Evidence map›Paper›PMID 41023026›Full record

ArticleScientific reports2025

Elucidation of the treatment mechanism of pulsed radiofrequency based on its antiinflammatory effects.

Tomoo Yuba, Yoshihisa Koyama, Hironobu Uematsu, Ayako Takahashi, Yoichi Matsuda, Yuji Fujino, Shoichi Shimada

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Effects of Esketamine Infusion by Patient-Controlled Intravenous Analgesia in Patients With Zoster-Associated Pain: A Retrospective Study.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  6. Article
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Tomoo YubaDepartment of Anesthesiology and Intensive Care Medicine, Graduate School of Medicine, The University of Osaka, Suita, 565-0871, Osaka, Japan.
Yoshihisa KoyamaDepartment of Neuroscience and Cell Biology, Graduate School of Medicine, The University of Osaka, 2-2 Yamadaoka, Suita, 565-0871, Osaka, Japan. koyama@anat2.med.osaka-u.ac.jp.ORCID http://orcid.org/0000-0003-3965-0716
Hironobu UematsuDepartment of Anesthesiology and Intensive Care Medicine, Graduate School of Medicine, The University of Osaka, Suita, 565-0871, Osaka, Japan.
Ayako TakahashiDepartment of Anesthesiology and Intensive Care Medicine, Graduate School of Medicine, The University of Osaka, Suita, 565-0871, Osaka, Japan.
Yoichi MatsudaDepartment of Anesthesiology and Intensive Care Medicine, Graduate School of Medicine, The University of Osaka, Suita, 565-0871, Osaka, Japan.
Yuji FujinoDepartment of Anesthesiology and Intensive Care Medicine, Graduate School of Medicine, The University of Osaka, Suita, 565-0871, Osaka, Japan.
Shoichi ShimadaDepartment of Neuroscience and Cell Biology, Graduate School of Medicine, The University of Osaka, 2-2 Yamadaoka, Suita, 565-0871, Osaka, Japan.

Funding

Japan Science and Technology Agency 17K11108Japan Science and Technology Agency 21K08992Japan Science and Technology Agency JPMJSP2138
6 · The paper itself

Abstract

Pulsed radiofrequency (PRF) is recognized as an effective pain relief for treating chronic pain, though the mechanism of the analgesic effect remains unclear. Recent studies have focused on the potential anti-inflammatory effect in analgesia through PRF. Therefore, we investigated the anti-inflammatory effects of PRF using the knee pain mouse models induced by monoiodoacetic acid. Our findings demonstrated that PRF on the sciatic nerve significantly reduces knee pain, synovitis, and inflammatory cytokines, thereby supporting the hypothesis that PRF exerts an anti-inflammatory effect. Moreover, a tracer study and western blotting analysis revealed that PRF inhibited axonal transport in small dorsal root ganglion (DRG) neurons in the spinal cord and suppressed the secretion of calcitonin gene-related peptide (CGRP) and substance P (SP), both of which are associated with persistent inflammation, into the knee joint. Finally, the administration of both CGRP and SP agonists to the knee joint nullified the analgesic and anti-inflammatory effects of PRF. In conclusion, our studies revealed that PRF exerted analgesic effects based on anti-inflammatory effects through inhibition of CGRP and SP secretion caused by impaired axonal transport in small DRG neurons. We hope that these findings will lead to further dissemination of PRF treatment in the future.

Indexed as

Pulsed Radiofrequency TreatmentAnimalsAnti-Inflammatory AgentsCalcitonin Gene-Related PeptideCytokinesDisease Models, AnimalGanglia, SpinalInflammationIodoacetic AcidKnee JointMaleMiceMice, Inbred C57BLSciatic NerveSubstance PAnti-Inflammatory AgentsCalcitonin Gene-Related PeptideCytokinesIodoacetic AcidSubstance PAnalgesic effectAnti-inflammatory effectCalcitonin gene-related peptideKnee painPulsed radiofrequencySubstance p

Identifiers

PMID41023026
PMCPMC12480965

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.