Thermal Radiofrequency Ablation Combined with Corticosteroid Injection in Management of Lumbar Facet Joint Pain: A Single-Center Study in Vietnam

Le, Viet‐Thang; Do, Phuoc Trong; Nguyen, Anh Minh; Dao, Luan Trung Nguyen

doi:10.1016/j.wneu.2022.07.122

Cited by 1 publication

(1 citation statement)

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“… 118 Besides, clinical randomized and controlled studies demonstrated that treating patients with pulsed dose radiofrequency prior to continuous thermal radiofrequency ablation can result in patients having less post-procedural pain during the first 24 hours and also reduce analgesic requirements. 135 To demonstrate the effectiveness of thermal radiofrequency ablation combined with corticosteroid injection for facetogenic LBP, Le et al 136 conducted a prospective observational study including 82 patients and the results showed that during 24 months’ follow-up, only 5 patients required another radiofrequency neurotomy procedure (6.1%).…”

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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Section: Managementmentioning

confidence: 99%