Published 2023-04-17
Keywords
- osteoarthritis,
- knee osteoarthritis,
- nerve block,
- ablation,
- systematic review
How to Cite
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Abstract
Introduction: Osteoarthritis (OA) is the most prevalent rheumatic pathology worldwide, which causes intense chronic pain, especially in supporting joints, such as the knee. Among the new therapeutic targets for OA of the knee, there is the nerve block along with its various types and techniques, which help to significantly improve pain and overall functionality of the patient.
Objective: To analyze the current evidence on the types and techniques of nerve blocks in knee osteoarthritis.
Methods: A systematic review was performed following PRISMA guidelines, of different studies according to the inclusion criteria, in the database of: PubMed, MedScape, ScienceDirect, Scopus and ProQuest, from January 2018 to January 2023.
Results: In the systematic search, 9034 articles were obtained, after eliminating duplicates and according to the inclusion and exclusion criteria, a total of 19 articles were filtered, among them 10 were randomized controlled trials and 9 were observational studies, which met all the eligibility criteria.
Conclusion: According to the results of the studies, there is evidence of the efficacy and safety of genicular blockade in the relief of chronic pain in knee OA, being a recommendable option as a complement in the therapeutic approach of this pathology. The technique to be applied depends on the clinical context of the patient and the professional who will perform the procedure, the long-term results have no significant difference.