Lucas Furtado da Fonseca, Fernando Gonzalez Correa, Jonathas Teixeira Salles, Rodrigo Cortes Vicente, Eduardo Souza Maciel, Tania Szejnfeld Mann, Jose Fabio Lana, Raffael Marum Bachir, Leonardo Fernandez Maringolo, Vinicius Felipe Pereira, Nacime Salomao Mansur, Madhan Jeyaraman, Swaminathan Ramasubramanian
{"title":"超声引导脉冲射频治疗莫顿神经瘤的前景研究。","authors":"Lucas Furtado da Fonseca, Fernando Gonzalez Correa, Jonathas Teixeira Salles, Rodrigo Cortes Vicente, Eduardo Souza Maciel, Tania Szejnfeld Mann, Jose Fabio Lana, Raffael Marum Bachir, Leonardo Fernandez Maringolo, Vinicius Felipe Pereira, Nacime Salomao Mansur, Madhan Jeyaraman, Swaminathan Ramasubramanian","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Morton's neuroma is a compressive neuropathy of the common plantar digital nerve, causing significant pain and limiting patients' activities.</p><p><strong>Objectives: </strong>This study aimed to investigate the effect of pulsed radiofrequency (PRF) on the pain, functionality, and quality of life experienced by patients with Morton's neuroma.</p><p><strong>Study design: </strong>This was a prospective study with pre- and post-intervention assessments after one, 3, and 6 months of treatment.</p><p><strong>Setting: </strong>The orthopedics department of an affiliated hospital.</p><p><strong>Methods: </strong>Patients with Morton's neuroma underwent treatment with ultrasound-guided PRF in 2 sites around the neuroma for 8 minutes. Clinical outcomes were assessed using the visual analog scale (VAS), the American Orthopedic Foot and Ankle Society (AOFAS) questionnaire for assessing foot function, and the Short Form-36 (SF-36) for quality of life.</p><p><strong>Results: </strong>A total of 20 patients (29 feet) completed the 6-month minimum follow-up period. The VAS and face scale values at follow-up were statistically lower than the pre-procedure VAS scores (P < 0.05). The AOFAS and SF-36 values at follow-up were statistically higher than the pre-procedure values (P < 0.05). No significant adverse events were recorded during the follow-up.</p><p><strong>Limitations: </strong>The prospective research features a limited follow-up duration and lacks an additional group, whether control or treatment, for result comparisons.</p><p><strong>Conclusion: </strong>Applications of PRF decreased the pain and the improved functionality and quality of life experienced by patients with Morton's neuroma for a 6-month follow-up at minimum.</p>","PeriodicalId":19841,"journal":{"name":"Pain physician","volume":"28 4","pages":"E385-E391"},"PeriodicalIF":2.5000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Promising Outcomes of Ultrasound-Guided Pulsed Radiofrequency for the Treatment of Morton's Neuromas - A Prospective Study.\",\"authors\":\"Lucas Furtado da Fonseca, Fernando Gonzalez Correa, Jonathas Teixeira Salles, Rodrigo Cortes Vicente, Eduardo Souza Maciel, Tania Szejnfeld Mann, Jose Fabio Lana, Raffael Marum Bachir, Leonardo Fernandez Maringolo, Vinicius Felipe Pereira, Nacime Salomao Mansur, Madhan Jeyaraman, Swaminathan Ramasubramanian\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Morton's neuroma is a compressive neuropathy of the common plantar digital nerve, causing significant pain and limiting patients' activities.</p><p><strong>Objectives: </strong>This study aimed to investigate the effect of pulsed radiofrequency (PRF) on the pain, functionality, and quality of life experienced by patients with Morton's neuroma.</p><p><strong>Study design: </strong>This was a prospective study with pre- and post-intervention assessments after one, 3, and 6 months of treatment.</p><p><strong>Setting: </strong>The orthopedics department of an affiliated hospital.</p><p><strong>Methods: </strong>Patients with Morton's neuroma underwent treatment with ultrasound-guided PRF in 2 sites around the neuroma for 8 minutes. Clinical outcomes were assessed using the visual analog scale (VAS), the American Orthopedic Foot and Ankle Society (AOFAS) questionnaire for assessing foot function, and the Short Form-36 (SF-36) for quality of life.</p><p><strong>Results: </strong>A total of 20 patients (29 feet) completed the 6-month minimum follow-up period. The VAS and face scale values at follow-up were statistically lower than the pre-procedure VAS scores (P < 0.05). The AOFAS and SF-36 values at follow-up were statistically higher than the pre-procedure values (P < 0.05). No significant adverse events were recorded during the follow-up.</p><p><strong>Limitations: </strong>The prospective research features a limited follow-up duration and lacks an additional group, whether control or treatment, for result comparisons.</p><p><strong>Conclusion: </strong>Applications of PRF decreased the pain and the improved functionality and quality of life experienced by patients with Morton's neuroma for a 6-month follow-up at minimum.</p>\",\"PeriodicalId\":19841,\"journal\":{\"name\":\"Pain physician\",\"volume\":\"28 4\",\"pages\":\"E385-E391\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pain physician\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ANESTHESIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain physician","FirstCategoryId":"3","ListUrlMain":"","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
Promising Outcomes of Ultrasound-Guided Pulsed Radiofrequency for the Treatment of Morton's Neuromas - A Prospective Study.
Background: Morton's neuroma is a compressive neuropathy of the common plantar digital nerve, causing significant pain and limiting patients' activities.
Objectives: This study aimed to investigate the effect of pulsed radiofrequency (PRF) on the pain, functionality, and quality of life experienced by patients with Morton's neuroma.
Study design: This was a prospective study with pre- and post-intervention assessments after one, 3, and 6 months of treatment.
Setting: The orthopedics department of an affiliated hospital.
Methods: Patients with Morton's neuroma underwent treatment with ultrasound-guided PRF in 2 sites around the neuroma for 8 minutes. Clinical outcomes were assessed using the visual analog scale (VAS), the American Orthopedic Foot and Ankle Society (AOFAS) questionnaire for assessing foot function, and the Short Form-36 (SF-36) for quality of life.
Results: A total of 20 patients (29 feet) completed the 6-month minimum follow-up period. The VAS and face scale values at follow-up were statistically lower than the pre-procedure VAS scores (P < 0.05). The AOFAS and SF-36 values at follow-up were statistically higher than the pre-procedure values (P < 0.05). No significant adverse events were recorded during the follow-up.
Limitations: The prospective research features a limited follow-up duration and lacks an additional group, whether control or treatment, for result comparisons.
Conclusion: Applications of PRF decreased the pain and the improved functionality and quality of life experienced by patients with Morton's neuroma for a 6-month follow-up at minimum.
期刊介绍：
Pain Physician Journal is the official publication of the American Society of Interventional Pain Physicians (ASIPP). The open access journal is published 6 times a year.
Pain Physician Journal is a peer-reviewed, multi-disciplinary, open access journal written by and directed to an audience of interventional pain physicians, clinicians and basic scientists with an interest in interventional pain management and pain medicine.
Pain Physician Journal presents the latest studies, research, and information vital to those in the emerging specialty of interventional pain management – and critical to the people they serve.
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