Cryoneurolysis for zygapophyseal joint pain: a retrospective analysis of 117 interventions

Wolter, Tilman; Deininger, Martin H.; Hubbe, Ulrich; Mohadjer, M.; Knoeller, Stefan M.

doi:10.1007/s00701-011-0966-9

Cited by 29 publications

(19 citation statements)

References 39 publications

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“…Since cryoneurolysis allows for complete nerve regeneration, the patient would then regain of function following treatment. Uncontrolled studies suggest cryoneurolysis relieves pain in patients with disorders as diverse as postherpetic neuralgia [76], occipital neuralgia [77], and neuromas [78,79], as well as intractable facial [27,75,[80][81][82], temporomandibular joint [83], lumbar zygapophysial joints [84], intercostal neuralgia [85,86], plantar fasciitis [87], phantom limb pain [88], as well as perineal and pelvic pain [89]. Pain relief duration ranges from 2 months to a few years [75,80].…”

Section: Treatment Of Chronic Painmentioning

confidence: 99%

Novel cryoneurolysis device for the treatment of sensory and motor peripheral nerves

Ilfeld

Preciado

Trescot

2016

Expert Review of Medical Devices

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Introduction: Cryoneurolysis is the direct application of low temperatures to reversibly ablate peripheral nerves to provide pain relief. Recent development of a handheld cryoneurolysis device with small gauge probes and an integrated skin warmer broadens the clinical applications to include treatment of superficial nerves, further enabling treatments for pre-operative pain, post-surgical pain, chronic pain, and muscle movement disorders. Areas covered: Cryoneurolysis is the direct application of cold temperatures to a peripheral nerve, resulting in reversible ablation due to Wallerian degeneration and nerve regeneration. Use over the last 50 years attests to a very low incidence of complications and adverse effects. Cryoprobes have traditionally been applied through a surgical incision; but, recent technical advances allow percutaneous administration. A new hand-held device is now approved for use within the United States. Cryoneurolysis has been used to treat postoperative and chronic pain states as well as spasticity. Expert commentary: Changes in the US healthcare system such as a push for the reduction of opioid use and the incorporation of Diagnostic Related Group codes, as well as recent technological advances including a handheld unit that allows for treatment of superficial nerves while protecting the skin from damage, may contribute to the resurgence of cryoneurolysis for the treatment of peripheral nerves. ARTICLE HISTORY

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Section: Treatment Of Chronic Painmentioning

confidence: 99%

Novel cryoneurolysis device for the treatment of sensory and motor peripheral nerves

Ilfeld

Preciado

Trescot

2016

Expert Review of Medical Devices

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“…Minimal, if any, sedation should be used, as the patient must be conscious to respond to sensory and motor stimulation [ 75 ]. Moreover, intra-procedural pain in CN appears to be tolerable [ 91 ].…”

Section: Interventional Managementmentioning

confidence: 99%

Facet joint syndrome: from diagnosis to interventional management

et al. 2018

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Low back pain (LBP) is the most common pain syndrome, and is an enormous burden and cost generator for society. Lumbar facet joints (FJ) constitute a common source of pain, accounting for 15–45% of LBP. Facet joint degenerative osteoarthritis is the most frequent form of facet joint pain. History and physical examination may suggest but not confirm facet joint syndrome. Although imaging (radiographs, MRI, CT, SPECT) for back pain syndrome is very commonly performed, there are no effective correlations between clinical symptoms and degenerative spinal changes. Diagnostic positive facet joint block can indicate facet joints as the source of chronic spinal pain. These patients may benefit from specific interventions to eliminate facet joint pain such as neurolysis, by radiofrequency or cryoablation. The purpose of this review is to describe the anatomy, epidemiology, clinical presentation, and radiologic findings of facet joint syndrome. Specific interventional facet joint management will also be described in detail.Teaching points • Lumbar facet joints constitute a common source of pain accounting of 15–45%. • Facet arthrosis is the most frequent form of facet pathology. • There are no effective correlations between clinical symptoms, physical examination and degenerative spinal changes. • Diagnostic positive facet joint block can indicate facet joints as the source of pain. • After selection processing, patients may benefit from facet joint neurolysis, notably by radiofrequency or cryoablation.

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“…В специализированной литературе существуют разные синонимы данной патологии: фасеточный синдром, фасеточный болевой синдром, фасет-синдром, артроз межпозвонковых суставов, артроз дугоотростчатых суставов и спондилоартропатический синдром [1,8]. В 15-75% причиной боли в поясничном отделе позвоночника представляется артроз дугоотростчатых суставов [9][10][11][12]. После публикаций W. Rees об успешном устранении болей в спине путем денервации нижнепоясничных дугоотростчатых суставов проблема спондилоартроза снова привлекла внимание исследователей [13].…”

Section: обзорыunclassified

Spondyloarthrosis: pathogenesis, clinic, diagnosis and treatment (literature review and own experience)

Yarikov

Викторович²,

Denisov

et al. 2020

Journal of Clinical Practice

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8590% of the elderly people are diagnosed with spondyloarthrosis There are various synonyms for this disease in the literature: facet syndrome, facet pain syndrome, arthrosis of the intervertebral joints, zygapophysial joint arthrosis and spondyloarthropathy. The article analyzes the pathogenesis, clinical picture and methods of diagnosis of this disease. Modern types of conservative and surgical treatment are presented. The advantages and disadvantages of the surgical methods for the facet syndrome treatment are analyzed: instrumental denervation (radio frequency, laser, etc.), chemical denervaion and intraarticular administration of drugs. The results of our own clinical work are presented. The facet joint denervation appears to be a productive minimally invasive method of treatment of the reflex forms of spondyloarthrosis. In the early and long-term postoperative period, it leads to a persistent decrease in the intensity of pain and improvement of the quality of life with a low risk of perioperative complications.

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Cryoneurolysis for zygapophyseal joint pain: a retrospective analysis of 117 interventions

Abstract: Cryoneurolysis for LFJS can lead to favourable results with sustained pain relief, amelioration of pain-related disability and reduction of depression scores.

Cited by 29 publications

References 39 publications

Novel cryoneurolysis device for the treatment of sensory and motor peripheral nerves

Novel cryoneurolysis device for the treatment of sensory and motor peripheral nerves

Facet joint syndrome: from diagnosis to interventional management

Spondyloarthrosis: pathogenesis, clinic, diagnosis and treatment (literature review and own experience)

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