Genicular nerve neurolysis with phenol for chronic knee pain: A case series
- PMID: 39239601
- PMCID: PMC11372894
- DOI: 10.1016/j.inpm.2023.100182
Genicular nerve neurolysis with phenol for chronic knee pain: A case series
Erratum in
-
Erratum regarding previously published articles.Interv Pain Med. 2024 Jun 29;3(3):100424. doi: 10.1016/j.inpm.2024.100424. eCollection 2024 Sep. Interv Pain Med. 2024. PMID: 39502908 Free PMC article.
Abstract
Chronic knee pain continues to be a common complaint amongst patients and continues to grow as the elderly population lives longer. New ways to treat chronic pain conditions, including chronic knee pain, are necessary as increased co-morbidities prevent patients from being surgical candidates. Recently, the genicular nerves have received more attention due to their role in innervating the anterior knee joint capsule as well as the intraarticular and extraarticular knee ligaments. Initial interest in the genicular nerve included radiofrequency ablation. RFA while effective, also brings with it increased procedure and equipment costs with a non-response rate of around 25%. Alcohol neurolysis of the genicular nerve is being seen as a potential alternative, low-cost, effective option for relieving chronic knee pain in patients. Previous case reports have focused on the use of alcohol, we report the use of phenol for genicular neurolysis. Of the four genicular nerve branches, only three are targeted due to the proximity of the inferolateral genicular nerve to the common peroneal nerve. The purpose of this case report is to show the effectiveness of phenol for neurolysis of the genicular nerves in relieving chronic knee pain in patients in which surgery is not an option.
© 2023 The Author(s).
Conflict of interest statement
Alex Wilkinson: None. Thomas Chai: None. Carlos J. Roldan: None. Billy K. Huh: None.
Figures
References
-
- Elashmawy Mohamed M., Shabana Adel A.H., Elsaid Tamer O., Elhawary Galal M. Ultrasound-guided genicular nerve block versus alcoholic neurolysis for treatment of advanced knee osteoarthritis patients. The Egyptian Rheumatologist. 2022;44(Issue 4):307–311. doi: 10.1016/j.ejr.2022.04.002. ISSN 1110-1164. - DOI
-
- Phenol neurolysis of genicular nerves for chronic knee pain. https://painmed.org/phenol-neurolysis-of-genicular-nerves-for-chronic-kn... AAPM. Published June 7, 2019. Accessed.
Publication types
LinkOut - more resources
Full Text Sources
