Zygapophysial Joint Pain in Post Lumbar Surgery Syndrome. The Efficacy of Medial Branch Blocks and Radiofrequency Neurotomy
نویسندگان
چکیده
منابع مشابه
Efficacy and validity of radiofrequency neurotomy for chronic lumbar zygapophysial joint pain.
STUDY DESIGN A prospective audit. OBJECTIVE To establish the efficacy of lumbar medial branch neurotomy under optimum conditions. SUMMARY OF BACKGROUND DATA Previous reports of the efficacy of lumbar medial branch neurotomy have been confounded by poor patient selection, inaccurate surgical technique, and inadequate assessment of outcome. METHODS Fifteen patients with chronic low back pai...
متن کاملDiagnostic 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 ...
متن کاملSuccess of initial and repeated medial branch neurotomy for zygapophysial joint pain: a systematic review.
OBJECTIVES To review the duration of pain relief after initial and repeated radiofrequency neurotomy (RFN) for cervical and lumbar zygapophysial joint pain. METHODS We searched PubMed to identify all articles that met review criteria for in-depth analysis, synthesis, and review. RESULTS Data from 16 articles are reported in this review, including 8 cervical studies, 7 lumbar studies, and 1 ...
متن کاملOn diagnostic blocks for lumbar zygapophysial joint pain
Diagnostic blocks are used to identify patients with back pain stemming from their lumbar zygapophysial joints. Single, diagnostic blocks have an unacceptably high false positive rate. As well, comparative local anaesthetic blocks lack validity because the prevalence of the condition is low. Relying on 50% relief following single-diagnostic blocks does not provide a valid diagnosis. Placebo-con...
متن کاملLumbar zygapophysial (facet) joint radiofrequency denervation success as a function of pain relief during diagnostic medial branch blocks: a multicenter analysis.
BACKGROUND CONTEXT The publication of several recent studies showing minimal benefit for radiofrequency (RF) lumbar zygapophysial (l-z) joint denervation have led many investigators to reevaluate selection criteria. One controversial explanation for these findings is that the most commonly used cutoff value for selecting patients for l-z (facet) joint RF denervation, greater than 50% pain relie...
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ژورنال
عنوان ژورنال: Pain Medicine
سال: 2013
ISSN: 1526-2375,1526-4637
DOI: 10.1111/pme.12012