Radiofrequency treatment has a beneficial role in reducing low back pain due to facet syndrome in octogenarians or older

Shabat, Shay; Leitner, Yossi; Bartal, Gabriel; Folman, Yoram

doi:10.2147/cia.s44999

Cited by 15 publications

(6 citation statements)

References 23 publications

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“…Assessment of function in studies of chronic low back pain is vital given that this condition is the leading causes of disability and work absenteeism in the U. S. [ 1 , 2 ]. The finding of functional improvement in a large proportion of this cohort (58%) is particularly notable given the mixed results and shorter duration of follow-up of functional outcome measurement in prior studies [ 9 – 11 , 14 , 16 – 18 ].…”

Section: Discussionmentioning

confidence: 80%

Long-Term Function, Pain and Medication Use Outcomes of Radiofrequency Ablation for Lumbar Facet Syndrome

McCormick

Marshall

Walker

et al. 2015

Int J Anesthetic Anesthesiol

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Objective-Radiofrequency ablation (RFA) of the medial branch nerves for facet-mediated low back pain demonstrates clinical benefit for 6-12 months and possibly up to 2 years. This study investigated function, pain, and medication use outcomes of RFA for lumbar facet syndrome in a cohort with long-term follow-up.Methods-Individuals evaluated in a tertiary academic pain practice between January, 2007-December, 2013, 18-60 years of age, with a clinical and radiologic diagnosis of lumbar facet syndrome, who underwent ≥1set of diagnostic medial branch blocks with resultant >75% pain relief and subsequent RFA were included. Outcomes measured were the proportion of individuals who reported ≥50% improvement in function, ≥50% improvement in pain; change in median NRS pain score, daily morphine equivalent consumption (DME), Medication Quantification Scale III (MSQ III) score and procedure complications.Results-Sixty-two consecutive individuals with a median age and 25%-75% interquartile range (IQR) of 34 years (35, 52) met inclusion criteria. Seven individuals were lost to follow-up. Duration of pain was <2 years in 42%, 2-5 years in 40%, >5 years in 18% of individuals. Median duration of follow-up was 39 months (16, 60). Function and pain improved by ≥50% in 58% (CI 45%, 71%) and 53% (CI 40%, 66%) of individuals, respectively. The median reduction in MQS III score was 3.4 points (0, 8.8). No complications occurred in this cohort.Conclusions-This study demonstrates a durable treatment effect of RFA for lumbar facet syndrome at long-term follow-up, as measured by improvement in function, pain, and analgesic use.

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Section: Discussionmentioning

confidence: 80%

Long-Term Function, Pain and Medication Use Outcomes of Radiofrequency Ablation for Lumbar Facet Syndrome

McCormick

Marshall

Walker

et al. 2015

Int J Anesthetic Anesthesiol

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“…Lumbar radiofrequency ablation (RFA) is a commonly used minimally invasive intervention that selectively creates thermal lesions to the nerves supplying painful joints identified by MBBs. [14][15][16][17][18][19] In some studies, particularly those that use stringent patient selection and RFA procedure techniques consistent with clinical practice guidelines, RFA results in largemagnitude, durable improvements in pain and functional limitations. [20][21][22][23][24][25][26] However, other studies, some of which use alternative protocols for patient selection and RFA technique, demonstrate limited benefit of RFA.…”

Section: -13mentioning

confidence: 99%

Trends in lumbar radiofrequency ablation utilization from 2007 to 2016

et al. 2019

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Background Context: Lumbar radiofrequency ablation (RFA) is an intervention used to treat facet-mediated chronic low back pain. In some studies with methods consistent with clinical practice guidelines, RFA results in improvements in pain and functional limitations. However, in other studies, RFA demonstrates limited benefit. Despite unanswered questions regarding efficacy of RFA, its use is widespread. Purpose: To describe trends in the utilization and cost of lumbar RFA and lumbar facet injections. Study Design/ Setting: Retrospective cohort study. Patient Sample: The sample was derived from the IBM/Watson MarketScan ® Commercial Claims and Encounters Databases from 2007-2016. Outcome Measures: Longitudinal trends in the distribution and quantity of lumbar facet injections before lumbar RFA, corticosteroid administration during lumbar facet injections, progression to lumbar RFA after lumbar facet injections, lumbar RFA utilization, and costs of these interventions. Methods: Two primary cohorts were identified from patients who received lumbar RFA or lumbar facet injection procedures. Utilization rates per 100,000 enrollees were determined for both

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“…The research which was carried out in Clinic of Curing Pain at the Clinics of Anaesthesiology and Intensive Care in Warsaw in the period 2009-2011 in the study groups of patients proved that thermolesion treatment was an effective method of treating chronic pain. The positive effects of the treatment were observed in 18/20 (90%) patients from group I, 18/19 (94.73%) of patients from group II and 31/33 (93.93%) of patients from group III [19][20][21][22].…”

Section: Discussionmentioning

confidence: 94%

Quality of Life in Patients after Lumbar Thermolesion

Raszka

Waliszewska

Sokal

et al. 2016

PNIN

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Introduction. One of the methods of treating lumbago coming from joints of the articular origin are thermolesions of intervertebral joints. Thermolessions are aimed at damaging the paracentral shoulder of the dorsal branch of lumbar roots, innervating ill joints. Aim. The aim of this work was to assess the quality of life and the level of pain in patients after lumbar thermolesions within a six-month observation period. Material and Methods. 30 patients subject to thermolesion treatments of intervertebral joints in the lumbar section were analysed. The level of pain was being assessed on the VAS scale (Eng. Visual Analogue Scale) and the quality of life with the Oswestry questionnaire before the surgery, on the first day after the surgery, after the first month, three months and after six months. 20 questionnaire forms which were subject to further analysis were returned. Results. On the basis of the analysis of the research conducted, there was noted a reduction of pain intensity as well as of the degree of disability expressed on the VAS and Oswestry Scales present in the early and late period after lumbar thermolesion. Conclusions. Lumbar thermolesion is an effective method of treating the lumbago pain of the articular origin and reducing disability in patients in the early and late period.

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Radiofrequency treatment has a beneficial role in reducing low back pain due to facet syndrome in octogenarians or older

Cited by 15 publications

References 23 publications

Long-Term Function, Pain and Medication Use Outcomes of Radiofrequency Ablation for Lumbar Facet Syndrome

Long-Term Function, Pain and Medication Use Outcomes of Radiofrequency Ablation for Lumbar Facet Syndrome

Trends in lumbar radiofrequency ablation utilization from 2007 to 2016

Quality of Life in Patients after Lumbar Thermolesion

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