Outcome of Combined Radiofrequency Medial Branch Rhizotomy and Steroid Nerve Block in Lumbar Facet Arthropathy: A Randomized Controlled Clinical Trial

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Diagnostic medial branch blocks before lumbar radiofrequency zygapophysial (facet) joint denervation: benefit or burden?

DEGENERATIVE changes of the zygapophysial joints (facet joints) account for approximately 10–15% of the cases with chronic low back pain. Radiofrequency ablation of the medial branches of the dorsal rami is a frequently performed procedure to treat pain originating from the facet joints. The success of radiofrequency facet denervation is highly dependent on patient selection. Diagnostic blocks ...

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comparison of pulsed radiofrequency and medial branch blockage in controlling facet-originating low back pain

background and aims:  using methods such as pulsed radiofrequency (prf) and nerve blocks are among the methods used in pain clinics to treat facet-originating low back pain. this study compares two methods of pulsed radiofrequency and facet joint block (fjb)regarding pain recovery and improving disability of patients suffering from facet-originating low back pain. material and method: 50 patien...

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The surgical anatomy of lumbar medial branch neurotomy (facet denervation).

OBJECTIVE To demonstrate the validity of placing electrodes parallel to the target nerve in lumbar radiofrequency neurotomy. DESIGN Previous data on the anatomy of the lumbar dorsal rami were reviewed and a demonstration cadaver was prepared. Under direct vision, electrodes were placed on, and parallel to, the L4 medial branch and the L5 dorsal ramus. Photographs were taken to record the plac...

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Lumbar facet joint nerve blocks in managing chronic facet joint pain: one-year follow-up of a randomized, double-blind controlled trial: Clinical Trial NCT00355914.

BACKGROUND Lumbar facet joints have been implicated as the source of chronic pain in 15% to 45% of patients with chronic low back pain. Various therapeutic techniques including intraarticular injections, medial branch blocks, and radiofrequency neurotomy of lumbar facet joint nerves have been described in the alleviation of chronic low back pain of facet joint origin. OBJECTIVE The study was ...

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ژورنال

عنوان ژورنال: The Medical Journal of Cairo University

سال: 2022

ISSN: ['0045-3803', '2536-9806']

DOI: https://doi.org/10.21608/mjcu.2022.295332