Dorsal Root Ganglion Pulsed Radiofrequency for the Management of Intractable Vertebral Metastatic Pain: A Case Series

Arai, Young‐Chang P.; Nishihara, Makoto; Yamamoto, Yoshihiro; Arakawa, Maki; Kondo, Miki; Suzuki, Chise; Kinoshita, Akiko; Kambara, Kazuyo; Ikemoto, Tatsunori

doi:10.1111/pme.12629

Cited by 10 publications

(16 citation statements)

References 16 publications

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“…75% of vertebral body lesions are malignant, whereas benign lesions predominate in the posterior elements (70%). 76 In our opinion, based on a case series 77 and a case report, 78 the evidence for PRF has yet to be investigated.…”

Section: Malignancymentioning

confidence: 99%

A comprehensive review of pulsed radiofrequency in the treatment of pain associated with different spinal conditions

Facchini

Spinnato

Guglielmi

et al. 2017

BJR

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From the available evidence, the use of PRF to the dorsal root ganglion in cervical radicular pain is compelling. With regard to its lumbosacral counterpart, the use of PRF cannot be similarly advocated in view of the absence of standardization of PRF parameters, enrolment criteria and different methods in reporting results; but, the evidence is interesting. The use of PRF in lumbar facet pain was found to be less effective than conventional RF techniques. For the other different spinal conditions, we need further studies to assess the effectiveness of PRF. Advances in knowledge: The use of PRF in lumbar facet pain was found to be less effective than conventional RF techniques. For the other different spinal conditions, we need further studies to assess the effectiveness of PRF.

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Section: Malignancymentioning

confidence: 99%

A comprehensive review of pulsed radiofrequency in the treatment of pain associated with different spinal conditions

Facchini

Spinnato

Guglielmi

et al. 2017

BJR

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“…The availability of opioids with new dose formulations and types of administration has not been able to fully control cancer pain because of their side effects and timelimited effectiveness [2,3]. Moreover, pain management is particularly challenging in patients with bone and visceral metastases, especially when they develop refractoriness to standard therapies [4].…”

Section: Introductionmentioning

confidence: 99%

“…Few novel non pharmacological strategies, as dorsal root ganglion pulsed radiofrequency or scrambler therapy, are investigated for the treatment of neuropathic refectory cancer pain [2,4,5]. Scrambler therapy consists in the use of an electrocutaneous nerve stimulation device that synthesizes 16 types of nerve action potentials causing Bnon-pain^infor-mation via cutaneous nerves transmission.…”

Section: Introductionmentioning

confidence: 99%

Pilot evaluation of scrambler therapy for pain induced by bone and visceral metastases and refractory to standard therapies

Notaro

Dell'Agnola

Dell’Agnola

et al. 2015

Support Care Cancer

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“…Radiofrequency spinal tumour ablation (RFA) can be considered as it is safe and effective for well-selected patients. RFA can be performed with and without cement [50].…”

Section: A Thoracic Surgeon's Perspective (G Massard)mentioning

confidence: 99%

Pain control in thoracic oncology

et al. 2017

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This review of pain management in lung cancer is based on the presentation of four cases of thoracic oncology patients with pain at various stages of their disease. The approach will be multidisciplinary, involving a thoracic oncologist, radiologist, thoracic and orthopaedic spine surgeon, radiation therapist, pain medicine specialist, and palliative care specialist. This multispecialty approach to the management of different painful presentations in thoracic oncology will demonstrate the complexity of each case and the improved patient outcomes which result from the involvement of different disciplines working in concert.In the USA, Europe and other countries, palliative care specialists often become rapidly involved in the management of these patients, coordinating social care and providing psychological support.Thoracic and orthopaedic spine subspecialists provide surgical methods to control tumour invasion, and improve quality of life and preservation of function in settings of even diffuse metastatic disease. Similarly, thoracic oncology and radiation therapists utilise both therapeutic and palliative chemotherapeutic and radiation therapy regimens to prolong and improve quality of life.The pain medicine specialist can, in addition to medication management, offer a variety of interventional approaches including unique drug delivery systems such as epidural analgesia, regional anaesthesia techniques, and intrathecal pumps, as well as neuromodulation techniques and neurolytic or neuroablative procedures.In the USA, these specialists complete an additional fellowship year in pain medicine following the completion of an anaesthesiology, physical medicine and rehabilitation, neurology or psychiatry residency. These programmes are accredited by the Accreditation Council for Graduate Medical Education, or ACGME (www.acgme.org).

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Dorsal Root Ganglion Pulsed Radiofrequency for the Management of Intractable Vertebral Metastatic Pain: A Case Series

Cited by 10 publications

References 16 publications

A comprehensive review of pulsed radiofrequency in the treatment of pain associated with different spinal conditions

A comprehensive review of pulsed radiofrequency in the treatment of pain associated with different spinal conditions

Pilot evaluation of scrambler therapy for pain induced by bone and visceral metastases and refractory to standard therapies

Pain control in thoracic oncology

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