Cooled radiofrequency system for the treatment of chronic pain from sacroiliitis: the first case-series
| Autor: | Fady Nageeb, Samer Narouze, Nagy Mekhail, Miranda Kapural, Leonardo Kapural, Juan P. Cata |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual analogue scale Cryosurgery Disability Evaluation Patient satisfaction Joint capsule medicine Humans Electrodes Aged Pain Measurement Retrospective Studies Aged 80 and over Referred pain business.industry Arthritis Sacroiliitis Chronic pain Sacroiliac Joint Middle Aged medicine.disease Surgery Analgesics Opioid Anesthesiology and Pain Medicine medicine.anatomical_structure Treatment Outcome Patient Satisfaction Joint pain Anesthesia Chronic Disease Morphine Catheter Ablation Female medicine.symptom business Low Back Pain medicine.drug |
| Zdroj: | Pain practice : the official journal of World Institute of Pain. 8(5) |
| ISSN: | 1533-2500 |
| Popis: | ▪ Abstract: Sacroiliitis and sacroiliac (SI) joint dysfunction are frequent causes of the chronic lower back pain. Therapeutic solutions include intra-atricular injections with short-term pain relief and surgical fusion, which appears ineffective. Radiofrequency (RF) of the joint capsule or lateral branches has been previously reported with variable successes. Cooling tissue adjacent to the electrode (cooled RF) increases the radius of lesion. We present here the first retrospective data on pain relief and changes in function after such RF denervation. We reviewed electronic records of 27 patients with chronic low back pain (median 5 years) who underwent cooled RF of S1, S2, and S3 lateral branches and of dorsal ramus (DR) L5 following two diagnostic SI joint blocks (>50% of pain relief). Patient sample consisted of 20 women and 7 men, 38 to 92 years old. Pain disability index (PDI), visual analog scale (VAS) pain scores, global patient satisfaction (GPE) and opioid use before and 3–4 months after the procedure were analyzed. One patient had an incomplete chart. Observed were improvements in function (PDI) from 32.7 ± 9.9 to 20.3 ± 12.1 (P |
| Databáze: | OpenAIRE |
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