Femoral and Obturator Nerve Articular Branches Prf
A Study on the Effectiveness of Pulsed Radiofrequency Treatment Applied to the Femoral and Obturator Nerve Articular Branches Under Ultrasound Guidance in Chronic Hip Osteoarthritis
Diskapi Teaching and Research Hospital
40 participants
Sep 20, 2025
INTERVENTIONAL
Conditions
Summary
In our clinic, patients undergoing pulsed radiofrequency treatment of the femoral and obturator nerve articular branches under ultrasound guidance for pain management due to hip and groin pain associated with hip osteoarthritis will have the efficacy of these methods on pain compared with the Numeric Rating Scale (NRS) and Oxford Hip Score (OHS) at 2, 6, 12 weeks.
Eligibility
Inclusion Criteria3
- \. Patients with hip and groin pain who have been diagnosed with hip osteoarthritis by direct radiography
- \. Patients who have had hip pain above VAS 5 for more than 6 weeks
- \. Failure of pain treatment with conservative methods such as analgesics and physical therapy
Exclusion Criteria3
- \. Patients with lumbar radiculopathy and axial back pain, sacroiliac joint, connective tissue disease
- \. Patients who do not attend follow-up appointments regularly or cannot be reached by phone
- \. Patients who started additional analgesic medication or underwent additional interventional procedures after the initial interventional procedure
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Interventions
Hemodynamic monitoring is provided. The hip joint where the procedure will be performed is cleaned with povidone-iodine. Sterile draping is performed. For PRF application to the articular branches of the femoral nerve, a convex ultrasound probe is first used to locate the articular branches of the femoral nerve in the groin area, followed by the articular branches of the obturator nerve. The radiofrequency cannula is inserted sequentially into the target points and sensory feedback is obtained. Then, a pulsed radiofrequency current, which has therapeutic properties for chronic pain and does not damage tissues by exceeding a temperature of 42 degrees, is applied to the relevant nerve root for 240 seconds. Subsequently, an injectate consisting of 2 cc of 5% bupivacaine, 4 mg of dexamethasone, and 2 cc of physiological saline is administered to the same nerve. Translated with DeepL.com (free version)
Locations(1)
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NCT07190339