Pain Management

How does Cryoanalgesia Work?

 

Principles of Cryoanalgesia and Nerve Location

Cryoanalgesia for pain management involves the locating and freezing of the nerve associated with the pain. The relevant nerve is located either by palpation and observation of the patient’s response or by using the probe tip and a nerve stimulation feature.

In a case where neuro-stimulation is indicated, the cryoprobe is inserted in the area of the pain, accurate tip positioning is achieved by activating the nerve stimulation function and observing the patient’s response as the location of the probe tip is repositioned. The probe tip is the active electrode of the built-in nerve stimulator and the circuit is completed via a patient grounding pad.

The output stimulator allows a choice of frequencies to achieve a motor or sensory nerve response. This feature, combined with a choice of polarity for the wave form and a voltage rate of between 0v and 5v, allows the clinician to accurately locate the nerve prior to initiating the freeze cycle.

Once the probe is positioned accurately on the nerve the freeze cycle is initiated. In a typical treatment the freeze is conducted for 3 minutes followed by a 30 second defrost and then a final 3 minute freeze is conducted. The number of freezes and the length of the freeze cycle will depend on the type of equipment and the clinical evaluation.