Efficacy of Intra Articular and Genicular Nerve Radiofrequency Ablation in longTerm pain relief among patient with chronic knee osteoarthritis

Efficacy of Intra Articular and Genicular Nerve RadiofrequencyAblation in long Term pain relief among patient with chronic knee osteoarthritisPain and disability caused by knee osteoarthritis is a very common problem in middle age. For the treatment ofpatients, various injection and radiofrequency methods have been used inside the joint and geniculate nerves.The use of medicine and joint replacement are other methods used. Radiofrequency ablation of geniculatenerves is a suitable and less invasive method that provides adequate analgesia in the short term and ۶ monthsafter the operation.Radiofrequency performed under guidance of Ultrasound and Fluoroscopic that Each of these methods has itsown advantages and some dificulties, and the use of each one depends on the patient's condition and thephysician experienceA significant difference can be seen in VAS of patients before and after the use of knee geniculateradiofrequency in two weeks, three months and six months after the intervention, which indicates theeffectiveness of this minimally invasive method.Ablation of the genicular nerves (GN) has emerged as a useful alternativetherapeutic modality in chronic knee osteoarthritis (OA) specially for high-risk patients. However,in some casesdue to the presence of other articular branches or anatomical variability, it may have a poor impact in relievingpain. Ablation of other or additional articular branches might have different utcomes.In the conducted studies, a comparison between geniculate radiofrequency, intra-knee radiofrequency andPRP has been made, which shows that geniculate radiofrequency is more effective than the other twomethods in long-term analgesia and well being.Efficacy and safety of radiofrequency treatment for improving knee pain and function in knee osteoarthritis: aMeta-analysis of randomized controlled trials(Fifteen RCTs involving ۱۰۰۹ patients) showed that RF is anefficacious and safe treatment for relieving knee pain and improving knee function in patients with knee OA.There is no need for a diagnostic block before radiofrequency, and this low-risk method provides adequate