Radiofrequency-Induced Intradiscal Nucleoplasty Chronic Low Back Pain Secondary To Lumbar Disc Herniation

Dw, Lee; Loh, Esy; Kueh, CC; Poi, JH; Francis, Tjr; Koh, Katsuyoshi; Wazir, NN; Singh, Harpreet

doi:10.5704/moj.1307.009

Cited by 6 publications

(5 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Radiofrequency nucleoplasty is a procedure employing coblation technology to coagulate and ablate the intervertebral disc with a low-temperature (52°C) plasma field results in minimal collateral damage to adjacent tissue. Radiofrequency nucleoplasty is considerably successful in relieving low back pain (4-7), decreasing morbidity, and shortening the recovery time (8). The current study reported a case with discitis following radiofrequency nucleoplasty.…”

Section: Introductionmentioning

confidence: 64%

Discitis Following Radiofrequency Nucleoplasty: A Case Report

et al. 2020

View full text Add to dashboard Cite

Introduction: Radiofrequency nucleoplasty is a minimally invasive procedure to treat chronic low back pain, especially mild degenerative disc diseases. Discitis after radiofrequency nucleoplasty is a rare case. Case Presentation: A 62-year-old male patient with a chief complaint of 10 years low back pain, gradually worsening for the last two years, a history of hypertension, chronic kidney disease, and routine dialysis twice a week, referred to the center. He underwent a lumbar medial branch block using radiofrequency and radiofrequency nucleoplasty procedure of lumbar 4-5 (L4-L5). Three weeks after the intervention, he could not move his legs, associated with urinary and fecal incontinence. MRI (magnetic resonance imaging) of the lumbar spine was performed, and the results indicated hyperintensity in L4-L5, suspicious of discitis. Laminectomy at L4 and L5 was performed. Eight months after surgery, the patient could feel and lift legs, and urinary and fecal incontinence was also controlled. Conclusions: Early diagnosis of discitis is critical and challenging. Delay in diagnosis may lead to treatment delay and the development of neurological deficits. Comprehensive treatment with bed rest, antimicrobial therapy, and sensible application of timely surgery are essentials to an optimal outcome.

show abstract

Section: Introductionmentioning

confidence: 64%

Discitis Following Radiofrequency Nucleoplasty: A Case Report

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Radiofrequency nucleoplasty can be used as an alternative to surgical treatment for discogenic lower back pain [ 122 , 123 ]. This treatment can also be used for the treatment of radiating pain caused by cervical disc herniation [ 124 , 125 ].…”

Section: Spinal Injection Treatmentmentioning

confidence: 99%

“…This treatment can also be used for the treatment of radiating pain caused by cervical disc herniation [ 124 , 125 ]. While RF neurotomy involves neural ablation, RF nucleoplasty removes the disc matrix [ 122 , 123 , 124 , 125 ].…”

Section: Spinal Injection Treatmentmentioning

confidence: 99%

“…RF nucleoplasty can assist in annulus fibrosus recovery while severing the nociceptive nerves that have grown into the cracked annulus fibrosus [ 122 , 123 , 124 , 125 ]. In addition, a portion of the nucleus pulposus can be incinerated with a high frequency, or physically removed, to reduce the pressure of the intervertebral disc in attempting to reposition the protruding intervertebral disc.…”

Section: Spinal Injection Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

Spinal Injections: A Narrative Review from a Surgeon’s Perspective

Shin,

Choo,

Chang

2023

Healthcare

View full text Add to dashboard Cite

Spinal pain is one of most frequent complaints of the general population, which can cause decreased activities of daily living and absence from work. Among numerous therapeutic methods, spinal injection is one of the most effective treatments for spinal pain and is currently widely applied in the clinical field. In this review, spinal injection is discussed from a surgeon’s perspective. Recently, although the number of spinal surgeries has been increasing, questions are arising as to whether they are necessary. The failure rate after spinal surgery is high, and its long-term outcome was reported to be similar to spinal injection. Thus, spinal surgeries should be performed conservatively. Spinal injection is largely divided into diagnostic and therapeutic blocks. Using diagnostic blocks, such as the diagnostic selective nerve root block, disc stimulation test, and diagnostic medial branch block (MBB), the precise location causing the pain can be confirmed. For therapeutic blocks, transforaminal nerve root injection, therapeutic MBB, and percutaneous epidural neuroplasty are used. When unbearable spinal pain persists despite therapeutic spinal injections, spinal surgeries can be considered. Spinal injection is usefully used to identify the precise location prior to a patient undergoing injection treatment or surgery and can reduce pain and improve quality of life, and help to avoid spinal surgery. Pain physicians should treat patients with spinal pain by properly utilizing spinal injection.

show abstract

“…coagulated nucleus pulposus, reduced intradiscal pressure and reduced pressure on the annulus fibrosus and nerve root. [4][5][6][7] Furthermore, RIN could relieve the symptoms of patients with lumbar disc herniation. 8 Kloth et al 9 reported that RIN could be preferred for treating radicular pain caused by disc herniation.…”

Section: Introductionmentioning

confidence: 99%