Radiofrequency Denervation of Lumbar Facet Joints in the Treatment of Chronic Low Back Pain: A Randomized, Double-Blind, Sham Lesion-Controlled Trial

@article{vanWijk2005RadiofrequencyDO,
  title={Radiofrequency Denervation of Lumbar Facet Joints in the Treatment of Chronic Low Back Pain: A Randomized, Double-Blind, Sham Lesion-Controlled Trial},
  author={Roelof van Wijk and Jos{\'e} W Geurts and Herman J. Wynne and Edwin Hammink and Erik Buskens and Richel Lousberg and Johannes T A Knape and Gerbrand J Groen},
  journal={The Clinical Journal of Pain},
  year={2005},
  volume={21},
  pages={335-344}
}
OBJECTIVES Radiofrequency facet joint denervation procedures have been common practice for 2 decades in treatment of chronic low back pain. [] Key Method A total of 81 out of 462 patients were randomized to undergo radiofrequency facet joint denervation or sham treatment. The first evaluation was carried out 3 months after treatment. Primary outcome was determined with a combined outcome measure comprising VAS, physical activities, and analgesic intake, from a twice-weekly recorded diary. Secondary outcome…
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251 Citations
Highly Influential Citations
18
Background Citations
63
Methods Citations
24
Results Citations
14

251 Citations

Percutaneous Lumbar Zygapophysial (Facet) Joint Neurotomy Using Radiofrequency Current, in the Management of Chronic Low Back Pain: A Randomized Double-Blind Trial
TLDR
This study indicates that radiofrequency facet denervation is not a placebo and could be used in the treatment of carefully selected patients with chronic low back pain.
Pulsed radiofrequency therapy might be not inferior to thermal neurotomy in lumbar facet joint pain: a commentary
TLDR
CRF and PRF appeared to be similarly effective in the treatment of facet joint pain, providing pain relief for at least 6 months, and should encourage pain researcher to design meaningful studies to further address this concept.
A prospective outcome study on the effects of facet joint radiofrequency denervation on pain, analgesic intake, disability, satisfaction, cost, and employment.
Repeat Percutaneous Radiofrequency Facet Joint Denervation for Chronic Back Pain: A Prospective Study
TLDR
Repeat lumbar RFJD, in this cohort of appropriately selected patients, achieved a high level of satisfaction and improved LBOS score, and may be a valid option for ongoing treatment for patients with chronic LBP.
Radiofrequency Denervation for Facet Joint Low Back Pain: A Systematic Review
TLDR
The data indicate that FJRD is more effective than placebo in pain control and functional improvement and is also possibly moreeffective than steroid injections inPain control.
Randomised sham-controlled double-blind multicentre clinical trial to ascertain the effect of percutaneous radiofrequency treatment for lumbar facet joint pain.
TLDR
It was revealed that the age of the patients and the severity of the initial pain significantly predicted a positive outcome, and the null hypothesis of no difference in the decrease in pain and in GPE between the treatment and sham groups cannot be rejected.
Endoscopic radiofrequency facet joint treatment in patients with low back pain: technique and long-term results. A prospective cohort study
TLDR
Evaluating the efficacy of endoscopic rhizotomy for denervation of lumbar facet joints in patients with chronic low back pain found it clear that this approach gives significant analgesia for at least 2 years, which was the time of patient follow up.
Efficacy of conventional and pulsed radiofrequency for treating chronic lumbar facet joint pain
Serum Beta-endorphin Changes in Lumbar Facet Syndrome Treated with Radiofrequency Lumbar Facet Denervation - A Randomized Controlled Study
TLDR
RF lumbar facet denervation demonstrated a trend to reduce serum beta-endorphin levels, although not statistically significant, in patients with LFS.
Long-Term Function, Pain and Medication Use Outcomes of Radiofrequency Ablation for Lumbar Facet Syndrome
TLDR
A durable treatment effect of RFA for lumbar facet syndrome at long-term follow-up is demonstrated, as measured by improvement in function, pain, and analgesic use.
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References

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