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Inicio Rehabilitación Radiofrecuencia térmica como alternativa en el tratamiento del dolor neuropáti...
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Vol. 57. Issue 2.
(April - June 2023)
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Vol. 57. Issue 2.
(April - June 2023)
Caso clínico
Radiofrecuencia térmica como alternativa en el tratamiento del dolor neuropático localizado persistente por atrapamiento de un nervio colateral de la mano
Thermal radiofrequency as an alternative in the treatment of persistent localized neuropathic pain due to entrapment of a collateral nerve of the hand
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C. Teixidó Fonta,
Corresponding author
cteixidofont@gmail.com

Autor para correspondencia.
, J. Formigo Couceirob, S. Otero Villaverdeb
a Servicio de Medicina Física y Rehabilitación, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España
b Servicio de Medicina Física y Rehabilitación, Complejo Hospitalario Universitario A Coruña, A Coruña, España
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Resumen

El dolor neuropático localizado (DNL) es una causa relativamente frecuente de dolor musculoesquelético cuya prevalencia puede llegar a representar el 60% de las condiciones de dolor neuropático. Su aparición puede asociarse a numerosas patologías (herpes, diabetes, etc.). Una causa menos habitual sería la compresión directa de una rama nerviosa periférica. Su diagnóstico suele ser clínico, ya que pruebas complementarias como las neurofisiológicas no aportan datos definitivos. Como medidas terapéuticas disponemos de analgésicos orales, anticonvulsivantes, parches cutáneos analgésicos y acciones intervencionistas, entre las que se incluye la radiofrecuencia (RF). La RF térmica consiste en el paso de una corriente eléctrica a través de una aguja alcanzando un aumento controlado de temperatura con el que se consigue una lesión ablativa nerviosa.

Se presenta un caso donde se propone como alternativa terapéutica la RF térmica del nervio colateral de la mano, cuyo atrapamiento es el causante del dolor, obteniendo una mejoría clínica satisfactoria.

Palabras clave:
Dolor neuropático localizado
Atrapamiento del nervio colateral
Radiofrecuencia térmica
Abstract

Localized neuropathic pain (LNP) is a relatively common cause of musculoskeletal pain, which can be present in up to 60% of neuropathic pain conditions. Its appearance can be associated with numerous pathologies (herpes, diabetes, etc.). A less common cause would be the direct compression of a peripheral nerve branch. Its diagnosis is usually clinical since complementary tests such as neurophysiological tests do not provide definitive data. As therapeutic measures we have oral analgesics, anticonvulsants, analgesic skin patches and interventional actions, including radiofrequency (RF). Thermal RF consists in the transmission of an electric impulse through a needle reaching a controlled increase in temperature with which a nerve ablative injury is achieved.

We present a clinical case where thermal RF of the collateral nerve of the hand is proposed as a therapeutic alternative, whose entrapment is the cause of pain, obtaining a satisfactory clinical improvement.

Keywords:
Neuropathic pain
Collateral nerve entrapment
Thermal radiofrequency

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