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

Pain Med. 2010 Sep;11(9):1343-7. doi: 10.1111/j.1526-4637.2010.00923.x. Epub 2010 Jul 27.

Abstract

Objective: To assess the effectiveness of repeated radiofrequency neurotomy (RFN) on pain, disability, and treatment effect duration.

Patients: One 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.

Results: Pain 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.

Conclusion: Repeated cervical and lumbar RFN reduces pain and disability with equal effectiveness for approximately 10 months in patients with facetogenic chronic neck and back pain.

MeSH terms

  • Adult
  • Aged
  • Cervical Vertebrae / surgery
  • Denervation / methods*
  • Female
  • Humans
  • Low Back Pain / surgery*
  • Lumbar Vertebrae / surgery
  • Male
  • Middle Aged
  • Neurosurgical Procedures / methods*
  • Pain Measurement
  • Prospective Studies
  • Radio Waves*
  • Surveys and Questionnaires
  • Treatment Outcome
  • Young Adult
  • Zygapophyseal Joint / pathology
  • Zygapophyseal Joint / surgery*