Pain medicine

Image-guided alcohol neurolysis for treatment of chronic hip pain secondary to avascular necrosis

Reg Anesth Pain MedPublished Case series

Authors' conclusion

In conclusion, alcohol neurolysis of the hip joint can be offered as an effective and safe modality for pain control in patients with AVN who failed conservative management.

Study context

Population
Patients with refractory chronic hip pain secondary to avascular necrosis (AVN)
Participants
9 patients
Outcome
Average pain scores (NRS)
Follow-up
Baseline, 1, 3 and 6 months

Main finding

As reported in the abstract

Average NRS pain score
Baseline average Numerical Rating Scale (NRS)
6.7±1.2
Non-responders
Two out of the nine
Responders (n=7), average NRS at 1 month
2.9±1.2
Responders (n=7), average NRS at 3 months
3.0±1.4
Responders with ≥50% pain relief at both 1 and 3 months
Five out of these seven

Observational data: associations, not effects.

Further findings

Average NRS pain score, completers of 6-month follow-up (n=5)

Average NRS
3.0±1.7
Patients maintaining ≥50% pain relief
3

Safety

Side effects or complications · follow-up period

No one reported side effects or complications

Original publication

Image-guided alcohol neurolysis for treatment of chronic hip pain secondary to avascular necrosis. Reg Anesth Pain Med. Published 28 August 2025. doi:10.1136/rapm-2025-106915

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