The purpose of this study is to determine if patients with chronic painful knee osteoarthritis experience meaningful and long-term improvement in pain, function, and analgesic use after ultrasound-guided pulsed radiofrequency of the genicular nerves following a double diagnostic genicular nerve blocks.
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Eligibility Criteria
Inclusion Criteria:
* Chronic knee pain with pain intensity of at least 4 out 10 on the VAS on most or all days for more than 3 months
* Patients of either sex with primary osteoarthritis of one or both knees fulfilling diagnostic criteria for osteoarthritis knee laid down by American College of Rh…
Inclusion Criteria:
* Chronic knee pain with pain intensity of at least 4 out 10 on the VAS on most or all days for more than 3 months
* Patients of either sex with primary osteoarthritis of one or both knees fulfilling diagnostic criteria for osteoarthritis knee laid down by American College of Rheumatology.
* Patients also had to have a Kellgren-Lawrence (radiologic criterion) score of at least 2
* Pain resistant to conventional therapy including NSAIDs, opioids, muscle relaxants, oral steroids, physical therapy, and intra-articular injection therapy.
Exclusion Criteria:
* The patients with secondary osteoarthritis of knees
* Associated systemic arthropathies, e.g. rheumatoid arthritis and gout
* Previous radiofrequency ablation treatment for similar symptoms.
* Intra-articular knee corticosteroid or hyaluronic acid injection in the past 3 months.
* Active systemic or local infections at the site of proposed needle and electrode placement.
* Coagulopathy or other bleeding disorder
* Cognitive deficit.
* Unstable medical or psychiatric illness.
* Previous knee joint replacement surgery
* Patients missing two or more appointments consecutively were excluded from the study
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