Regional anesthesia and pain medicine
The most recent articles from:
Reg Anesth Pain Med
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Reg Anesth Pain Med · Jun 2020
Consensus practice guidelines on interventions for lumbar facet joint pain from a multispecialty, international working group.
The past two decades have witnessed a surge in the use of lumbar facet blocks and radiofrequency ablation (RFA) to treat low back pain (LBP), yet nearly all aspects of the procedures remain controversial. ⋯ Lumbar medial branch RFA may provide benefit to well-selected individuals, with MBB being more predictive than IA injections. More stringent selection criteria are likely to improve denervation outcomes, but at the expense of more false-negatives. Clinical trials should be tailored based on objectives, and selection criteria for some may be more stringent than what is ideal in clinical practice.