|
The patient is prepared under sterile conditions,
and is kept awake in order to determine location of pain generator by palpation and/or
stimulation. Sensory and motor stimulation are then performed to identify the pain
generator. Acceptable sensory stimulation thresholds are less than 0.4 mV. Motor
stimulation should be 1.5 times greater than the sensory threshold. Cryoneurolysis is then
performed using 3-4 minute freeze cycles with 30 second thaw periods in between. During
the thaw period, sensory stimulation should be performed to check the success of the
initial freeze. Two or three additional freezes are then performed with 30 second thaw
periods in between. |