lesioning of the median nerve in a patient with bilateral carpal tunnel syndrome: A case report.

Il Bong PARK 1 ; Yu Yil KIM ; Jun Hak LEE ; Dong Un SONG ; Jae Wook SONG

Affiliations

+expand

Keywords

Carpal tunnel syndrome; Median nerve; Pulsed radiofrequency

Country

Republic of Korea

Language

Korean

Abstract

Carpal tunnel syndrome, compression of the median nerve in the carpal tunnel at the wrist, is the most common entrapment syndrome of peripheral nerve. It is characterized by sensory and motor symptoms and signs in the distribution of the median nerve. Radiofrequency thermocoagulation is a neuroablative treatment for various chronic pain disorders, but is associated with neural injury, neuritis, and occasional neuroma. Unlike RF, pulsed radiofrequency, the use of the high current intensity and electrical fields, has been proposed for the modulation of the excited nervous system pathway of pain without neuro-destruction and other potential complications. We report a case of bilateral carpal tunnel syndrome that was relieved after PRF lesioning of both median nerves.