An unusual case: supra-orbital neuralgia treated successfully by pulsed radiofrequency application

AbstractSupra-orbital neuralgia is an uncommon disorder specified by severe pain in the frontal region of the head and originates from the supra-orbital nerve. Supra-orbital neuralgia is defined as tenderness and pain above nerves that can be abolished easily by a local anesthetic blockade. Conventional radiofrequency (CRF) application has been used for trigeminal neuralgia for years and it is an ablative method but pulsed radiofrequency (PRF) is not. Many clinical studies have shown that PRF is safer than conventional radiofrequency but as effective. Although there are many trials on the relief of pain due to gonarthrosis and lumbar facet hypertrophy showed that PRF application is not only safe but effective, few previous studies have evaluated the efficacy and safety of PRF for supra-orbital nerve treatment. There is need for high-quality, controlled, clinical studies evaluating the long-term effects of this technique to supra-orbital neuralgia.