Dr. Wu Zhiying said that high-frequency thermal coagulation surgery can be applied to trigeminal neuralgia, neck and lumbar pain, shoulder joint pain, knee joint pain, cancer pain, etc. The pain relief effect varies from person to person, usually for several months to more than a year. (Photo/Provided by the Affiliated Hospital of Hsinchu University of Traditional Chinese Medicine)
A 93-year-old patient suffered from severe pain from neck to shoulder, and had to sit and sleep for a year. He sought medical advice from Dr. Wu Zhiying from the Department of Neurosurgery at the Hsinchu Affiliated Hospital of China Medical University. Considering that the patient was older and had heart failure Therefore, it is recommended to use high-frequency thermocoagulation surgery. After about 15 minutes of surgery, two injections were given. The patient said that the pain index was reduced by almost half after one week. After returning to the clinic two weeks later, the pain index was greatly reduced, and finally Can lie down and sleep.
Another 68-year-old patient had pain from the back of the right neck to the arm, especially when the head was turned, and the pain was severe. After examination, it was the first and second cervical vertebrae in the high cervical spine. The patient was not satisfied with the effect of the previous lumbar surgery. , was hesitant about surgery, so he underwent high-frequency thermocoagulation surgery. Since the pain point of the patient revolves around the important neurovascular brainstem, it is a high-risk and complicated surgery.
Dr. Wu Zhiying said that the principle of high-frequency thermocoagulation surgery is to place a guide needle around the nerve to be treated and use high-frequency electric waves to transmit energy to achieve pain relief. It is divided into “traditional” and “pulse”. The pain sensory nerve is destroyed, and the pulse type is through changing the nerve transmission, so that the nerve “faints” and “falls asleep” to achieve the pain relief effect.
The entire treatment process is carried out under local anesthesia or intravenous anesthesia. The guide pin is placed in the appropriate position through intraoperative X-ray or ultrasound guidance. The treatment time is about 15 to 50 minutes. After treatment, you can go home without hospitalization. Surgical wounds may be swollen, sore, numb and weak on the day after treatment, and the quality of life can be restored after one to two weeks.
High-frequency thermal coagulation surgery can be applied to trigeminal neuralgia, cervical and lumbar pain, shoulder joint pain, knee joint pain, cancer pain, etc. The pain relief effect varies from person to person, usually for several months to more than a year. Some patients may come for a treatment once a year. It is the same as the treatment of dark spots in medical aesthetics. If the dark spots grow back after they are removed, they will be removed again.
Dr. Wu Zhiying pointed out that the correct diagnosis is the most important thing for doctors to make correct judgments and get twice the result with half the effort. For example, some patients have degeneration of cervical spine and lumbar spine, and scoliosis pain is very severe. Okay, but after X-ray, ultrasound or MRI, specific pain points can be found and treated, so as to relieve pain and take less painkillers.
Dr. Wu Zhiying emphasized that pain is a problem in the human body, reminding one of the important mechanisms of self-protection. Although interventional treatment for pain can effectively reduce pain, it cannot replace surgery. Patients with doubts can fully discuss with doctors to choose the most suitable method.
The proportion of chronic pain is increasing day by day in today’s civilized society, and the age at which it occurs is also declining. For example, office workers and engineers in their 30s and engineers sit for a long time for a long time, and elderly people in their 60s have bone and joint degeneration, cervical and lumbar spine spurs, and even post-operative pain. Sticking, neuralgia, etc., all seriously affect the quality of life.
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