Intraarticular Pulsed Radiofrequency to Treat Refractory Lumbar Facet Joint Pain in Patients with Low Back Pain

Lee, Hee Jin; Cho, Yun-Woo; Ahn, Da Hyun; Hee, Kyung

doi:10.1016/j.wneu.2017.12.181

Cited by 6 publications

(10 citation statements)

References 18 publications

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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%

“…Therefore, the positive treatment outcome of PRF stimulation on each lumbar medial branch and the intra-facet joint was reported in 1 randomized trial. As for the other 6 previous studies, 2 prospective observational studies, 24,25 3 retrospective studies, 19,23,29 and 1 case report 30 were reported. In all 6 studies, 19,[23][24][25]29,30 after medial branch or IA PRF stimulation, significant pain reduction and functional improvement were observed.…”

Section: Lumbosacral Facet Joint Painmentioning

confidence: 83%

“…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%

“…After reading the titles and abstracts and assessing them for eligibility based on the full‐text articles, 34 articles were finally included in the review (Table ). Among the involved articles, PRF was used on patients with pain from the cervical joint in 6 studies, lumbosacral joint in 10 studies, sacroiliac (SI) joint in 5 studies, knee joint in 8 studies, and glenohumeral (GH) joint in 6 studies . During the PRF procedure in all the previous studies except for 1 study, the patients who received PRF treatment did not receive CSI concomitantly to the PRF treatment.…”

Section: Resultsmentioning

confidence: 99%

“…Thus far, 10 previous studies have reported the effect of PRF stimulation on lumbosacral facet joint pain. 19,[23][24][25][26][27][28][29][30][31] Of these, 4 studies were randomized trials. [26][27][28]31 In 2007, Tekin et al 31 recruited 60 patients and performed PRF and CRF stimulations (temperature limitation: 80°C, 90 seconds, 22 gauge) on the lumbar medial branch, dividing the recruited patients into 3 equal-sized groups (control, PRF, and CRF groups).…”

Section: Lumbosacral Facet Joint Painmentioning

confidence: 99%

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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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Section: Resultsmentioning

confidence: 97%

Section: Lumbosacral Facet Joint Painmentioning

confidence: 83%

“…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%

Section: Resultsmentioning

confidence: 99%

Section: Lumbosacral Facet Joint Painmentioning

confidence: 99%

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

et al. 2019

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Effect of Pulsed Radiofrequency Therapy on Chronic Refractory Atlanto-Occipital Joint Pain

Tak¹,

Lee

2018

World Neurosurgery

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A comparison of pulsed radiofrequency and radiofrequency denervation for lumbar facet joint pain

Zhang

Feng

2023

J Orthop Surg Res

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Background Lumbar facet joint pain is a common disorder. The main symptom is chronic lumbar pain, which can reduce quality of life. Radiofrequency has often been used to treat lumbar facet joint pain. However, the effectiveness of this technique has been controversial. This study was conducted to compare the effectiveness of pulsed radiofrequency (PRF) and radiofrequency denervation (RD) for lumbar facet joint pain. Methods One hundred and forty-two patients with lumbar facet joint pain were allocated to two treatment groups: PRF group (N = 72) and RD group (N = 70). Patients enrolled in the study were assessed using a visual analogue scale (VAS), Roland-Morris questionnaire (RMQ), Oswestry disability index (ODI) and Short-Form 36 (SF-36) questionnaire before therapy, 3 months and 12 months later. Results There were no significant differences in VAS, RMQ score, ODI score and SF-36 score at 3 months (p > 0.05). Significant differences in pain control were observed in both groups at 12 months (3.09 ± 1.72 vs. 2.37 ± 1.22, p = 0.006). There was a significant difference in RMQ score (11.58 ± 3.58 vs. 8.17 ± 2.34, p < 0.001) and ODI score (43.65 ± 11.01 vs. 35.42 ± 11.32, p < 0.001) at 12 months. The total SF-36 score was higher in the RD group than in the PRF group at 12 months (58.45 ± 6.97 vs. 69.36 ± 6.43, p < 0.001). In terms of complications, skin numbness occurred in three patients. Mild pain such as burning and pinking at the puncture site in two patients. One patient experienced a decrease in back muscle strength and back muscle fatigue. These complications disappeared in 3 weeks without any treatment. There were no serious adverse events in the PRF group. Conclusion Radiofrequency is an effective and safe treatment option for patients with lumbar facet joint pain. RD could provide good and lasting pain relief, with significant improvement in lumbar function and quality of life at long-term follow-up.

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Intraarticular Pulsed Radiofrequency to Treat Refractory Lumbar Facet Joint Pain in Patients with Low Back Pain

Cited by 6 publications

References 18 publications

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

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

Effect of Pulsed Radiofrequency Therapy on Chronic Refractory Atlanto-Occipital Joint Pain

A comparison of pulsed radiofrequency and radiofrequency denervation for lumbar facet joint pain

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