Article
Clinical Neurology
Weibin Shi, Renuka Rudra, To-Nhu Vu, Yuri Gordin, Ryan Smith, Allen R. Kunselman
Summary: Lower sensory stimulation threshold (SST) values were found to be correlated with better pain relief outcomes of radiofrequency denervation for facetogenic low back pain. The study suggests that SST can guide needle placement during RF denervation and enhance pain relief outcomes. Additionally, results from diagnostic medial branch block can predict the extent of pain relief following the denervation procedure.
JOURNAL OF PAIN RESEARCH
(2021)
Article
Anesthesiology
Yu Si Chen, Botao Liu, Fang Gu, Lei Sima
Summary: This study aimed to observe the efficacy of radiofrequency denervation of the medial branch of the spinal dorsal ramus on lumbar facet joint pain in the elderly. The results showed that the RF group had better outcomes in pain scores, disability index, and efficacy evaluation compared to the control group during the 6-month follow-up.
Article
Orthopedics
Shao-Jun Li, Shu-Li Zhang, Dan Feng
Summary: This study compared the effectiveness of pulsed radiofrequency (PRF) and radiofrequency denervation (RD) for treating lumbar facet joint pain. The results showed that there were no significant differences in pain control between the two groups at 3 months, but at 12 months, the RD group had better pain relief and significant improvement in lumbar function and quality of life.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Medicine, General & Internal
Burcu Candan, Semih Gungor
Summary: Cooled-radiofrequency ablation (CRFA) is effective and safe for chronic lumbar facet joint-related pain. Significant pain relief was achieved at 1st (4-8 weeks) and 2nd (>2-6 months) follow-ups, with comparable duration of pain relief to traditional radiofrequency ablation.
Article
Clinical Neurology
Felice Occhigrossi, Roberta Carpenedo, Matteo Luigi Giuseppe Leoni, Giustino Varrassi, Elisabetta Chine, Marco Cascella
Summary: A modified Delphi strategy was used to obtain recommendations for the management of percutaneous radiofrequency treatment of lumbar facet joint syndrome due to poor quality literature. A comprehensive literature search was conducted, and a semi-structured questionnaire was developed. The need for standardized protocols to address this clinical problem and fill gaps in scientific evidence was emphasized.
Article
Multidisciplinary Sciences
Mehmet Huseyin Akgul, Mehmet Yigit Akgun
Summary: This study retrospectively analyzed the patients who underwent radiofrequency ablation (RFA) treatment and compared them with a control group. The results showed significant improvement in pain for all regions (cervical, thoracic, and lumbar) after RFA treatment compared to the control group, indicating the long-term effectiveness of RFA.
Article
Clinical Neurology
Mariateresa Giglio, Giacomo Fari, Angela Preziosa, Alberto Corriero, Salvatore Grasso, Giustino Varrassi, Filomena Puntillo
Summary: Chronic low back pain is often caused by L5S1 instability, which can be treated with radiofrequency denervation. The treatment aims to reduce pain and improve gait pattern.
Review
Anesthesiology
Sam Searcy, Juan Mora, Matthew Meroney, Amir Jafari, Chris Henson, Keith Jenkins, Bill Mallett, Vyshak Shibu, Blessing Ogbemudia, Terrie Vasilopoulos, Alan D. Kaye, Rene Przkora
Summary: This study evaluated the outcomes of patients undergoing lumbar radiofrequency ablation for lumbar facet joint pain. The results showed significant effectiveness of this treatment method. Gender and obesity were found to influence the treatment outcomes, indicating the need for further investigation.
Article
Oncology
Georg Boening, Tony Hartwig, Patrick Freyhardt, Maximilian de Bucourt, Ulf Teichgraeber, Florian Streitparth
Summary: MRI-guided lumbar facet joint radiofrequency denervation is a potential therapy option for patients with chronic low back pain, showing significant improvement in pain symptoms with high technical success rate and no major complications. Additionally, post-intervention, patients demonstrated a significant increase in multifidus muscle volume.
ANNALS OF TRANSLATIONAL MEDICINE
(2021)
Article
Clinical Neurology
Tohru Terao, Naoki Kato, Yuichi Sasaki, Keiichirou Ohara, Shoutarou Michishita, Yosuke Nakayama, Keisuke Hadano, Kostadin Karagiozov, Satoshi Tani, Yuichi Murayama
Summary: The study evaluated the efficacy of lumbar facet joint denervation (FJD) and adjunctive modalities in treating low back pain in patients with NMD-associated kyphoscoliosis. Multimodal treatment including FJD was found to be safe and relatively effective in these patients.
NEUROLOGICAL SCIENCES
(2022)
Article
Clinical Neurology
Trusharth Patel, Christopher Watterson, Anne Marie McKenzie-Brown, Boris Spektor, Katherine Egan, David Boorman
Summary: In this study, 15 patients with lumbar pain from facet joints and degenerative spondylolisthesis underwent lumbar RFA treatment. The results showed that the advancement of spondylolisthesis after RFA treatment was clinically similar to the estimated baseline advancement of 2% per year, indicating no destabilizing effect of RFA on spondylolisthesis in this patient population.
JOURNAL OF PAIN RESEARCH
(2021)
Review
Anesthesiology
Sandra A. S. Van den Heuvel, Steven P. C. Cohen, Javier de Andres Ares, Koen Van Boxem, Jan Willem Kallewaard, Jan Van Zundert
Summary: Pain originating from the lumbar facets is common among patients with mechanical low back pain, with prevalence rates ranging from 4.8% to over 50%. The most common symptom is axial low back pain, often radiating into the upper legs. Despite the poor diagnostic value of radiologic findings, SPECT can accurately identify joint inflammation.
Article
Anesthesiology
Marc A. Russo, Danielle M. Santarelli
Summary: The study describes a modified RFN technique, multifidus-sparing RFN, which effectively treats facet joint-induced low back pain. The proportion of repeat procedures was similar in the two patient groups, and the effectiveness and safety profiles were comparable.
Article
Clinical Neurology
Christian Woiciechowsky
Summary: Endoscopic facet joint denervation (FJD) and percutaneous techniques both show significant efficacy in reducing pain for patients with low back pain, but the effect diminishes or disappears in the percutaneous group after 12 months, while there is still strong significant improvement in the endoscopic group.
Article
Anesthesiology
Afrin Sagir, Robert Bolash
Summary: Radiofrequency ablation (RFA) is a safe and effective treatment for chronic low back pain. This case report describes the successful use of combined bipolar-RFA using adjacent V-shaped cannulas in a patient with lumbar spondylosis. Both bipolar and V-shaped cannulas create larger lesions in experimental models, and the clinical superiority of the combined technique warrants further investigation.