Table 1.
Comparison of continuousvs.pulse RF
| Continuous RF | Pulsed RF | |
|---|---|---|
| First used |
Shealy 1975 |
Sluijter and others 1998 |
| Application |
Continuous RF energy for 90 s |
RF energy in pulses of 20 ms with wash-out period of 480 ms |
| Needle tip |
Parallel and by the side of target |
Perpendicular, pointing at the target |
| Tissue temperature achieved |
Up to 80°C |
Up to 42°C |
| Proposed mechanism of action |
Non-selective thermal destruction |
Neurobiological - by strong electrical fields |
| Side effects |
Deafferentation syndrome |
No side effects observed so far |
| Duration of effect |
Potentially long lasting (months) |
? Relatively short duration |
| Use on peripheral nerves | Cannot be used -contraindicated | Has been effectively used in peripheral mono-neuropathies |