Pulsed radiofrequency represents a new technology in the treatment of acute and chronic pain. Its application takes place on an outpatient basis and is minimally invasive. A fine needle, called a cannula, with a diameter of 0.7 mm, is introduced after local anesthesia to the skin with the help of radioscopy. In rare cases of CT scan, towards the nerve or structure to be treated.

A metal wire, called an electrode, is introduced into the cannula, connected to the radiofrequency generator through which a current flows, not perceived by the patient, which has the same frequency as the radio waves. The use of cannulas with an integrated or disposable electrode is very recent. The radiofrequency current generates an electric field, which, through various mechanisms of a biomolecular nature, leads to a substantial decrease or disappearance of pain.

The temperatures measured during the treatment never exceed 41 ° C and therefore exclude the possibility of creating even minimal damage.

Over the years since its first application in 1996, pulsed radiofrequency treatment has considerably evolved and is practiced all over the world. New generators have been developed, which allow the treatment of several nerves at the same time, significantly shortening their duration.

The method is generally used to treat pain related to pathologies of the spine and cranial and peripheral nerves.

Recently, its use has been expanded to the treatment of pains originating from structures other than the spine.




Pulsed radiofrequency in the treatment of musculoskeletal pain


Pain, which involves the joints, tendons, ligaments, and muscles that make up the musculoskeletal system, are frequent from the age of sixty for men and from menopause for women. Very often they are debilitating, as they significantly limit daily activities, both at work and in leisure time.

Musculoskeletal pain is an equally frequent symptom in that segment of the population who practice sports both in their free time and professionally. When a major injury is excluded, Pulsed Radiofrequency, especially in its non-invasive transcutaneous application, can shorten the time to resume sport, leading to a decrease in pain after a few sessions. Furthermore, the technology that Dr. Munish Lal practices does not involve the infiltration of preparations, which can limit the practice of sports activities, especially at a professional level.

In 2003 it was discovered that putting a needle into a knee joint, which was painful following osteoarthritis and passing a pulsed radiofrequency current (RFP) through the needle, the pain significantly decreased. This fundamental observation not only demonstrated that RFP acts in the treatment of joint pain but also that it exerts an anti-inflammatory effect.

In fact, the pain in many cases is caused by an inflammatory state, which affects parts of the joint similarly and is also common to other structures such as tendons and ligaments. The benefit of RFP in the treatment of joint pain was later confirmed by numerous treatments applied to large and small joints. Good results have also been obtained in the treatment of tendon and ligament pain.

Our positive experience regarding the use of RFP applied to musculoskeletal pain has also confirmed that the duration of the benefit obtained is significantly higher than that resulting from the use of cortisone derivatives. Furthermore, joint and tendon RFP does not generate any complications or side effects. It can also be applied transcutaneously, in some cases, thus avoiding the use of needles, resulting in non-invasive.

Do not wait to begin the conversation for your mobility issues or back pain relief. Dr. Munish Lal will assist you in solving your frequent concerns and help you master how to enhance the health of your spine for optimal wellness. Right at the heart of Torrance, CA, pain care is just a call away.


CALL 424-360-0155