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Aesthetic Plastic Surgery

, Volume 36, Issue 2, pp 458–463 | Cite as

Control of Postoperative Pain with a Wearable Continuously Operating Pulsed Radiofrequency Energy Device: A Preliminary Study

  • Ian M. RaweEmail author
  • Adam Lowenstein
  • C. Raul Barcelo
  • David G. Genecov
Original Article

Abstract

Background

Pulsed radiofrequency energy (PRFE) has long been reported to have a therapeutic effect on postoperative pain. In this study, a portable, wearable, low-energy-emitting PRFE therapy device was used to determine the control of postoperative pain after breast augmentation surgery.

Methods

The study enrolled 18 healthy women who underwent breast augmentation purely for aesthetic considerations. Postoperative pain after surgery was assessed with a 0- to 10-point visual analog scale (VAS). Baseline pain scores were taken at completion of the operation, and the patients were randomly assigned coded PRFE devices that were either active or placebo devices. For 7 days, VAS scores were recorded twice daily (a.m. and p.m.). Medication use also was logged for 7 days. The PRFE devices were left in place and in continuous operation for the 7 days of the study.

Results

All the patients tolerated the PRFE therapy well, and no side effects were reported. The VAS scores for the active group were significantly lower on postoperative day 1. By day 7, the baseline VAS remaining in the active group was 7.9% versus 38% in the placebo group. Together with lower VAS scores, narcotic pain medication use was lower in the patient group that received PRFE therapy.

Conclusion

Postoperative pain is significantly lower with PRFE therapy. According to the findings, PRFE therapy in this form is an excellent, safe, drug-free method of postoperative pain control.

Keywords

Pain Postoperative Pulsed radiofrequency 

Notes

Conflict of interest

David G. Genecov received honoraria from BioElectronics Corporation for the study. Ian M. Rawe is a paid consultant for BioElectronics Corporation.

References

  1. 1.
    White PF (2008) Pain management after ambulatory surgery: where is the disconnect? Can J Anaesth 55:201–207PubMedCrossRefGoogle Scholar
  2. 2.
    Apfelbaum JL, Chen C, Mehta SS, Gan TJ (2003) Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged (table of contents). Anesth Analg 97:534–540PubMedCrossRefGoogle Scholar
  3. 3.
    Buvanendran A, Kroin JS, Della Valle CJ, Kari M, Moric M, Tuman KJ (2010) Perioperative oral pregabalin reduces chronic pain after total knee arthroplasty: a prospective, randomized, controlled trial. Anesth Analg 110:199–207PubMedCrossRefGoogle Scholar
  4. 4.
    Andersen KG, Kehlet H (2011) Persistent pain after breast cancer treatment: a critical review of risk factors and strategies for prevention. J Pain 12:725–746PubMedCrossRefGoogle Scholar
  5. 5.
    White PF, Eng M (2007) Fast-track anesthetic techniques for ambulatory surgery. Curr Opin Anaesthesiol 20:545–557PubMedCrossRefGoogle Scholar
  6. 6.
    White PF, Kehlet H, Neal JM, Schricker T, Carr DB, Carli F (2007) The role of the anesthesiologist in fast-track surgery: From multimodal analgesia to perioperative medical care (table of contents). Anesth Analg 104:1380–1396PubMedCrossRefGoogle Scholar
  7. 7.
    Foley-Nolan D, Barry C, Coughlan RJ, O’Connor P, Roden D (1990) Pulsed high-frequency (27 MHz) electromagnetic therapy for persistent neck pain: a double-blind, placebo-controlled study of 20 patients. Orthopedics 13:445–451PubMedGoogle Scholar
  8. 8.
    Aaron RK, Ciombor DM, Simon BJ (2004) Treatment of nonunions with electric and electromagnetic fields. Clin Orthop Relat Res 419:21–29PubMedCrossRefGoogle Scholar
  9. 9.
    Aronofsky DH (1971) Reduction of dental postsurgical symptoms using nonthermal pulsed high-peak-power electromagnetic energy. Oral Surg Oral Med Oral Pathol 32:688–696PubMedCrossRefGoogle Scholar
  10. 10.
    Nicolle FV, Bentall RM (1982) Use of radiofrequency pulsed energy in the control of postoperative reaction in blepharoplasty. Aesthet Plast Surg 6:169–171CrossRefGoogle Scholar
  11. 11.
    Benazzo F, Zanon G, Pederzini L, Modonesi F, Cardile C, Falez F, Ciolli L, La Cava F, Giannini S, Buda R et al (2008) Effects of biophysical stimulation in patients undergoing arthroscopic reconstruction of anterior cruciate ligament: prospective, randomized, and double-blind study. Knee Surg Sports Traumatol Arthrosc 16:595–601PubMedCrossRefGoogle Scholar
  12. 12.
    Till M, Gubisch W, Frickert G, Reichert H, Schmidt KH (1993) Postoperative management with pulsed high-frequency electromagnetic energy: a clinical study of 38 patients with rhinoseptoplasty. Handchir Mikrochir Plast Chir 25:26–32PubMedGoogle Scholar
  13. 13.
    Frank R (1985) Treatment of the perineum by pulsed electromagnetic therapy. Midwives Chron 98:297–298PubMedGoogle Scholar
  14. 14.
    Silver H (1982) Reduction of capsular contracture with two-stage augmentation mammaplasty and pulsed electromagnetic energy (Diapulse therapy). Plast Reconstr Surg 69:802–808PubMedCrossRefGoogle Scholar
  15. 15.
    Foley-Nolan D, Moore K, Codd M, Barry C, O’Connor P, Coughlan RJ (1992) Low-energy high-frequency pulsed electromagnetic therapy for acute whiplash injuries: a double-blind randomized controlled study. Scand J Rehabil Med 24:51–59PubMedGoogle Scholar
  16. 16.
    Pennington GM, Danley DL, Sumko MH, Bucknell A, Nelson JH (1993) Pulsed, nonthermal, high-frequency electromagnetic energy (Diapulse) in the treatment of grade I and grade II ankle sprains. Mil Med 158:101–104PubMedGoogle Scholar
  17. 17.
    Wilson DH (1974) Comparison of short-wave diathermy and pulsed electromagnetic energy in treatment of soft tissue injuries. Physiotherapy 60:309–310PubMedGoogle Scholar
  18. 18.
    Cameron BM (1964) A three-phase evaluation of pulsed, high-frequency, radio short waves (Diapulse): 646 patients. Am J Orthop 6:72–78PubMedGoogle Scholar
  19. 19.
    Itoh M, Montemayor JS Jr, Matsumoto E, Eason A, Lee MH, Folk FS (1991) Accelerated wound healing of pressure ulcers by pulsed high-peak power electromagnetic energy (Diapulse). Decubitus 4(24–25):29–34Google Scholar
  20. 20.
    Salzberg CA, Cooper-Vastola SA, Perez F, Viehbeck MG, Byrne DW (1995) The effects of nonthermal pulsed electromagnetic energy on wound healing of pressure ulcers in spinal cord-injured patients: a randomized, double-blind study. Ostomy Wound Manage 41:42–44, 46, 48 passimGoogle Scholar
  21. 21.
    Stiller MJ, Pak GH, Shupack JL, Thaler S, Kenny C, Jondreau L (1992) A portable pulsed electromagnetic field (PEMF) device to enhance healing of recalcitrant venous ulcers: a double-blind, placebo-controlled clinical trial. Br J Dermatol 127:147–154PubMedCrossRefGoogle Scholar
  22. 22.
    Fletcher S (2011) Successful treatment of venous stasis ulcers with combination compression therapy and pulsed radiofrequency energy in a patient scheduled for amputation. J Wound Ostomy Cont Nurs 38:91–94CrossRefGoogle Scholar
  23. 23.
    Frykberg R, Martin E, Tallis A, Tierney E (2011) A case history of multimodal therapy in healing a complicated diabetic foot wound: negative pressure, dermal replacement, and pulsed radiofrequency energy therapies. Int Wound J 8:132–139PubMedCrossRefGoogle Scholar
  24. 24.
    Frykberg RG, Driver VR, Lavery LA, Armstrong DG, Isenberg RA (2011) The use of pulsed radiofrequency energy therapy in treating lower extremity wounds: results of a retrospective study of a wound registry. Ostomy Wound Manage 57:22–29PubMedGoogle Scholar
  25. 25.
    Rawe IM, Vlahovic TC (2011) The use of a portable, wearable form of pulsed radiofrequency electromagnetic energy device for the healing of recalcitrant ulcers: a case report. Int Wound J. doi: 10.1111/j.1742-481X.2011.00853.x
  26. 26.
    Heden P, Pilla AA (2008) Effects of pulsed electromagnetic fields on postoperative pain: a double-blind randomized pilot study in breast augmentation patients. Aesthet Plast Surg 32:660–666CrossRefGoogle Scholar
  27. 27.
    Rohde C, Chiang A, Adipoju O, Casper D, Pilla AA (2010) Effects of pulsed electromagnetic fields on IL-1 beta and postoperative pain: a double-blind, placebo-controlled pilot study in breast reduction patients. Plast Reconstr Surg 125:1620–1629PubMedCrossRefGoogle Scholar
  28. 28.
    Strauch B, Herman C, Dabb R, Ignarro LJ, Pilla AA (2009) Evidence-based use of pulsed electromagnetic field therapy in clinical plastic surgery. Aesthet Surg J 29:135–143PubMedCrossRefGoogle Scholar
  29. 29.
    Li Q, Kao H, Matros E, Peng C, Murphy GF, Guo L (2011) Pulsed radiofrequency energy (PRFE) accelerates wound healing in diabetic mice. Plast Reconstr Surg 127:2255–2262PubMedCrossRefGoogle Scholar
  30. 30.
    Moffett J, Griffin N, Ritz M, George F (2010) Pulsed radiofrequency energy field treatment of cells in culture results in increased expression of genes involved in the inflammation phase of lower extremity diabetic wound healing. J Diabet Foot Complicat 2:57–64Google Scholar
  31. 31.
    Williamson A, Hoggart B (2005) Pain: a review of three commonly used pain rating scales. J Clin Nurs 14:798–804PubMedCrossRefGoogle Scholar
  32. 32.
    White PF, Kehlet H (2010) Improving postoperative pain management: what are the unresolved issues? Anesthesiology 112:220–225PubMedCrossRefGoogle Scholar
  33. 33.
    Gilron I, Orr E, Tu D, Mercer CD, Bond D (2009) A randomized, double-blind, controlled trial of perioperative administration of gabapentin, meloxicam, and their combination for spontaneous and movement-evoked pain after ambulatory laparoscopic cholecystectomy. Anesth Analg 108:623–630PubMedCrossRefGoogle Scholar
  34. 34.
    White PF, Sacan O, Tufanogullari B, Eng M, Nuangchamnong N, Ogunnaike B (2007) Effect of short-term postoperative celecoxib administration on patient outcome after outpatient laparoscopic surgery. Can J Anaesth 54:342–348PubMedCrossRefGoogle Scholar
  35. 35.
    Bentall RHC (1986) Low-level pulsed radiofrequency fields and the treatment of soft tissue injuries. Bioelectrochem Bioenerg 16:531–548CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2011

Authors and Affiliations

  • Ian M. Rawe
    • 1
    Email author
  • Adam Lowenstein
    • 2
  • C. Raul Barcelo
    • 3
  • David G. Genecov
    • 3
  1. 1.BioElectronics CorporationFrederickUSA
  2. 2.Montecito Center for Aesthetic Plastic SurgerySanta BarbaraUSA
  3. 3.Genecov Plastic Surgery GroupDallasUSA

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