The Effect of Pulsed Radiofrequency on Radicular Pain in Lumbal Herniated Nucleus Pulposus: A Systematic Review and Meta-analysis.
Hernia Nucleus Pulposus
Lumbar
Pulsed Radiofrequency
Radicular Pain
Journal
Anesthesiology and pain medicine
ISSN: 2228-7523
Titre abrégé: Anesth Pain Med
Pays: Netherlands
ID NLM: 101585412
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
23
11
2020
revised:
10
01
2021
accepted:
04
02
2021
entrez:
2
8
2021
pubmed:
3
8
2021
medline:
3
8
2021
Statut:
epublish
Résumé
Radiofrequency therapy is a medical procedure mainly used to reduce pain with a low complication rate (less than 1%), ease of application, and low cost. This review's objective was to (1) evaluate the pulsed radiofrequency (PRF) effectiveness in treating radicular pain and (2) assess the PRF procedure's safety in managing radicular pain in lumbar herniated nucleus pulposus (HNP). A systematic review and meta-analysis. A tertiary care center and an academic medical center. Six full articles with the following features were selected for this review: (1) Articles published in English; (2) studies on the PRF effect on radicular pain in lumbar HNP; and (3) randomized control trials. The studies showed that the PRF group had a reduction in pain scores at each evaluation. In four of the studies, the PRF group showed a more significant reduction in pain scores than the control, and in two of the studies, the reduction in pain scores was not significant in the PRF group compared to the control. An adverse effect was reported in one patient experiencing increased radicular pain after PRF. Lack of data required for statistical analysis, and lack use of a uniform duration for the PRF procedure by all the studies. PRF can be used as a promising clinical recommendation for pain management with minimally invasive radicular pain techniques due to lumbar HNP.
Identifiants
pubmed: 34336613
doi: 10.5812/aapm.111420
pmc: PMC8314080
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e111420Informations de copyright
Copyright © 2021, Author(s).
Déclaration de conflit d'intérêts
Conflict of Interests: We declare that we have no conflicts of interest.
Références
Pain Physician. 2008 Mar-Apr;11(2):137-44
pubmed: 18354708
Anesth Pain Med. 2020 Dec 28;10(6):e110322
pubmed: 34150577
J Pain Res. 2014 Jan 10;7:47-55
pubmed: 24453500
J Korean Med Sci. 2016 Aug;31(8):1324-30
pubmed: 27478346
J Neurosurg Spine. 2013 Aug;19(2):256-63
pubmed: 23746090
Pain Physician. 2013 Sep-Oct;16(5):E601-13
pubmed: 24077210
Pain Pract. 2020 Feb;20(2):154-167
pubmed: 31538405
Eur J Pain. 2009 Mar;13(3):249-52
pubmed: 18539061
Pain Pract. 2009 Nov-Dec;9(6):407-17
pubmed: 19761513
Pain Physician. 2018 May;21(3):E225-E234
pubmed: 29871378
Anesth Pain Med. 2013 Spring;2(4):139-41
pubmed: 24223349
Med J Malaysia. 2020 Mar;75(2):124-129
pubmed: 32281592
Br J Radiol. 2017 May;90(1073):20150406
pubmed: 28186832
Anesth Pain Med. 2012 Winter;1(3):194-7
pubmed: 24904793
Anesth Pain Med. 2012 Winter;1(3):155-6
pubmed: 24904784
Anesth Pain Med. 2020 Apr 13;10(2):e96418
pubmed: 32754427
Pain Res Treat. 2015;2015:392856
pubmed: 26351581
Anesth Pain Med. 2020 Feb 04;10(1):e97372
pubmed: 32309197
Pain Med. 2015 Mar;16(3):432-41
pubmed: 25530347
J Clin Neurosci. 2016 Aug;30:39-43
pubmed: 27234606
Anesth Pain Med. 2020 Nov 22;10(6):e104466
pubmed: 34150572