Pulsed Radiofrequency of Lumbar Dorsal Root Ganglion for Chronic Postamputation Phantom Pain

Imani, Farnad; Gharaei, Helen; Rezvani, Mehran

doi:10.5812/kowsar.22287523.3768

Cited by 20 publications

(15 citation statements)

References 17 publications

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“…The electric current generated by radio waves is used to heat a small nerve tissue area, thereby inhibiting or reducing pain signals from that particular area. In the last five years, radiofrequency has been developed for diseases related to the spinal functional unit (1,(3)(4)(5). modality of pain therapy are mixed, and systematic reviews of PRF are still limited.…”

Section: Contextmentioning

confidence: 99%

The Effect of Pulsed Radiofrequency on Radicular Pain in Lumbal Herniated Nucleus Pulposus: A Systematic Review and Meta-analysis

et al. 2021

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Context: Radiofrequency therapy is a medical procedure mainly used to reduce pain with a low complication rate (less than 1%), ease of application, and low cost. This review’s objective was to (1) evaluate the pulsed radiofrequency (PRF) effectiveness in treating radicular pain and (2) assess the PRF procedure’s safety in managing radicular pain in lumbar herniated nucleus pulposus (HNP). Methods: A systematic review and meta-analysis. A tertiary care center and an academic medical center. Six full articles with the following features were selected for this review: (1) Articles published in English; (2) studies on the PRF effect on radicular pain in lumbar HNP; and (3) randomized control trials. Results: The studies showed that the PRF group had a reduction in pain scores at each evaluation. In four of the studies, the PRF group showed a more significant reduction in pain scores than the control, and in two of the studies, the reduction in pain scores was not significant in the PRF group compared to the control. An adverse effect was reported in one patient experiencing increased radicular pain after PRF. Lack of data required for statistical analysis, and lack use of a uniform duration for the PRF procedure by all the studies. Conclusions: PRF can be used as a promising clinical recommendation for pain management with minimally invasive radicular pain techniques due to lumbar HNP.

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Section: Contextmentioning

confidence: 99%

The Effect of Pulsed Radiofrequency on Radicular Pain in Lumbal Herniated Nucleus Pulposus: A Systematic Review and Meta-analysis

et al. 2021

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“…PRF of thoracic dorsal root ganglion can alleviate chronic pain after thoracotomy[ 26 ] (LE: 3b; SR: Strong). PRF of lumbar dorsal root ganglion can alleviate chronic post-amputation phantom pain and stump pain[ 27 , 28 ] (LE: 4; SR: Strong). PRF of the ilioinguinal nerve and genital branch of the genitofemoral nerve can alleviate chronic post-surgical orchialgia caused by groin surgery[ 29 ] (LE: 1b; SR: Strong).…”

Section: Treatmentmentioning

confidence: 99%

Chinese Association for the Study of Pain: Expert consensus on chronic postsurgical pain

Liu¹,

Feng²,

Liu³

et al. 2021

WJCC

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Chronic postsurgical pain is a common surgical complication that severely reduces a patient’s quality of life. Many perioperative interventions and management strategies have been developed for reducing and managing chronic postsurgical pain. Under the leadership of the Chinese Association for the Study of Pain, an editorial committee was formed for chronic postsurgical pain diagnosis and treatment by experts in relevant fields. The editorial committee composed the main content and framework of this consensus and established a working group. The working group conducted literature review (1989-2020) using key words such as “surgery”, “post-surgical”, “post-operative”, “pain”, “chronic”, and “persistent” in different databases including MEDLINE, EMBASE, PubMed, Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews. Only publications in the English language were included. The types of literature included systematic reviews, randomized controlled studies, cohort studies and case reports. This consensus was written based on clinical practice combined with literature evidence. The first draft of the consensus was rigorously reviewed and edited by all the editorial committee experts before being finalized. The level of evidence was assessed by methodological experts based on the Oxford Centre for Evidence-Based Medicine Levels of Evidence. The strength of recommendation was evaluated by all editorial committee experts, and the opinions of most experts were adopted as the final decision. The recommendation level “strong” generally refers to recommendations based on high-level evidence and consistency between clinical behavior and expected results. The recommendation level “weak” generally refers to the uncertainty between clinical behavior and expected results based on low-level evidence.

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“…RF therapy of spinal ganglia[ 22 , 23 ]: PRF is generally used in dorsal root ganglion of spinal nerve. Under the guidance of imaging, the RF puncture needle should be punctured to the posterior 1/3 of the intervertebral foramen (below the inferior notch of the upper vertebral pedicle).…”

Section: Common Site Of Rf Therapymentioning

confidence: 99%

Expert consensus of Chinese Association for the Study of Pain on the radiofrequency therapy technology in the Department of Pain

Liu

Shen

Huang

et al. 2021

WJCC

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On the basis of continuous improvement in recent years, radiofrequency therapy technology has been widely developed, and has become an effective method for the treatment of various intractable pain. Radiofrequency therapy is a technique that uses special equipment and puncture needles to output ultra-high frequency radio waves and accurately act on local tissues. In order to standardize the application of radiofrequency technology in the treatment of painful diseases, Chinese Association for the Study of Pain (CASP) has developed a consensus proposed by many domestic experts and scholars.

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Pulsed Radiofrequency of Lumbar Dorsal Root Ganglion for Chronic Postamputation Phantom Pain

Cited by 20 publications

References 17 publications

The Effect of Pulsed Radiofrequency on Radicular Pain in Lumbal Herniated Nucleus Pulposus: A Systematic Review and Meta-analysis

The Effect of Pulsed Radiofrequency on Radicular Pain in Lumbal Herniated Nucleus Pulposus: A Systematic Review and Meta-analysis

Chinese Association for the Study of Pain: Expert consensus on chronic postsurgical pain

Expert consensus of Chinese Association for the Study of Pain on the radiofrequency therapy technology in the Department of Pain

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