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  4. The Effect of Pulsed Radiofrequency Applied to the Peripheral Nerve in Chronic Constriction Injury Rat Model

The Effect of Pulsed Radiofrequency Applied to the Peripheral Nerve in Chronic Constriction Injury Rat Model

Annals of Rehabilitation Medicine, 2015 · DOI: http://dx.doi.org/10.5535/arm.2015.39.5.667 · Published: October 1, 2015

NeurologyPain Management

Simple Explanation

This study investigates whether pulsed radiofrequency (PRF) can reduce neuropathic pain in rats with nerve damage. Neuropathic pain is a chronic condition arising from nerve lesions, and current treatments often provide only partial relief. The researchers induced nerve injury in rats and then applied PRF, a treatment using radio waves, to the affected nerves. They measured the rats' pain responses and levels of a pain-related protein called TNF-α. The study found that PRF reduced pain and lowered TNF-α levels in the rats' spinal cords and nerves. This suggests PRF could be a helpful therapy for neuropathic pain by modulating inflammatory markers.

Study Duration
7 days
Participants
19 male Sprague-Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    After PRF, withdrawal frequency decreased and withdrawal latency prolonged over time in group B, indicating reduced pain sensitivity.
  • 2
    Group B showed decreased TNF-α immunoreactivity of the spinal cord and sciatic nerve at 7 days, suggesting reduced inflammation.
  • 3
    There was significant interaction between time and group for withdrawal frequency and withdrawal latency, demonstrating the effect of PRF on pain response.

Research Summary

This study aimed to determine the effect of pulsed radiofrequency (PRF) applied to the sciatic nerve on neuropathic pain in a chronic constriction injury (CCI) rat model. The results indicated that PRF applied proximal to the peripheral nerve injury is potentially helpful for the reduction of neuropathic pain by neuromodulation of inflammatory markers, specifically TNF-α. The study suggests that PRF stimulation affects modulation of inflammatory response in the injured area, decreasing TNF-α immunoreactivity in spinal cord and sciatic nerve.

Practical Implications

Potential Therapeutic Tool

PRF applied to the peripheral nerve could be developed as an easy and comfortable therapeutic tool for neuropathic pain patients.

Neuromodulation Mechanism

PRF may relieve neuropathic pain by inducing long-term depression of synaptic transmission in the spinal cord.

Reduction of Inflammatory Response

PRF stimulation affects modulation of inflammatory response in the injured area.

Study Limitations

  • 1
    Percutaneous approach using ultrasonography for PRF treatments was not used.
  • 2
    The changes of spinal glial cells and glial activation signaling pathway involved in the transmission of neuropathic pain after peripheral nerve injury were not studied.
  • 3
    Studies on other inflammatory markers were insufficient.

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