The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Therapeutic Efficacy of Pulsed Radiofrequency Treatment in Lumbar Radicular Pain

요추부 신경근통 환자에서의 박동성 고주파술의 치료 효과

  • Kim, Young Ki (Department of Anesthesiology and Pain Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Jung, Il (Department of Anesthesiology and Pain Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Han, Sang Hee (Department of Anesthesiology and Pain Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine)
  • 김영기 (울산대학교 의과대학 강릉아산병원 마취통증의학교실) ;
  • 정일 (울산대학교 의과대학 강릉아산병원 마취통증의학교실) ;
  • 한상희 (울산대학교 의과대학 강릉아산병원 마취통증의학교실)
  • Received : 2008.11.11
  • Accepted : 2008.12.08
  • Published : 2008.12.30
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Abstract

Background: Lumbar radicular pain is a frequent and often debilitating event. Although many treatment methods have been described in several studies, the available evidences regarding efficacy is not sufficient enough to draw definitive conclusions on an optimal therapy regime. Pulsed radiofrequency (RF) treatment was found to exert a beneficial effect on intractable radicular pain in individuals. The purpose of this study was to assess the efficacy of pulsed RF of the dorsal root ganglion for chronic lumbar radicular pain. Methods: Twenty five patients with chronic lumbar radicular pain that was refractory to selective nerve root blockage met the inclusion criteria of our study and received pulsed RF treatment. The average numeric rating scale (NRS) for leg pain during usual activities and the Oswestry disability index (ODI) were measured at 1 and 3 months after the procedure. Results: Of the 25 patients accepted for pulsed RF treatment, one dropped out due to a vertebral compression fracture during this study. ODI and NRS showed a positive trend in favor of the pulsed RF treatment. No significant complications were observed during the study period. Conclusions: It appears that pulsed RF treatment of the lumbar spinal dorsal root ganglion may be an effective treatment method for patients suffering from lumbar radicular pain, and who were not responsive to selective nerve root blockage.

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References

  1. Chao SC, Lee HT, Kao TH, Yang MY, Tsuei YS, Shen CC, et al: Percutaneous pulsed radiofrequency in the treatment of cervical and lumbar radicular pain. Surg Neurol 2008; 70: 59-65 https://doi.org/10.1016/j.surneu.2007.05.046
  2. Schaufele MK: Single level lumbar disc herniations resulting in radicular pain: Pain and functional outcomes after treatment with targeted disc decompression. Pain Med 2008; 9: 835-43 https://doi.org/10.1111/j.1526-4637.2008.00516.x
  3. Sluijter ME: Pulsed radiofrequency. Anesthesiology 2005; 103: 1313
  4. Cahana A, Van Zundert J, Macrea L, van Kleef M, Sluijter M: Pulsed radiofrequency: current clinical and biological literature available. Pain Med 2006; 7: 411-23 https://doi.org/10.1111/j.1526-4637.2006.00148.x
  5. Shim JC, Cho HY, Kim DW, Seung IS: Preliminary results of pulsed radiofrequency thermocoagulation for lumbar radiculopathy: short term follow-up. Korean J Pain 2002; 15: 69-74
  6. Blankenbaker DG, De Smet AA, Stanczak JD, Fine JP: Lumbar radiculopathy: treatment with selective lumbar nerve blocks--comparison of effectiveness of triamcinolone and betamethasone injectable suspensions. Radiology 2005; 237: 738-41 https://doi.org/10.1148/radiol.2372041406
  7. Malik K, Benzon HT: Radiofrequency applications to dorsal root ganglia: a literature review. Anesthesiology 2008; 109: 527-42 https://doi.org/10.1097/ALN.0b013e318182c86e
  8. Wagner AL, Murtagh FR: Selective nerve root blocks. Tech Vasc Interv Radiol 2002; 5: 194-200 https://doi.org/10.1053/tvir.2002.36429
  9. Riew KD, Park JB, Cho YS, Gilula L, Patel A, Lenke LG, et al: Nerve root blocks in the treatment of lumbar radicular pain. A minimum five-year follow-up. J Bone Joint Surg Am 2006; 88: 1722-5 https://doi.org/10.2106/JBJS.E.00278
  10. Hamann W, Abou-Sherif S, Thompson S, Hall S: Pulsed radiofrequency applied to dorsal root ganglia causes a selective increase in ATF3 in small neurons. Eur J Pain 2006; 10: 171-6 https://doi.org/10.1016/j.ejpain.2005.03.001
  11. Van Zundert J, Patijn J, Kessels A, Lame I, van Suijlekom H, van Kleef M: Pulsed radiofrequency adjacent to the cervical dorsal root ganglion in chronic cervical radicular pain: a double blind sham controlled randomized clinical trial. Pain 2007; 127: 173-82 https://doi.org/10.1016/j.pain.2006.09.002
  12. Shabat S, Pevsner Y, Folman Y, Gepstein R: Pulsed radiofrequency in the treatment of patients with chronic neuropathic spinal pain. Minim Invasive Neurosurg 2006; 49: 147-9 https://doi.org/10.1055/s-2006-944238