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Yayın Efficacy of pulsed radiofrequency treatment on the saphenous nerve in patients with chronic knee pain(IOS PRESS, 2011) Akbas, Mert; Luleci, Nurettin; Dere, Kamer; Luleci, Emel; Ozdemir, Ugur; Toman, HuseyinBackground and objective: We studied the long-term efficacy of pulsed radiofrequency treatment (PRF) on the saphenous nerve in 115 patients with chronic knee pain. Materials and methods: 115 patients with chronic knee pain were investigated in a period of 22 months retrospectively. All patients had pulsed radiofrequency to the saphenous nerve. The mean age was 59 (range, 51-67). All patients were accessed with the visual analog scale (VAS) and WOMAC score pain at rest, pain on movement, and pain in flexion at 10th day, 3rd and 6th months post procedure. Results: All patients showed improvement in their VAS scores as well as in their WOMAC scores after ten day, three month, and 6 months (p = 0.001). No side effects were reported. Conclusion: PRF application to the saphenous nerve for eight minutes showed remarkable amount of patient satisfaction. Application of PRF for the second time could be recommended if it shows some benefit after the sixth month. But none of our patients needed a second application of PRF after six months period.Yayın A rare cause of a piriformis syndrome(2009) Dere, Kamer; Akbaş, Mert; Lüleci, NurettinBackground and objective: A less common but important cause of buttock and leg pain known as "Piriformis Syndrome". Piriformis syndrome is all intrinsic pathology of the piriformis itself, such as myofascial pain, anatomical variations, hypertrophy, and myositis ossificans or it is caused by trauma to the pelvis or buttock. In this case report we are going to present a rare cause of piriformis syndrome. Case report: Our first case was a 32 year old woman. She was referred to our pain clinic for leg pain that radiates from buttock to backside of the knee for 5 years. She did not have any problems in her history or laboratory findings. But in her lower extremity ortho roentgenogram, her leg was 2 cm short at the effected side. Second case was a 23 year old woman who had pain radiating from gluteal region to backside of the knee. In her history she had a car accident two years ago. In this accident, she had a fracture of collum femoris, and her leg was 1 cm short at the effected side. Conclusion: We conclude that "short leg" is one of the rare causes of piriformis syndrome and can be seen alone or with the other causes. The injection on piriformis muscle could be more effective for the patients who have PS after the "short leg" treated. © 2009 IOS Press. All rights reserved.