Lumber Radiofrequency Ablation


BACKGROUND:

Radiofrequency ablation (RFA), a procedure using heat to interrupt pain signals in spinal nerves, is an emerging treatment option for chronic low back pain. Its clinical efficacy has not yet been established.

OBJECTIVE:

To determine the efficacy of RFA for chronic low back pain associated with lumbar facet joints, sacroiliac joints, discogenic low back pain and the coccyx.

METHODS:

A systematic review was conducted. Medline, EMBASE, PubMed, SPORTDiscus, CINAHL and the Cochrane Library were searched up to August 2013. Abstracts and full-text articles were reviewed in duplicate.
Included articles were sham-controlled randomized controlled trials (RCTs), assessed the efficacy of RFA, reported at least one month of follow-up and included participants who had experienced back pain for at least three months.

RESULTS:

The present systematic review retrieved 1063 abstracts. Eleven sham-controlled RCTs were included: three studies involving discogenic back pain; six studies involving lumbar facet joint pain; and two studies involving sacroiliac joint pain. No studies were identified assessing the coccyx.
The evidence supports RFA as an efficacious treatment for lumbar facet joint and sacroiliac joint pain, with five of six and both of the RCTs demonstrating statistically significant pain reductions, respectively. The evidence supporting RFA for the treatment of discogenic pain is mixed.

CONCLUSIONS:

While the majority of the studies focusing on lumbar facet joints and sacroiliac joints suggest that RFA significantly reduces pain in short-term follow-up, the evidence base for discogenic low back pain is mixed. There is no RCT evidence for RFA for the coccyx. Future studies should examine the clinical significance of the achieved pain reduction and the long-term efficacy of RFA.


Comments

Post a Comment

Popular posts from this blog

Best Clinic to get Coronary Artery Disease Treatment in Waco, TX

Image
What is coronary artery disease? Coronary artery disease (CAD) is a condition in which plaque builds up inside the coronary arteries. These arteries supply oxygen-rich blood to your heart muscle. Plaque is made up of fat, cholesterol, calcium, and other substances found in the blood. Over time, plaque can harden or rupture, leading to a heart attack or stroke. CAD is a common type of heart disease. It is the leading cause of death in the United States for both men and women. CAD can cause angina (chest pain) or a heart attack. A heart attack happens when plaque ruptures and a blood clot forms in the artery, blocking blood flow to the heart muscle. What are the symptoms of coronary artery disease? Coronary artery disease (CAD) is a condition in which the arteries that supply blood to the heart become narrowed and hardened. This can lead to chest pain (angina), shortness of breath, heart attacks, and even death. CAD is a major cause of death in both men and women in the United
Read more

Top Reasons to Use an HTML Gmail Signature Generator for Your Business

Image
Email communication has become an essential part of daily business operations. As such, it's critical to make a good impression with every email you send. One way to achieve this is through a professional email signature. However, creating a polished and professional-looking signature can be time-consuming and frustrating. That's where an HTML GmailSignature Generator comes in. In this article, we'll discuss the benefits of using an HTML Gmail Signature Generator, including how it can save you time and effort, ensure consistent branding, and provide a mobile-friendly, professional look. We'll also introduce Hupport, which we believe is the best HTML Gmail Signature Generator available. Saves Time and Effort Creating an email signature from scratch can be time-consuming and frustrating, especially if you're not familiar with HTML or graphic design. With an HTML Gmail Signature Generator, you can save time and effort by automating the process. All you need to
Read more

Step-by-Step Guide to Creating a Professional Email Signature with a Generator

Image
An email signature is a crucial part of any email you send. It's an opportunity to showcase your professionalism and provide relevant information to the recipient. However, creating a professional email signature can be challenging, especially if you don't have any design skills. Fortunately, with the help of an email signature generator , you can create a professional-looking email signature in no time. In this article, we'll guide you through the steps of creating a professional email signature with a generator. Step 1: Choose an email signature generator There are many email signature generators available in the market, but not all of them are equal. You want to choose an email signature generator that is easy to use, provides customizable templates, and offers professional designs. Hupport is one such email signature generator that ticks all the boxes. Step 2: Enter your information Once you've chosen an email signature generator, the next step is to enter your inf
Read more