• Pain Med · Sep 2010

    The effect of repeated zygapophysial joint radiofrequency neurotomy on pain, disability, and improvement duration.

    • Brian Rambaransingh, Gordon Stanford, and Robert Burnham.
    • Physical Medicine and Rehabilitation, Department of Clinical Neurosciences, University of Calgary, Calgary, Canada. brianmd2@gmail.com
    • Pain Med. 2010 Sep 1;11(9):1343-7.

    ObjectiveTo assess the effectiveness of repeated radiofrequency neurotomy (RFN) on pain, disability, and treatment effect duration.PatientsOne hundred-four patients who underwent repeat RFN for chronic neck or back pain were prospectively followed using a Pain Disability Questionnaire-Spine (PDQ-S). Complete data sets were available for 73, 73, and 36 patients for the 1st, 2nd, and 3rd RFN, respectively.ResultsPain intensity, pain frequency, and patient-specific disability measures were significantly improved post-initial, second, and third RFN. Moreover, there was no statistically significant difference among the PDQ-S scores post-RFN 1, 2, and 3. There was no statistical significance between the duration of pain relief post-RFN 1 and pain relief post-RFD 2.ConclusionRepeated cervical and lumbar RFN reduces pain and disability with equal effectiveness for approximately 10 months in patients with facetogenic chronic neck and back pain.Wiley Periodicals, Inc.

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