2010
DOI: 10.1111/j.1526-4637.2010.00851.x
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Painful Medial Branch Neuroma Treated with Minimally Invasive Medial Branch Neurectomy

Abstract: Deafferentation injury is a rare but recognized complication of chemical, surgical, and thermal neuroablation. This case report presents a rare instance of presumed neuroma formation following multiple radiofrequency ablations for the treatment of facet-generated mechanical back pain. Open and minimally invasive medial branch neurectomy resulted in complete resolution of pain and return to baseline function.

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Cited by 11 publications
(6 citation statements)
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“…These procedures can be performed under fluoroscopic guidance; however, ultrasound guidance may reduce radiation exposure and confirm successful injection . Gekht et al . described a case in which a 17‐year‐old male who sustained a traumatic fracture of the right L3‐4 facet joint underwent neurolytic blockade of the right medial branch of the L2 dorsal ramus, which completely resolved his pain.…”
Section: Discussionmentioning
confidence: 99%
“…These procedures can be performed under fluoroscopic guidance; however, ultrasound guidance may reduce radiation exposure and confirm successful injection . Gekht et al . described a case in which a 17‐year‐old male who sustained a traumatic fracture of the right L3‐4 facet joint underwent neurolytic blockade of the right medial branch of the L2 dorsal ramus, which completely resolved his pain.…”
Section: Discussionmentioning
confidence: 99%
“…Lesioning of articular branches of the femoral and obturator nerves with continuous RF has been reported as effective in reducing pain from the HJ in the short time, up to 6 months (14-16). Continuous RF carries the risk of neuritis and neuroma formation (17), a safer alternative could be pulsed radiofrequency (PRF).…”
Section: Retrospective Studymentioning
confidence: 99%
“…58 Deafferentiation injury and neuroma formation are well known and have been reported following chemical, surgical, and cryoablation neurolysis, and recently also after RF ablation. 59 Although multifidus muscle atrophy is a complication of denervation, 60 camptocormia has recently been described as an immediate complication of RF. 61 It is presently not clear whether the use of a larger caliber needle and a larger number of lesions result in a greater percentage of adverse effects (eg, neuritis or myofascial pain) or whether the effects are more intense, as the studies carried out to date have been designed to assess whether greater denervation results in greater and more prolonged efficacy.…”
Section: Lumbar Proceduresmentioning
confidence: 99%