Transcutaneous radiofrequency: clinical experience

Francisco Vicente Tomas Rios, Eva Romero
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Abstract

Methods: A retrospective study of 14 patients was performed during the period 2014 -2015 10 diagnosed with knee pathology and 4 chronic shoulder pathology. We included in our study those patients referred for specialist diagnosed osteoarticular pathology (shoulder and knee) for more than three months duration after entering your conventional therapies performed ineffectively after handling conventional, including steroid injections, hyaluronic acid or ozone, discarded for surgery. All were treated as outpatients. Patients receive 3 treatments with a monthly interval between the two, regardless of the evolution of his dolor.En here is an initial study and a month, pending realization of the other treatments. The TCPRFT was performed with a radio frequency generator 1100 using Neurotherm NT modified leads, connected to two channels in a surface mounted TENS adhesive, and managed not termoacoplado mode with manual voltage. Treatment was done always in the same position, with two parameters pps, 20 msec, 90V, for 12 minutes, providing the electrodes as images: Knee: A. Previous Position: Suprapatellar medial, lateral suprapatellar, infrapatellar medial, lateral infrapatellar. B. Rear-Position: popliteal fossa in four quadrants. C. Transverse-transcutaneous Shoulder: a. acromioclavicular joint and deltoid insertion on the humerus. b. glenohumeral joint in the anteroposterior plane, and subsequent behind the spine of the scapula. 3. deltopectoral the supraspinatus muscle-Triangle. D. Same as above, but a little more lateral delto-pectoral Triangle, and supraespoinoso muscle. E. Triangle delto-pectoral and spine of the scapula. F. Articulacion acromioclavicular, and under the root of the armpit. After the patient’s informed and assessment of VAS and SF-36 agreement, the above described technique is performed and 4 weeks evaluates the patient again (VAS and SF-36).
经皮射频:临床经验
方法:回顾性分析2014 -2015年间14例膝关节病变患者,其中10例诊断为膝关节病变,4例诊断为慢性肩关节病变。在我们的研究中,我们纳入了那些在接受常规治疗(包括类固醇注射、透明质酸或臭氧)后无效的常规治疗后,转诊给专家诊断为骨关节病变(肩关节和膝关节)超过三个月的患者。所有患者均作为门诊患者接受治疗。患者接受3次治疗,每次治疗间隔一个月,无论患者的病情发展如何。这是一个初步的研究和一个月,等待实现其他治疗。TCPRFT使用射频发生器1100进行,使用Neurotherm NT改良引线,在表面安装的TENS粘合剂中连接到两个通道,并通过手动电压管理非termoacoplado模式。治疗始终在同一体位进行,两个参数pps, 20 msec, 90V,持续12分钟,提供电极图像:膝关节:A.前位:髌上内侧,髌上外侧,髌下内侧,髌下外侧。B.后位:腘窝四象限。a.肱骨上的肩锁关节和三角肌止点。B.肩胛骨前后平面的盂肱关节,随后肩胛骨后的脊柱。3.三角肌,冈上肌三角。D.同上,但多一点外侧三角-胸三角和腰肌上肌。E.三角胸肌和肩胛骨脊柱。肩锁关节,腋窝根部下。在患者告知并评估VAS和SF-36是否符合后,进行上述技术,并在4周内再次评估患者(VAS和SF-36)。
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