Search
Close this search box.

Home / My Account / Dry Needling Research

Successful Management of Chronic Postsurgical Pain Following Total Knee Replacement.

Pain Med. 2014 Aug 4;
Authors: Vas L, Khandagale N, Pai R

Abstract
We report reversal of chronic postsurgical pain (CPSP) along with functional restoration after total knee replacement (TKR) in two patients, using a combination therapy that included ultrasonography-guided pulsed radiofrequency (PRF) of nerves supplying the knee to provide pain relief, along with dry needling (DN) to relax myofascial triggers/bands that caused painful stiffness and restricted movement of muscles acting across the knee.

Both patients showed demonstrable pain relief, as evidenced by changes in pain as assessed on the Numeric Rating Scale (patient 1: 4-9/10 [pre-treatment] to 0-3/10 [6 months post-treatment]; patient 2: 5-9/10 to 0-4/10), Oxford Knee Score (patient 1: 17 to 40; patient 2: 12 to 39), Self-Administered Leeds Assessment of Neuropathic Symptoms and Signs score (patient 1: 16 to 0; patient 2: 18 to 0), and Patient Health Questionnaire-9 score (patient 1: 17 to 2; patient 2: 20 to 2). The selection of the PRF-and-DN combination for treating post-TKR CPSP was based on a new idea that CPSP is a neuromyopathic phenomenon involving both sensory and motor neuropathy. It has evolved from our experience of 8 years. Physiotherapy worked synergistically with DN, optimizing muscle performance and pain relief.

PMID: 25132412 [PubMed – as supplied by publisher]
Related Articles

Facebook
Twitter
LinkedIn

More to explore.

FLASH SALE!

10% OFF

any IDN Course!

*Valid for new registrations only and can not be combined with other discount codes.  Offer Expires: 7/7/2024

Integrative Dry Needling Logo Orange

Not sure which course is right for you? No problem – we created an intuitive process to help!