Mechanical low back pain secondary to degenerative facet joint changes is a common reason for referral to pain clinics. When these changes cause encroachment into the intervertebral foramen, radicular pain may result. While pulsed radiofrequency of the dorsal root ganglion can be used in this setting, the anatomic deformity may make the transforaminal approach difficult. We report a case where a trans-facet approach was used successfully and describe the technique.
s, 5th EFIC Congress, Free Presentations thermo detection and pain thresholds and pressure algometry). Structured interviews by a psychologist highly experienced in evaluation of sexual dysfunction were performed to evaluate the psycho-sexual profile of the patients. Result: 9 patients were examined. Sensory dysfunctions in the operated groin compared with the non operated groin were present in all (hypoesthesia and hyperalgesia, decreased pressure pain detection threshold, tactile allodynia and wind-up pain phenomenon). Maximum pain was always located over the annulus inguinalis externus. Psychological evaluation did not reveal any psychological disturbances, and the sexual dysfunction disturbance was attributed to the chronic pain state. Conclusion: Sensory disturbances of are present in patients with ejaculatory pain related sexual dysfunction following groin hernia repair. Psychosexual evaluation indicates a somatic origin (nerve damage) rather than a psychological pathogenesis.
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