Pulsed Radiofrequency Application on Sacral Nerve Roots for Pudendal Neuralgia: Two Case Reports and Review of the Literature

Silvia Mazzoleni, Carola Santi and Andrea Tinnirello
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Silvia Mazzoleni: Università degli Studi di Brescia; Anesthesia and Pain Management-ASST Franciacorta, Ospedale di Iseo
Carola Santi: Università degli Studi di Brescia; Anesthesia and intensive care-ASST del Garda, Ospedale di Manerbio
Andrea Tinnirello: Anesthesia and Pain Management-ASST Franciacorta, Ospedale di Iseo

Journal of Innovations in Medical Research, 2022, vol. 1, issue 4, 14-19

Abstract: Pudendal neuralgia is a common cause of pelvic pain, often difficult to treat with medical management. Nerve blocks can be effective in the short term. Pulsed Radiofrequency application on the pudendal has been investigated in several studies with positive results, however, locating the nerve can be tricky, particularly in overweight patients. We describe two case reports of pudendal neuralgia where, after a procedure on the pudendal nerve without effect, pulsed radiofrequency was applied to the sacral nerve roots S2-S3 with a combined caudal epidural and intraforaminal approach under fluoroscopic guidance. Our results suggest that radiofrequency application with this combined approach can be a feasible technique to treat pudendal neuralgia.

Keywords: radiofrequency; pudendal neuralgia; pelvic pain; neuromodulation; sacral stimulation (search for similar items in EconPapers)
Date: 2022
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Persistent link: https://EconPapers.repec.org/RePEc:bdz:joimer:v:1:y:2022:i:4:p:14-19

DOI: 10.56397/JIMR/2022.11.02

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