scholarly journals Efficacy of conventional and pulsed radiofrequency for treating chronic lumbar facet joint pain

2012 ◽  
Vol 45 (4) ◽  
pp. 107-112 ◽  
Author(s):  
Kang Lu ◽  
Po-Chou Liliang ◽  
Cheng-Loong Liang ◽  
Kuo-Wei Wang ◽  
Yu-Duan Tsai ◽  
...  
Keyword(s):  
Joint Pain ◽  
Facet Joint ◽  
Pulsed Radiofrequency ◽  
Lumbar Facet Joint ◽  
Facet Joint Pain ◽  
Lumbar Facet

scholarly journals Pulsed radiofrequency therapy might be not inferior to thermal neurotomy in lumbar facet joint pain: a commentary

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Haiko Sprott ◽  
Norina Bergamin ◽  
Armin Aeschbach
Keyword(s):  
Pain Relief ◽  
Joint Pain ◽  
Facet Joint ◽  
Medial Branch ◽  
Pulsed Radiofrequency ◽  
Lumbar Facet Joint ◽  
Pulsed Radiofrequency Treatment ◽  
Radiofrequency Therapy ◽  
Facet Joint Pain ◽  
Lumbar Facet

The effects of pulsed radiofrequency treatment in low back pain was evaluated in a routine clinical setting and compared with thermal neurotomy of nerve structures of the facet joint. The treatment of 19 patients with lumbar facet joint pain was prospectively evaluated. Follow-ups were recorded at 6 weeks and 6 months after intervention. Patients with ≥50% pain relief following controlled diagnostic local anesthetic block underwent medial branch neurotomy with thermal continuous radiofrequency (CRF, n=16) or pulsed radiofrequency (PRF, n=3). Experiences between the two radiofrequency modes in the treatment of facet joint pain were recorded. In the overall population, a facet joint pain reduction of 23% at 6 weeks, 20% at 6 months and an improvement in various clinical scores was achieved. CRF and PRF appeared to be similarly effective in the treatment of facet joint pain, providing pain relief for at least 6 months. These observations should encourage pain researcher to design meaningful studies to further address this concept.

scholarly journals Pulsed Radiofrequency for Lumbar Facet Joint Pain: A Viable Therapeutic Option? A Retrospective Observational Study

2020 ◽  
Vol 9 (2) ◽  
pp. 573-582
Author(s):  
Pasquale Sansone ◽  
Luca G. Giaccari ◽  
Antonietta Lippiello ◽  
Caterina Aurilio ◽  
Antonella Paladini ◽  
...  
Keyword(s):  
Observational Study ◽  
Joint Pain ◽  
Facet Joint ◽  
Therapeutic Option ◽  
Retrospective Observational Study ◽  
Pulsed Radiofrequency ◽  
Lumbar Facet Joint ◽  
Facet Joint Pain ◽  
Lumbar Facet

scholarly journals Randomized prospective trial of cooled versus traditional radiofrequency ablation of the medial branch nerves for the treatment of lumbar facet joint pain

2019 ◽  
Vol 44 (3) ◽  
pp. 389-397 ◽  
Author(s):  
Zachary L McCormick ◽  
Heejung Choi ◽  
Rajiv Reddy ◽  
Raafay H Syed ◽  
Meghan Bhave ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Success Rate ◽  
Joint Pain ◽  
Rating Scale ◽  
Facet Joint ◽  
Prospective Trial ◽  
Medial Branch ◽  
Lumbar Facet Joint ◽  
Facet Joint Pain ◽  
Lumbar Facet

Background and objectivesNo previous study has assessed the outcomes of cooled radiofrequency ablation (C-RFA) of the medial branch nerves (MBN) for the treatment of lumbar facet joint pain nor compared its effectiveness with traditional RFA (T-RFA). This study evaluated 6-month outcomes for pain, function, psychometrics, and medication usage in patients who underwent MBN C-RFA versus T-RFA for lumbar Z-joint pain.MethodsIn this blinded, prospective trial, patients with positive diagnostic MBN blocks (>75% relief) were randomized to MBN C-RFA or T-RFA. The primary outcome was the proportion of ‘responders’ (≥50% Numeric Rating Scale (NRS) reduction) at 6 months. Secondary outcomes included NRS, Oswestry Disability Index (ODI), and Patient Global Impression of Change.ResultsForty-three participants were randomized to MBN C-RFA (n=21) or T-RFA (n=22). There were no significant differences in demographic variables (p>0.05). A ≥50% NRS reduction was observed in 52% (95% CI 31% to 74%) and 44% (95% CI 22% to 69%) of participants in the C-RFA and T-RFA groups, respectively (p=0.75). A ≥15-point or ≥30% reduction in ODI score was observed in 62% (95% CI 38% to 82%) and 44% (95% CI 22% to 69%) of participants in the C-RFA and T-RFA groups, respectively (p=0.21).ConclusionsWhen using a single diagnostic block paradigm with a threshold of >75% pain reduction, both treatment with both C-RFA and T-RFA resulted in a success rate of approximately 50% when defined by both improvement in pain and physical function at 6-month follow-up. While the success rate was higher in the C-RFA group, this difference was not statistically significant.Trial registration numberNCT02478437.

Inciting Events Associated With Lumbar Facet Joint Pain

2018 ◽  
Vol 126 (1) ◽  
pp. 280-288 ◽  
Author(s):  
Charles A. Odonkor ◽  
Yian Chen ◽  
Peju Adekoya ◽  
Bryan J. Marascalchi ◽  
Hira Chaudhry-Richter ◽  
...  
Keyword(s):  
Joint Pain ◽  
Facet Joint ◽  
Lumbar Facet Joint ◽  
Facet Joint Pain ◽  
Lumbar Facet
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