INTRODUCTION Neuropathic pain caused by an injury or disease of the somatosensory nervous system is a common chronic pain condition with a major impact on quality of life. Neurolesion and neuromodulation techniques, including Radiofrequency (RF) and Percutaneous Electrical Stimulation (PT or PENS Therapy), allow significant pain reduction and are a valid alternative to pharmacological treatments, or a solution if drug therapy is not enough or effective. OBJECTIVE The overall objective of the study is to detect the efficacy on pain reduction of radiofrequency (RF) and percutaneous electrical stimulation (PT) as nonpharmacological techniques for the treatment of chronic pain with the aim of promoting patient information and education on possible alternative techniques to drug therapy for pain management. MATERIALS AND METHODS The study was conducted through a retrospective analysis of pain monitoring data of patients who have undergone RF and PT at the U.O.S.D. Pain Therapy of the AST of Ascoli Piceno. The data refers to the year 2023 and cover 134 sessions of RF and 86 of percutaneous electrical nerve stimulation that were performed in that year. The data were provided by Dr. Maurizio Massetti, head of the reference Unit. RESULTS AND CONCLUSIONS The results indicate that PT can offer considerable relief in the short term, which, however, has a more or less variable duration in the long term. While they indicate that RF is effective in both the short and long term, particularly for knee pain. PENS Therapy and Radiofrequency have been shown to be effective techniques for the treatment of chronic neuropathic pain, as an alternative or as an adjunct to drug therapy, in patients who do not benefit from it or for whom it is not enough. Treatment effectiveness also has a strong link to the nursing role, so long as PT and RF are procedures that require specific skills and constant care that enable them to be performed safely and successfully.
INTRODUZIONE Il dolore neuropatico causato da una lesione o da una malattia del sistema nervoso somatosensoriale è una condizione di dolore cronico comune con un impatto importante sulla qualità della vita. Le tecniche di neurolesione e neuromodulazione, tra cui la Radiofrequenza (RF) e la Stimolazione Elettrica Percutanea (PT o PENS Therapy), permettono una riduzione significativa del dolore e rappresentano una valida alternativa ai trattamenti farmacologici, o una soluzione nel caso in cui la terapia farmacologica non sia sufficiente o efficace. OBIETTIVO L’obiettivo generale dello studio è rilevare l’efficacia sulla riduzione del dolore della radiofrequenza (RF) e della stimolazione elettrica percutanea (PT), quali tecniche non farmacologiche per il trattamento del dolore cronico con lo scopo di promuovere l’informazione e l’educazione dei pazienti sulle possibili tecniche alternative alla terapia farmacologica per la gestione del dolore. MATERIALI E METODI Lo studio è stato condotto tramite un’analisi retrospettiva dei dati relativi al monitoraggio del dolore dei pazienti sottoposti a RF e PT presso l’U.O.S.D. Terapia del Dolore dell’AST di Ascoli Piceno. I dati fanno riferimento all’anno 2023 e riguardano 134 sedute di radiofrequenza e 86 di stimolazione elettrica percutanea dei nervi che sono state eseguite in tale anno. I dati sono stati forniti dal Dott. Maurizio Massetti, Responsabile dell’Unità Operativa di riferimento. RISULTATI E CONCLUSIONI I risultati indicano che la PT può offrire un notevole sollievo nel breve termine, che però ha una durata più o meno variabile nel lungo termine. mentre indicano che la RF è efficace sia nel breve che nel lungo termine, in modo particolare per la gonalgia. PENS Therapy e Radiofrequenza si sono dimostrate tecniche efficaci per il trattamento del dolore neuropatico cronico, come alternativa o come supporto alla terapia farmacologica, nei pazienti che non ne beneficiano o per i quali questa non è sufficiente. L’efficacia del trattamento presenta anche un forte legame con il ruolo infermieristico, poiché PT e RF sono procedure che richiedono competenze specifiche ed un’assistenza costante che permettano di eseguirle in sicurezza e con successo.
RADIOFREQUEZA E PENS THERAPY PER IL TRATTAMENTO DEL DOLORE NEUROPATICO CRONICO: STUDIO RETROSPETTIVO E PRESENTAZIONE DI UN CASO CLINICO
ALEANDRI, RACHELE
2023/2024
Abstract
INTRODUCTION Neuropathic pain caused by an injury or disease of the somatosensory nervous system is a common chronic pain condition with a major impact on quality of life. Neurolesion and neuromodulation techniques, including Radiofrequency (RF) and Percutaneous Electrical Stimulation (PT or PENS Therapy), allow significant pain reduction and are a valid alternative to pharmacological treatments, or a solution if drug therapy is not enough or effective. OBJECTIVE The overall objective of the study is to detect the efficacy on pain reduction of radiofrequency (RF) and percutaneous electrical stimulation (PT) as nonpharmacological techniques for the treatment of chronic pain with the aim of promoting patient information and education on possible alternative techniques to drug therapy for pain management. MATERIALS AND METHODS The study was conducted through a retrospective analysis of pain monitoring data of patients who have undergone RF and PT at the U.O.S.D. Pain Therapy of the AST of Ascoli Piceno. The data refers to the year 2023 and cover 134 sessions of RF and 86 of percutaneous electrical nerve stimulation that were performed in that year. The data were provided by Dr. Maurizio Massetti, head of the reference Unit. RESULTS AND CONCLUSIONS The results indicate that PT can offer considerable relief in the short term, which, however, has a more or less variable duration in the long term. While they indicate that RF is effective in both the short and long term, particularly for knee pain. PENS Therapy and Radiofrequency have been shown to be effective techniques for the treatment of chronic neuropathic pain, as an alternative or as an adjunct to drug therapy, in patients who do not benefit from it or for whom it is not enough. Treatment effectiveness also has a strong link to the nursing role, so long as PT and RF are procedures that require specific skills and constant care that enable them to be performed safely and successfully.File | Dimensione | Formato | |
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https://hdl.handle.net/20.500.12075/19963