Minimally Invasive Treatment of Facet Osteoarthritis Pain in Spine: A Clinical Approach Evaluating Cryotherapy.

Chronic pain Cryotherapy Facet arthrosis pain Medication consumption Minimally invasive treatment Osteoarthritis

Journal

World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275

Informations de publication

Date de publication:
27 Feb 2024
Historique:
received: 18 02 2024
accepted: 21 02 2024
pubmed: 1 3 2024
medline: 1 3 2024
entrez: 29 2 2024
Statut: aheadofprint

Résumé

Chronic pain management remains a challenging aspect of neurosurgical care, with facet arthrosis being a significant contributor to the global burden of low back pain. This study evaluates the effectiveness of cryotherapy as a minimally invasive treatment for patients with facet arthrosis. By focusing on reducing drug dependency and pain intensity, the research aims to contribute to the evolving field of pain management techniques, offering an alternative to traditional pain management strategies. Through a retrospective longitudinal analysis of patients with facet osteoarthritis treated via cryotherapy between 2013 and 2023, we evaluated the impact on medication usage and pain levels, utilizing the Visual Analog Scale for pre- and posttreatment comparisons. The study encompassed 118 subjects, revealing significant pain alleviation, with Visual Analog Scale scores plummeting from 9.0 initially to 2.0 after treatment. Additionally, 67 patients (56.78%) reported decreased medication consumption. These outcomes underscore cryotherapy's potential as a pivotal tool in chronic pain management. The findings illuminate cryotherapy's efficacy in diminishing pain and curtailing medication dependency among patients with facet arthrosis. This study reaffirms cryotherapy's role in pain management and propels the discourse on nontraditional therapeutic avenues, highlighting the urgent need for personalized and innovative treatment frameworks.

Sections du résumé

BACKGROUND BACKGROUND
Chronic pain management remains a challenging aspect of neurosurgical care, with facet arthrosis being a significant contributor to the global burden of low back pain. This study evaluates the effectiveness of cryotherapy as a minimally invasive treatment for patients with facet arthrosis. By focusing on reducing drug dependency and pain intensity, the research aims to contribute to the evolving field of pain management techniques, offering an alternative to traditional pain management strategies.
METHODS METHODS
Through a retrospective longitudinal analysis of patients with facet osteoarthritis treated via cryotherapy between 2013 and 2023, we evaluated the impact on medication usage and pain levels, utilizing the Visual Analog Scale for pre- and posttreatment comparisons.
RESULTS RESULTS
The study encompassed 118 subjects, revealing significant pain alleviation, with Visual Analog Scale scores plummeting from 9.0 initially to 2.0 after treatment. Additionally, 67 patients (56.78%) reported decreased medication consumption. These outcomes underscore cryotherapy's potential as a pivotal tool in chronic pain management.
CONCLUSIONS CONCLUSIONS
The findings illuminate cryotherapy's efficacy in diminishing pain and curtailing medication dependency among patients with facet arthrosis. This study reaffirms cryotherapy's role in pain management and propels the discourse on nontraditional therapeutic avenues, highlighting the urgent need for personalized and innovative treatment frameworks.

Identifiants

pubmed: 38423456
pii: S1878-8750(24)00335-8
doi: 10.1016/j.wneu.2024.02.122
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Published by Elsevier Inc.

Auteurs

Carlos Castillo-Rangel (C)

Department of Neurosurgery, "Hospital Regional 1◦ de Octubre", Institute of Social Security and Services for State Workers (ISSSTE), Mexico City, Mexico.

Erendy Sinaí Gallardo-García (ES)

Faculty of Medicine campus Cd. Mendoza, Universidad Veracruzana, Camerino Z Mendoza, Veracruz, Mexico.

Fiorella Fadanelli-Sánchez (F)

Faculty of Medicine campus Cd. Mendoza, Universidad Veracruzana, Camerino Z Mendoza, Veracruz, Mexico.

Vania Sayuri Hernández-Peña (VS)

Faculty of Medicine campus Cd. Mendoza, Universidad Veracruzana, Camerino Z Mendoza, Veracruz, Mexico.

Alex Missael Trujillo-Ramírez (AM)

Faculty of Medicine campus Cd. Mendoza, Universidad Veracruzana, Camerino Z Mendoza, Veracruz, Mexico; Faculty of Medicine, Universidad Veracruzana, Veracruz, Mexico.

Edith Del Carmen López-Gómez (EDC)

Faculty of Medicine campus Cd. Mendoza, Universidad Veracruzana, Camerino Z Mendoza, Veracruz, Mexico.

Luis I García (LI)

Department of Biophysics, Brain Research Institute, Universidad Veracruzana, Xalapa, Veracruz, Mexico.

María Isabel Iñiguez-Luna (MI)

Brain Research Institute, Universidad Veracruzana, Xalapa, Veracruz, Mexico.

Paulina Martínez-Bretón (P)

Faculty of Medicine campus Veracruz, Universidad Veracruzana, Veracruz, Veracruz, Mexico.

Rodrigo Ramírez-Rodríguez (R)

Brain Research Institute, Universidad Veracruzana, Xalapa, Veracruz, Mexico.

Jaime Ordoñez-Granja (J)

Department of Neurosurgery, "Hospital Regional 1◦ de Octubre", Institute of Social Security and Services for State Workers (ISSSTE), Mexico City, Mexico.

Mayra Guadalupe Trujillo-Aboite (MG)

Department of Emergency, "Hospital General de Zona No. 27" Mexican Social Security Institute, Mexico City, Mexico.

Gerardo Marín (G)

Neural Dynamics and Modulation Lab, Cleveland Clinic, Cleveland, Ohio, USA. Electronic address: drmarin.neuroscience@gmail.com.

Classifications MeSH