A New Technique to Treat Facet Joint Pain With Pulsed Radiofrequency

Schianchi, Pietro

doi:10.5812/aapm.21061

Cited by 9 publications

(10 citation statements)

References 16 publications

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“…[28] Finally, the electrical field was reported to reduce the production of proinflammatory or inflammatory cytokines. [26] After the application of PRF into the joint, serum C-reactive protein and cytokines were reduced. [26] In our study, IA PRF stimulation of the LFJ seems to reduce the IA inflammation, leading to reduction of LFJ-origin pain.…”

Section: Discussionmentioning

confidence: 99%

“…[26] After the application of PRF into the joint, serum C-reactive protein and cytokines were reduced. [26] In our study, IA PRF stimulation of the LFJ seems to reduce the IA inflammation, leading to reduction of LFJ-origin pain.…”

Section: Discussionmentioning

confidence: 99%

“…[22,23] Currently, PRF is used for various types of pain, including neuralgia, joint pain, and myofascial pain. [24–26] PRF stimulation on the lumbar medial branch has been reported to have a positive effect in the control of LFJ pain. [9,12] In addition, PRF stimulation after placement of the needle electrodes into a joint space can effectively reduce refractory joint pain.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of intra-articular lumbar facet joint pulsed radiofrequency and intra-articular lumbar facet joint corticosteroid injection for management of lumbar facet joint pain

Hee

Ahn²,

Cho³

et al. 2017

Medicine

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Background:This study aimed to demonstrate the effect of intra-articular (IA) lumbar facet joint (LFJ) pulsed radiofrequency (PRF) for the management of LFJ pain, and to compare the effect of IA LFJ PRF to IA corticosteroid injection (ICI). Pathology in the LFJ is a common source of lower back pain (LBP). It is responsible for chronic LBP in approximately 15% to 45% of patients. It has been reported that PRF stimulation can effectively reduce refractory joint pain.Methods:Sixty patients with LFJ pain were recruited and randomly assigned to 1 of 2 groups: the IA PRF group and the ICI group. There were 30 patients in each group. At pretreatment, 2 weeks, 1, 3, and 6 months after treatment, we assessed the severity of LBP using a numeric rating scale (NRS).Results:Compared with the pretreatment NRS scores, patients in both groups showed a significant decrease in NRS scores at 2 weeks, and 1, 3, and 6 months after each treatment. Between groups, changes in the NRS scores were significantly different over time. At 2 weeks and 1 month after each procedure, the NRS score after ICI was significantly lower than that after the PRF stimulation. However, at 3 and 6 months after the procedures, the decrements of NRS scores were not significantly different between the 2 groups. Six months after treatment, about half of patients in both groups reported successful pain relief (pain relief of ≥50%).Conclusion:In the current study, both IA PRF stimulation and ICI into the LFJ significantly relieved LFJ pain. Their effects persisted for at least 6 months after the procedure. Thus, IA PRF is a useful therapeutic option for the management of LFJ pain.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of intra-articular lumbar facet joint pulsed radiofrequency and intra-articular lumbar facet joint corticosteroid injection for management of lumbar facet joint pain

Hee

Ahn²,

Cho³

et al. 2017

Medicine

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“…As for the other 6 previous studies, 2 prospective observational studies, 3 retrospective studies, and 1 case report were reported. In all 6 studies, after medial branch or IA PRF stimulation, significant pain reduction and functional improvement were observed.…”

Section: Resultsmentioning

confidence: 97%

“…Thus far, 10 previous studies have reported the effect of PRF stimulation on lumbosacral facet joint pain . Of these, 4 studies were randomized trials .…”

Section: Resultsmentioning

confidence: 99%

The Effectiveness of Pulsed Radiofrequency on Joint Pain: A Narrative Review

et al. 2019

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Background Pulsed radiofrequency (PRF) stimulation has been safely and effectively applied for controlling various types of pain. Purpose We reviewed the literature on the efficacy of PRF for controlling pain in joint disorders. Methods We searched PubMed for papers published prior to September 7, 2019, that used PRF to treat pain due to joint disorders. The key search phrases for identifying potentially relevant articles were (PRF AND joint) OR (PRF AND arthritis) OR (PRF AND arthropathy). The following inclusion criteria were applied for the selection of articles: (1) patients’ pain was caused by joint disorders; (2) PRF stimulation was applied to manage joint‐origin pain; and (3) after PRF stimulation, follow‐up evaluation was performed to assess the reduction in pain intensity. Moreover, joints with more than 3 reported PRF studies were included in our review. Results The primary literature search yielded 141 relevant papers. After reading their titles and abstracts and assessing their eligibility based on the full‐text articles, we finally included 34 publications in this review. Based on the positive therapeutic outcomes of previous studies, PRF stimulation seems to be an effective treatment for cervical and lumbar facet, sacroiliac, knee, and glenohumeral joint pain. PRF appears to be beneficial. For confirmation of the effectiveness of PRF on joint pain, more high‐quality studies are needed. Conclusions Our review provides insights on the degree of evidence according to pain in each joint, which will help clinicians make informed decisions for using PRF stimulation in various joint pain conditions.

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