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Is RF a good tool in the lumbar back pain treatment ? 2011

Interventional Spine

francisco, aparisi rodriguez, MD PhD.
maria pilar, aparisi rodriguez, md, Non ASSR Member

Paper/Non-Mentor

Purpose

I´m looking for a good tool in the lumbalgia treatment .

Methods & Materials

After two-year period 93 patients treated by RF, by 122 procedures, which are distributed in 75 thermal, 35 pulsed and 12 mixed. The series includes patients with degenerative facet disease, some with spinal stenosis and patients with disc lesions

Results

The distribution of results shows that 90 patients had some improvement after the first session, leaving after this treatment session 3 patients. (2 Thermal and pulsed). Of the patients who continued, 25% received more than one session. In these series have given up the treatment 2 patients., Both with multisession., This makes a total of four rejections. (4.3%). The distribution of results shows that 90 patients had some improvement after the first session, leaving after this treatment session 3 patients. (2 Thermal and pulsed). Of the patients who continued, 25% received more than one session. In these series have given up the treatment 2 patients., Both with multisession., This makes a total of four rejections. (4.3%).Figure 1, joint thermal RF , Figure 2 epidural pulsed RF, Figure 3, intradiscal pulsed RF.

Conclusion

The subjective assessment of the degree of pain by VAS scale, indicates that a degenerative disease which is close to 70% accept treatment as an acceptable solution to their problem, having seen some dramatic improvement results although not statistically significant. The comparison of results between patients treated by pulsed RF and thermal energy, showing no significant difference.

References/Financial Disclosures

Maarten van Kleef, MD, PhD,* Gerard A. M. Barendse, MD,* Alfons Kessels, MD,â