Anesth Pain Med.  2012 Apr;7(2):114-116.

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

• Park IB
• Kim YY
• Lee JH
• Song DU
• Song JW

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.

Keyword

Carpal tunnel syndrome; Median nerve; Pulsed radiofrequency

MeSH Terms

Carpal Tunnel Syndrome
Chronic Pain
Electrocoagulation
Humans
Median Nerve
Nervous System
Neuritis
Neuroma
Peripheral Nerves
Wrist