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Cryoneurolysis

  • Andrea Trescot
  • André Mansano
Chapter

Abstract

Cryoneuroablation is a technique of peripheral, precise neurolysis. A probe is placed on the targeted nerve, using landmarks, fluoroscopy, ultrasound, and/or built-in peripheral nerve stimulator. When the probe is in the exact right place, a gas (usually nitrous oxide) travels down the center of the probe, where it passes through a tiny opening, which causes the gas to expand and cool the tissues, creating an ice ball. These cold temperatures cause ice crystals to form in the tissues, which kill the nerves but leave the myelin sheath intact, allowing the nerve to grow back without neuroma formation.

Thus, cryoneuroablation is appropriate for the destruction of large, myelinated nerves such as the occipital, intercostal, pudendal, or superior gluteal nerves. The period of prolonged analgesia followed by return of function allows a window of rehabilitation that is unique among the neurolytic techniques.

Keywords

Cryoneuroablation Cryoanalgesia Cryoneurolysis Occipital neuralgia Intercostal neuralgia Headaches Pelvic pain Pudendal neuralgia Facial pain Peripheral nerve entrapment 

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Private PracticePain and Headache CenterSt. AugustineUSA
  2. 2.Private PracticeSingular-Pain Control Center/BrazilCampinasBrazil

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