Posterior Tibial Nerve PRF for Painful Calcaneal Fracture
Evaluation of the Effectiveness of Pulsed Radiofrequency Treatment of the Posterior Tibial Nerve in the Management of Chronic Plantar Pain Due to Calcaneal Fracture
Diskapi Teaching and Research Hospital
50 participants
Mar 17, 2025
INTERVENTIONAL
Conditions
Summary
Patients who underwent pulsed radiofrequency (PRF) treatment of the posterior tibial nerve under ultrasound guidance, which is routinely performed in our clinic for severe heel pain following a calcaneal fracture, were evaluated through interviews. The assessment was conducted using the Visual Analog Scale (VAS) for pain and the American Orthopaedic Foot and Ankle Society (AOFAS) score.
Eligibility
Inclusion Criteria3
- History of calcaneal fracture
- VAS score >5
- Pain persisting for more than 3 months after the fracture
Exclusion Criteria5
- Presence of other foot pain-causing conditions (e.g., plantar fasciitis, heel spur)
- Additional fractures other than the calcaneus
- Pregnancy
- Coagulopathy or use of antiplatelet medications
- Mental illness impairing decision-making ability
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Interventions
The posterior tibial nerve (PTN) was identified with a 5-12 MHz linear ultrasonography (US) probe at the level of the medial malleolus, where it runs posterior to the posterior tibial artery. Using the in-plane technique, a 22-gauge, 10-cm radiofrequency cannula was inserted under US guidance and advanced until the tip was adjacent to the nerve. Pulse radiofrequency was applied at 42°C for 240 s with a pulse width of 20 ms.
No intervention
Locations(1)
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NCT06888804