Thermal radiofrequency in the relief of low back pain of facet joint origin. Result of a case series

Background: Low back pain is the most common causes of medical consultation, being responsible for 10-15% of labor incapacity. In Colombia is third cause of consultation in the hospital emergency department, the leading cause of job relocation and second cause of disability pensions. The importance...

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Autores Principales: Rodriguez, Jose Fernando, Calle, Alejandra, Rodriguez, Rene Felipe, Arias, Claudia Marcela, Caracas, Lina Susana, Gonzalez, Daniel Santiago, Benitez, Carlos Gustavo, Rodriguez, Rene Fernando
Formato: Peer-reviewed Article
Lenguaje:Inglés (English)
Español (Spanish)
Publicado: Universidad Libre 2019
Materias:
id ir-10901-18322
recordtype dspace
institution Universidad Libre de Colombia
collection DSpace
language Inglés (English)
Español (Spanish)
topic Radiofrequency
low back pain
medial branches
chronic pain
blockage
spellingShingle Radiofrequency
low back pain
medial branches
chronic pain
blockage
Rodriguez, Jose Fernando
Calle, Alejandra
Rodriguez, Rene Felipe
Arias, Claudia Marcela
Caracas, Lina Susana
Gonzalez, Daniel Santiago
Benitez, Carlos Gustavo
Rodriguez, Rene Fernando
Thermal radiofrequency in the relief of low back pain of facet joint origin. Result of a case series
description Background: Low back pain is the most common causes of medical consultation, being responsible for 10-15% of labor incapacity. In Colombia is third cause of consultation in the hospital emergency department, the leading cause of job relocation and second cause of disability pensions. The importance of evaluating the effectiveness of different therapeutic measures is important; how radio-frequency to relief of pain.Objective: To describe clinical, therapeutic and evolutionary data of the medial branches thermal radiofrequency in the relief of low back pain of facet origin.Methods: Was a cross-sectional study from a cohort of patients with lumbar facet pain. Subject was treatment with thermal radiofrequency. The first control was taken from the first month, then every three months up to a year after treatment. A procedure was considered successful when there was a reduction in pain of 50% or more.Results: The procedure was success in 80% of patients at the first month; the success of the procedure was progressively decreasing over time; 3 months (70%), 6 (61%), 9 (44%), and 12 (diminish to 25%). It was reported as an adverse effect an initial increase of pain in a patient and other patients with the sensation of diminished of the leg strength that disappeared during the first week.Conclusions: The thermal radiofrequency of the medial branches reduce chronic low back pain of facet origin. The improvement gradually decreases. The low incidence of side effects and radiofrequency complications justify its use.
format Peer-reviewed Article
author Rodriguez, Jose Fernando
Calle, Alejandra
Rodriguez, Rene Felipe
Arias, Claudia Marcela
Caracas, Lina Susana
Gonzalez, Daniel Santiago
Benitez, Carlos Gustavo
Rodriguez, Rene Fernando
author_facet Rodriguez, Jose Fernando
Calle, Alejandra
Rodriguez, Rene Felipe
Arias, Claudia Marcela
Caracas, Lina Susana
Gonzalez, Daniel Santiago
Benitez, Carlos Gustavo
Rodriguez, Rene Fernando
author_sort Rodriguez, Jose Fernando
title Thermal radiofrequency in the relief of low back pain of facet joint origin. Result of a case series
title_short Thermal radiofrequency in the relief of low back pain of facet joint origin. Result of a case series
title_full Thermal radiofrequency in the relief of low back pain of facet joint origin. Result of a case series
title_fullStr Thermal radiofrequency in the relief of low back pain of facet joint origin. Result of a case series
title_full_unstemmed Thermal radiofrequency in the relief of low back pain of facet joint origin. Result of a case series
title_sort thermal radiofrequency in the relief of low back pain of facet joint origin. result of a case series
publisher Universidad Libre
publishDate 2019
_version_ 1697734945768734720
spelling ir-10901-183222021-04-13T15:36:04Z Thermal radiofrequency in the relief of low back pain of facet joint origin. Result of a case series Radiofrecuencia térmica en alivio del dolor lumbar de origen facetario. Resultado de una serie de casos Rodriguez, Jose Fernando Calle, Alejandra Rodriguez, Rene Felipe Arias, Claudia Marcela Caracas, Lina Susana Gonzalez, Daniel Santiago Benitez, Carlos Gustavo Rodriguez, Rene Fernando Radiofrequency low back pain medial branches chronic pain blockage Background: Low back pain is the most common causes of medical consultation, being responsible for 10-15% of labor incapacity. In Colombia is third cause of consultation in the hospital emergency department, the leading cause of job relocation and second cause of disability pensions. The importance of evaluating the effectiveness of different therapeutic measures is important; how radio-frequency to relief of pain.Objective: To describe clinical, therapeutic and evolutionary data of the medial branches thermal radiofrequency in the relief of low back pain of facet origin.Methods: Was a cross-sectional study from a cohort of patients with lumbar facet pain. Subject was treatment with thermal radiofrequency. The first control was taken from the first month, then every three months up to a year after treatment. A procedure was considered successful when there was a reduction in pain of 50% or more.Results: The procedure was success in 80% of patients at the first month; the success of the procedure was progressively decreasing over time; 3 months (70%), 6 (61%), 9 (44%), and 12 (diminish to 25%). It was reported as an adverse effect an initial increase of pain in a patient and other patients with the sensation of diminished of the leg strength that disappeared during the first week.Conclusions: The thermal radiofrequency of the medial branches reduce chronic low back pain of facet origin. The improvement gradually decreases. The low incidence of side effects and radiofrequency complications justify its use. Introducción: El dolor lumbar es causa frecuente de consulta médica, responsable de 10-15% de incapacidades laborales. En Colombia es la tercera causa de consulta en servicios de urgencias, la cuarta en medicina general, la primera causa de reubicación laboral y la segunda de pensiones por invalidez, por esto la importancia de evaluar la efectividad de diferentes medidas terapéuticas, como la radiofruencia, para alivio de esta clase de dolor.Objetivos: Describir los datos clínicos, terapéuticos y evolutivos a corto plazo de la radiofrecuencia térmica de los ramos mediales en el alivio del dolor lumbar de origen facetario.Métodos: Se realizó un estudio transversal de la cohorte de pacientes con dolor lumbar facetario sometidos a radiofrecuencia térmica. Se analizaron variables demográficas y clínicas; se evaluaron en el primer control al mes y controles trimestrales, hasta un año de seguimiento. Se calificó como mejoría al procedimiento aquel paciente que con disminución del dolor <50% con respecto al basal.Resultados: El procedimiento fue efectivo en 80% de los pacientes; disminuyó progresivamente con el tiempo: 3 meses (70%), 6 (61%), 9 (44%) de mejoría y 12 (disminuyó a 25%). Como efectos adversos, un paciente refirió incremento inicial del dolor y otro sensación de disminución de la fuerza de las piernas que desapareció durante la primera semana.Conclusiones: La radiofrecuencia térmica de los ramos mediales disminuye el dolor lumbar crónico de origen facetario. La mejoría se reduce gradualmente. 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