A Novel Technique to Deliver Epidural Pulsed Radiofrequency for the Management of Persistent Lumbar Radicular Pain in Failed Back Surgery Syndrome a Case Report

نویسندگان

  • R Lifford
  • A Ghazi
  • ER Cosman
چکیده

Corresponding author: [email protected] Conflict of interest: Dr. R Lifford and A Ghazi Nil Dr. E Cosman Jr Scientific Director at Cosman Medical Background: Radicular pain has been successfully treated with pulsed RF to dorsal root ganglia [1]. A transforaminal approach is most commonly used, but may be unsuccessful in cases with abnormal anatomy or implanted metalwork. In these situations, an inerlaminar approach may be required. A recent case report [2] identified the successful treatment of lumbar radicular pain in a cancer patient using a guidable radiofrequency injection electrode with a metallic coil active tip and embedded temperature sensor.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Comparison the effect of epidural steroid injection by Caudal and Lumbar methods for controlling the radicular pain of lower extremity

 Aims and background: Chronic low back pain is one of the common causes of patients referring to specialized and general medical clinics. The positive effect of Epidural Steroid injection has been proven in relieving pain in these patients. In this study, the epidural effects of methylprednisolone acetate in these two methods of Caudal and Lumbar were compared. Materials and Methods: In thi...

متن کامل

An Unusual Case of a Large Hematorrachis Associated with Multi-Level Osteoporotic Vertebral Compression Fractures; a Case Report

Spinal epidural haemorrhage may present as back pain associated with radicular symptoms and can be a catastrophic clinical scenario with progression to paraplegia or even sudden death. Being a rare entity, it needs a high index ofclinical suspicion to diagnose it. Fractures have been documented as a cause of hematorrachis but such hematomas only extend to one or two vertebral segments. Large ep...

متن کامل

Alternative approach to needle placement in spinal cord stimulator trial/implantation.

Neuromodulation with spinal cord stimulation is a proven, cost effective treatment for the management of chronic radicular low back pain from failed low back surgery syndrome and other neuropathic pain conditions. The traditionally instructed method for percutaneous spinal cord stimulator lead placement promotes the use of a "loss of resistance" technique under anteroposterior fluoroscopic guid...

متن کامل

Comparison between bipolar pulsed radiofrequency and monopolar pulsed radiofrequency in chronic lumbosacral radicular pain

BACKGROUND Chronic lumbosacral radicular pain is a challenging medical problem with respect to therapeutic management. Many patients with lumbosacral radicular pain complain of persistent leg pain after transforaminal epidural steroid injection. Nowadays, pulsed radiofrequency (PRF) stimulation on the dorsal root ganglion (DRG) is widely used for controlling lumbosacral radicular pain. METHOD...

متن کامل

طرح پیشنهادی در ارزیابی سندرم جراحی ناموفق کمری

Failed back surgery syndrome (FBSS) is many a times an intractable problem confronted in patients with surgical disease of lumbar spine and at the same time is a pressing problem for the physicians as well. This clinical entity is defined as continuation of pain in the lumbar region and lower extremities following surgery of the lumbar spine. Knowledge of the etiological factors and their preve...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2014