Cryoablation in Chronic Pain Management: A Narrative Review

Cryoneurolysis is a technique of applying extreme cold temperatures to specific sensory nerves, causing a prolonged period of loss of conduction through that nerve. This technique has found widespread application in the field of interventional pain medicine in a variety of conditions including chron...

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Main Authors: Sreyashi Naskar, Debesh Bhoi, Wasimul Hoda, Heena Garg
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Indian Journal of Pain
Subjects:
Online Access:https://journals.lww.com/10.4103/ijpn.ijpn_47_24
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author Sreyashi Naskar
Debesh Bhoi
Wasimul Hoda
Heena Garg
author_facet Sreyashi Naskar
Debesh Bhoi
Wasimul Hoda
Heena Garg
author_sort Sreyashi Naskar
collection DOAJ
description Cryoneurolysis is a technique of applying extreme cold temperatures to specific sensory nerves, causing a prolonged period of loss of conduction through that nerve. This technique has found widespread application in the field of interventional pain medicine in a variety of conditions including chronic postsurgical pain, phantom limb pain (PLP), and cancer pain. Its use in chronic pain states has been aided further by the advent of handheld cryoneurolysis devices and the widespread use of ultrasonographic imaging to guide and target nerves accurately. Chronic pain states – chronic knee pain from osteoarthritis, refractory PLP, temporomandibular disorders, cervicogenic headaches, low back pain, different peripheral neuropathies, and metastatic bone tumor pain – are some of the conditions where cryoneurolysis has been proven to benefit patients in cases where the symptoms were refractory to other conventionally used modalities. Chronic pain is a complex and multifaceted condition and hence requires a variety of individualized treatment approaches. Current research on this treatment method for chronic pain indicates that it carries low risk and, when used correctly, offers extended pain relief without causing motor function loss. This narrative review includes all types of scientific studies, published between 2010 and 2023, which were selected using a specific set of keywords through two different literature search engines. In conclusion, it explains how cryoneurolysis works to provide long-term pain relief and summarizes the latest evidence supporting its use in chronic pain management.
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series Indian Journal of Pain
spelling doaj-art-1193b2560117468f8871d7e6817db5eb2025-01-07T06:39:48ZengWolters Kluwer Medknow PublicationsIndian Journal of Pain0970-53332321-78202024-12-0138316117010.4103/ijpn.ijpn_47_24Cryoablation in Chronic Pain Management: A Narrative ReviewSreyashi NaskarDebesh BhoiWasimul HodaHeena GargCryoneurolysis is a technique of applying extreme cold temperatures to specific sensory nerves, causing a prolonged period of loss of conduction through that nerve. This technique has found widespread application in the field of interventional pain medicine in a variety of conditions including chronic postsurgical pain, phantom limb pain (PLP), and cancer pain. Its use in chronic pain states has been aided further by the advent of handheld cryoneurolysis devices and the widespread use of ultrasonographic imaging to guide and target nerves accurately. Chronic pain states – chronic knee pain from osteoarthritis, refractory PLP, temporomandibular disorders, cervicogenic headaches, low back pain, different peripheral neuropathies, and metastatic bone tumor pain – are some of the conditions where cryoneurolysis has been proven to benefit patients in cases where the symptoms were refractory to other conventionally used modalities. Chronic pain is a complex and multifaceted condition and hence requires a variety of individualized treatment approaches. Current research on this treatment method for chronic pain indicates that it carries low risk and, when used correctly, offers extended pain relief without causing motor function loss. This narrative review includes all types of scientific studies, published between 2010 and 2023, which were selected using a specific set of keywords through two different literature search engines. In conclusion, it explains how cryoneurolysis works to provide long-term pain relief and summarizes the latest evidence supporting its use in chronic pain management.https://journals.lww.com/10.4103/ijpn.ijpn_47_24chronic paincryoablationlow back painneuropathic painphantom limbwallerian degeneration
spellingShingle Sreyashi Naskar
Debesh Bhoi
Wasimul Hoda
Heena Garg
Cryoablation in Chronic Pain Management: A Narrative Review
Indian Journal of Pain
chronic pain
cryoablation
low back pain
neuropathic pain
phantom limb
wallerian degeneration
title Cryoablation in Chronic Pain Management: A Narrative Review
title_full Cryoablation in Chronic Pain Management: A Narrative Review
title_fullStr Cryoablation in Chronic Pain Management: A Narrative Review
title_full_unstemmed Cryoablation in Chronic Pain Management: A Narrative Review
title_short Cryoablation in Chronic Pain Management: A Narrative Review
title_sort cryoablation in chronic pain management a narrative review
topic chronic pain
cryoablation
low back pain
neuropathic pain
phantom limb
wallerian degeneration
url https://journals.lww.com/10.4103/ijpn.ijpn_47_24
work_keys_str_mv AT sreyashinaskar cryoablationinchronicpainmanagementanarrativereview
AT debeshbhoi cryoablationinchronicpainmanagementanarrativereview
AT wasimulhoda cryoablationinchronicpainmanagementanarrativereview
AT heenagarg cryoablationinchronicpainmanagementanarrativereview