Pulsed Radiofrequency Versus Continuous Radiofrequency for Facet Joint Low Back Pain: A Systematic Review

López, William Omar Contreras; Navarro, Paula Alejandra; Vargas, Marcos David; Alape, Eduardo; Camacho, Paul Anthony

doi:10.1016/j.wneu.2018.10.191

Cited by 16 publications

(5 citation statements)

References 21 publications

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“…Many centers apply these procedures to manage sacral pain. Publications on this issue have been collectively reviewed 8,9,10,11 , demonstrating the effectiveness of this method. However, meta‐analyses have not indicated clearly higher effectiveness of either CRF or PRF.…”

Section: Discussionmentioning

confidence: 99%

Pulsed radiofrequency as alternative method for phantom pain treatment. Case report

Brzeziński

Rękas‐Dudziak

Maruszewska

2020

Clinical Case Reports

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Section: Discussionmentioning

confidence: 99%

Pulsed radiofrequency as alternative method for phantom pain treatment. Case report

Brzeziński

Rękas‐Dudziak

Maruszewska

2020

Clinical Case Reports

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“…No serious complications were reported after receiving treatment using the three techniques 93 . Another systematic review confirmed that PRF is less effective than conventional radiofrequency in reducing pain and functional deficits in patients with lumbar facet pain 94 …”

Section: Treatment Optionsmentioning

confidence: 94%

“…93 Another systematic review confirmed that PRF is less effective than conventional radiofrequency in reducing pain and functional deficits in patients with lumbar facet pain. 94 New application forms of radiofrequency are currently under investigation (eg, cooled RF and multi-tined electrodes). 95,96 Other treatment options…”

Section: Alternative Radiofrequency Administration Possibilitiesmentioning

confidence: 99%

3. Pain originating from the lumbar facet joints

Van den Heuvel,

Cohen,

de Andrès Ares

et al. 2023

Pain Practice

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IntroductionPain originating from the lumbar facets can be defined as pain that arises from the innervated structures comprising the joint: the subchondral bone, synovium, synovial folds, and joint capsule. Reported prevalence rates range from 4.8% to over 50% among patients with mechanical low back pain, with diagnosis heavily dependent on the criteria employed. In well‐designed studies, the prevalence is generally between 10% and 20%, increasing with age.MethodsThe literature on the diagnosis and treatment of lumbar facet joint pain was retrieved and summarized.ResultsThere are no pathognomic signs or symptoms of pain originating from the lumbar facet joints. The most common reported symptom is uni‐ or bilateral (in more advanced cases) axial low back pain, which often radiates into the upper legs in a non‐dermatomal distribution. Most patients report an aching type of pain exacerbated by activity, sometimes with morning stiffness. The diagnostic value of abnormal radiologic findings is poor owing to the low specificity. SPECT can accurately identify joint inflammation and has a predictive value for diagnostic lumbar facet injections. After “red flags” are ruled out, conservatives should be considered. In those unresponsive to conservative therapy with symptoms and physical examination suggesting lumbar facet joint pain, a diagnostic/prognostic medial branch block can be performed which remains the most reliable way to select patients for radiofrequency ablation.ConclusionsWell‐selected individuals with chronic low back originating from the facet joints may benefit from lumbar medial branch radiofrequency ablation.

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“…Because in 3 randomized clinical trials of participants with LBP originating in the LFJ and other body structures, radiofrequency denervation combined with a standardized exercise program resulted in either no improvement or no clinically important improvement in chronic LBP compared with a standardized exercise program alone. Contreras et al 133 reported a systematic review, and they found 3 randomized clinical trials comprising 103 patients, all of which showed greater pain control and better functionality with cooled radiofrequency compared with pulsed radiofrequency. Rotstein et al 119 also proved the efficiency of pulsed radiofrequency which is effective for a short period after medial branch denaturing.…”

Section: Managementmentioning

confidence: 99%

Facet Joint Syndrome: Pathophysiology, Diagnosis, and Treatment

Du¹,

Xu²,

Bai³

2022

JPR

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Facet joint osteoarthritis (OA) is the most frequent form of facet joint syndrome. Medical history, referred pain patterns, physical examination, and diagnostic imaging studies (standard radiographs, magnetic resonance imaging, computed tomography and single-photon emission computed tomography) may suggest but not confirm lumbar facet joint (LFJ) syndrome as a source of low back pain (LBP). However, the diagnosis and treatment of facet joint syndrome is still controversial and needs further study. It is widely acknowledged that block with local anesthetic is perhaps the most effective method to establish a diagnosis of pain from LFJ. Particularly, there are different rates of success among different populations selected for diagnostic block with various positive criteria. Currently, in addition to conservative treatments for pain such as painkillers, functional exercises, and massage, there are many other methods, including block, denervation of the nerves that innervate the joints by radiofrequency, freezing or endoscopy, and injections. Due to the limited duration of pain relief from neurolysis of medial branch, many scholars have recently turned their targets to dorsal roots and LFJ capsules. Therefore, we reviewed the latest research progress of facet joint syndrome from diagnosis to treatment.

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Pulsed Radiofrequency Versus Continuous Radiofrequency for Facet Joint Low Back Pain: A Systematic Review

Cited by 16 publications

References 21 publications

Pulsed radiofrequency as alternative method for phantom pain treatment. Case report

Pulsed radiofrequency as alternative method for phantom pain treatment. Case report

3. Pain originating from the lumbar facet joints

Facet Joint Syndrome: Pathophysiology, Diagnosis, and Treatment

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