|
KMID : 0948920030020020111
|
|
Clinical Pain
2003 Volume.2 No. 2 p.111 ~ p.123
|
|
|
Low Back Pain and Radiofrequency Treatment & IDET (Intradiscal Electro- Thermal Therapy)
|
|
Park Jung-Yul
|
|
|
Abstract
|
|
|
|
Patients with chronic low back pain (CLBP) persisting more than 3 to 6 months, should be provided with more aggressive management than conventional conservative treatments as they suffer not only from the disabling pain syndromes and substantial functional disabilities, but also because they face great socioeconomic burdens. Common causes of chronic low back pain seen in clinical setting are disorders related to the intervertebral disc, spinal stenosis, spondylolisthesis, compression fracture related to osteoporosis, and pain originating from zygapophyseal joints and other surrounding structures. Less common but other important causes include metastatic lesions, infection, and myofascial pain syndromes. Radiofrequency (RF) treatment has a long history in the management of chronic intractable pain of various causes. With better understanding of the pain mechanism, advancements in technology, and valuable previous experiences, a simpler and safer method of delivering RF thermocoagulation to ideal sites, including intradiscal location, are now available that can be expected to provide more beneficial effects. Through up-to-date evidence based knowledge and personal experience, I introduce here the history and basic mechanism of RF technique, and various clinical situations where this type of therapy is currently known to be indicated or effective in providing substantial pain relief in patients with low back pain.
|
|
|
KEYWORD
|
|
|
Low back pain, Radiofrequency, Thermocoagulation, Intradiscal
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|
|
|