Cryoneurolysis for the Treatment of Knee Arthritis to Facilitate Inpatient Rehabilitation: A Case Report

Fraser MacRae, BSc; Mahdis Hashemi, MD; Ève Boissonnault, MD; Romain David, MD, MSc; Paul Winston, MD

Archives of Rehabilitation Research and Clinical Translation (Jun 2024)

Cryoneurolysis for the Treatment of Knee Arthritis to Facilitate Inpatient Rehabilitation: A Case Report

Fraser MacRae, BSc,
Mahdis Hashemi, MD,
Ève Boissonnault, MD,
Romain David, MD, MSc,
Paul Winston, MD

Affiliations

Fraser MacRae, BSc: Western University, London, ON, Canada; Vancouver Island Health Authority, Victoria, BC, Canada; Canadian Advances in Neuro-Orthopedics for Spasticity Consortium, Kingston, ON, Canada
Mahdis Hashemi, MD: Vancouver Island Health Authority, Victoria, BC, Canada; Canadian Advances in Neuro-Orthopedics for Spasticity Consortium, Kingston, ON, Canada
Ève Boissonnault, MD: Canadian Advances in Neuro-Orthopedics for Spasticity Consortium, Kingston, ON, Canada; Université de Montréal, Montréal, QC, Canada
Romain David, MD, MSc: Canadian Advances in Neuro-Orthopedics for Spasticity Consortium, Kingston, ON, Canada; PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, Poitiers, France; Physical and Rehabilitation Medicine Unit, Poitiers University Hospital, University of Poitiers, Poitiers, France
Paul Winston, MD: Vancouver Island Health Authority, Victoria, BC, Canada; Canadian Advances in Neuro-Orthopedics for Spasticity Consortium, Kingston, ON, Canada; University of British Columbia, Vancouver, Canada; Corresponding author Paul Winston, Vancouver Island Health Authority, Victoria, BC, Canada.

Journal volume & issue: Vol. 6, no. 2
p. 100340

Abstract

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A 65-year-old woman presenting with a sensory ganglionopathy complicated with COVID-19 is limited in her rehabilitation due to pain from lateral compartment knee osteoarthritis. To increase participation in rehabilitation, cryoneurolysis of the medial and lateral anterior femoral cutaneous nerve and infrapatellar branches of the saphenous nerve was provided to manage pain associated with knee osteoarthritis. The patient reported immediate relief from pain. Physiotherapy noted improvement immediately after the procedure. Follow-ups at 7- and 11-days post-treatment revealed ongoing increases in mobility and reduction in pain. The patient was discharged to live independently shortly after cryoneurolysis. Cryoneurolysis for knee osteoarthritis could be considered as a treatment option to increase participation in rehabilitation for hospital inpatients who are stalled in their rehabilitation due to pain and poor mobility from knee osteoarthritis.

Published in Archives of Rehabilitation Research and Clinical Translation

ISSN: 2590-1095 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Medicine (General)
Website: https://www.journals.elsevier.com/archives-of-rehabilitation-research-and-clinical-translation

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