Role of Radiofrequency in the Management of Chronic Low Back Pain
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 70, Issue 11
Abstract
<strong>Background: </strong>low back pain (LBP) is related to disability and work absence and accounts for high economical costs. The management of LBP comprises a range of different intervention strategies including surgery, drug therapy, and non-medical interventions. Failed back surgery syndrome is a common problem with enormous costs to patients, insurers, and society, defined as persistent back and/ or leg pain after spine surgery. The etiology of failed back surgery can be poor patient selection, incorrect diagnosis, suboptimal selection of surgery, poor technique, failure to achieve surgical goals, and/or recurrent pathology. <strong>Aim of the Work:</strong> to evaluate the efficacy, safety and outcome of radiofrequency as a method for management of patients with chronic low back pain. <strong>Subjects and Methods: </strong>thisprospective study was conducted at El Galaa Military Hospital starting from January 2017. Twenty-five patients with chronic low back pain with mal-response to medical treatment justified for receiving interventional pain management as a conservative method of treatment of low back pain. They were subjected to radiofrequency neurotomy as a method for managing low back pain. <strong>Results:</strong> there was highly statistically significant decrease in pain score immediately, 1 week, 1 month and 3 months than pain score before RF with p-value < 0.01and there was highly statistically significant difference between daily living activities before RF and daily living activities at different times of measurement with p-value < 0.01. <strong>Conclusion:</strong> low back pain is a medical, social and economical problem. Radiofrequency neurotomy had advantage regarding the long term follow up but the costs and equipment-wised problem still make it less prevailed. <strong>Recommendations:</strong> longer follow up and randomized study if could be conducted the results may indicate much clues.
Authors and Affiliations
Eman Helal
Keywords
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