Application of pulsed radiofrequency in the treatment of headache

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Indication:- cluster headache.Migraine headache.Residual frontal headache after treatment of cervical headache.Atypical facial pain distribu



- cluster headache.

Migraine headache.

Residual frontal headache after treatment of cervical headache.

Atypical facial pain distribution in the area of the maxillary nerve.

Other head and face pain: pain in the head and face that is not clearly defined by the presence of the parasympathetic nerve and the pain of the head and face.

Mainly for the headache patients with poor oral medication or oral drugs can choose this treatment.


- bleeding or bleeding.

Puncture site infection or deep infection.

- unclear image location.

Adverse reactions and complications:

Local hematoma.


Maxillary sensory innervation.

1 diagnostic block:

Radiofrequency ablation (RFA) is a kind of destructive (destructive) treatment under the thermal effect, and it can be implemented before treatment. Methods: 1 diagnostic blocks, with the same RF puncture method (see operation), after the puncture injection of 2% lidocaine 1ml; 2, nasal mucosal block: 1% lidocaine or lidocaine 4%, cotton swab soaked into the ipsilateral nasal cavity of middle turbinate, and to the affected side against cotton the signing of 30 seconds, were observed in patients with pain, duration of medication, such as pain relief and pain after repeated, that diagnostic blocks can be considered effective, radiofrequency treatment.

Mechanism of action: 2 sphenopalatine ganglion sphenopalatine ganglion in the pterygopalatine fossa, the three ganglion, the maxillary branch of the trigeminal nerve, sensory root, root from the facial nerve parasympathetic, sympathetic root by starting from the internal carotid plexus and deep petrosal nerve fibers. Issued by the sphenopalatine ganglion is a parasympathetic nerve fibers of the postganglionic fibers as well as through from the section of the sensory and sympathetic nerve fibers, and orbital nerve, after nasal and pharyngeal nerve, palatine nerve nerve branches distributed in orbit, lacrimal gland, nasal cavity, sphenoid sinus, maxillary sinus and mouth cavity on the palate, gingiva the pharynx mucosa. The mechanism of the treatment is to achieve the therapeutic effect of radiofrequency ablation (RFA) or pulse radio frequency (RF) in the treatment of headache.


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