Ankle RFA?

[DocMorpheus]

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I had a patient ask me about this saying some doctors are doing this....
Haven’t really heard of this before.

 

[paindoc101]

Never heard of anyone doing it...

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[pastafan]

I think pulsed has been done for neuromas.

 

[Ducttape]

I don't think you can RFA (or want to) the entire ankle - the post tib, saphenous, common and deep peroneal, and the sural.

I have intermittently RFA'd specific nerve branches, particularly saphenous, deep peroneal, and post tib (for tarsal tunnel - don't bother).

 

[painfree23]

I don't think you can RFA (or want to) the entire ankle - the post tib, saphenous, common and deep peroneal, and the sural.

I have intermittently RFA'd specific nerve branches, particularly saphenous, deep peroneal, and post tib (for tarsal tunnel - don't bother).

Do you use ultrasound for this? Pulsed or full?

 

[SommeRiver]

I can just imagine the neuritis of a thermal lesion on any of those big, thick nerves.

 

[Ducttape]

I used US, and pulsed.

some of those nerves are not big any more, and a couple of them are pure sensory nerves (ie saphenous and sural)