A new technique to treat facet joint pain with pulsed radiofrequency

Anesthesiology and Pain Medicine
Pietro M Schianchi

Abstract

Facet joint pain affects 5% to 15% of the population with low back pain and the prevalence increases with age due to progression of arthritis. While conservative treatments are often unsuccessful, the scientific evidence on minimally invasive therapies such as intra-articular steroid infiltration and continuous and pulsed radiofrequency (PRF) of the medial branches is contradictory. Since PRF has recently been reported to successfully treat joint pain, a new application of this method is proposed for facetogenic lumbar pain via an intra-articular subcapsular approach. Here we reported two cases with successful treatment. A 71-year-old patient presented because of persisting pain in the left gluteal region radiating to the lateral thigh and calf when standing. Anti-inflammatory drugs produced only short-lasting insufficient relief. A 52-year-old employee was admitted in June 2012 because of axial lower lumbar pain with intermittent diffuse radiation to the right lower extremity that worsened during walking and lying down despite receiving analgesics and physiotherapy. A new approach to treat lumbar facet joint pain with PRF is simple to perform and without serious complications. In view of the good long-lasting results obtained ...Continue Reading

References

Nov 1, 2003·The Spine Journal : Official Journal of the North American Spine Society·Georgi MikeladzeDan Martin
May 3, 2005·European Journal of Pain : EJP·Serdar ErdineAyhan Bilir
Mar 30, 2007·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Akira IgarashiShin-ichi Konno
Jan 24, 2008·Pain Practice : the Official Journal of World Institute of Pain·Menno E SluijterPietro Schianchi
Sep 19, 2009·Pain Practice : the Official Journal of World Institute of Pain·Serdar ErdineEric R Cosman
Jul 30, 2010·Pain Practice : the Official Journal of World Institute of Pain·Maarten van KleefNagy Mekhail
Dec 2, 2010·Nature Reviews. Rheumatology·Mohit KapoorHassan Fahmi
Apr 26, 2011·The American Journal of Sports Medicine·Samantha L PiperBrian T Feeley
Jul 24, 2013·Pain Practice : the Official Journal of World Institute of Pain·Fabio MarettoBert van Duijn
Nov 14, 2013·Anesthesiology and Pain Medicine·Menno E Sluijter, Farnad Imani
Nov 28, 2013·Anesthesiology and Pain Medicine·Pietro M SchianchiSusan E Balogh

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Citations

Nov 30, 2019·Pain Practice : the Official Journal of World Institute of Pain·Mathieu Boudier-RevéretMin Cheol Chang
Sep 28, 2017·Journal of Back and Musculoskeletal Rehabilitation·Dong Gyu LeeMin Cheol Chang
Jan 1, 2019·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Abdurrahman Çetin, Abdulkadir Yektaş

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