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Risk of Paralysis with Pulsed RF

Anonymous on May 20, 2021 at 8:19 pm
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    • Anonymous
      May 20, 2021 at 8:19 pm #69041
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      Given that pulsed RF is not thermal, is there any risk of damage or paralysis if pulsed RF was accidently applied to a motor axon/neuron?

      • Fabricio Dias AssisFabricio Dias Assis
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        Joined: Sep 6, 2016
        Posts: 5
        June 4, 2021 at 8:40 am #69250
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        Hello!
        Despite Erdine et all showed that under electronic microscopy there are some nerve damage following exposure to pulsed radiofrequency (Erdine S, Bilir A, Cosman ER, Cosman ER Jr. Ultrastructural changes in axons following exposure to pulsed radiofrequency fields. Pain Pract. 2009 Nov-Dec;9(6):407-17. doi: 10.1111/j.1533-2500.2009.00317.x. Epub 2009 Sep 15. Erratum in: Pain Pract. 2010 May-Jun;10(3):264. PMID: 19761513), that is just microscopically. Clinically there is no loss of sensitivity or motor weakness at all if you apply pulsed RF under 44 degrees Celsius. So the best indications for this procedure are exactly for peripheral nerves and for the DRG/spinal nerves.

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