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

Authors

  • 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

Keywords:

radiofrequency, pudendal neuralgia, pelvic pain, neuromodulation, sacral stimulation

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.

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Published

2022-11-07

How to Cite

Silvia Mazzoleni, Carola Santi, & Andrea Tinnirello. (2022). Pulsed Radiofrequency Application on Sacral Nerve Roots for Pudendal Neuralgia: Two Case Reports and Review of the Literature. ournal of nnovations in edical esearch, 1(4), 14–19. etrieved from https://www.paradigmpress.org/jimr/article/view/298

Issue

Vol. 1 No. 4 (2022): November

Section

Articles