Role of Radiofrequency in Management of Chronic Low Back Pain
Qenawy, W., Abd El-Aziz, K., Mahmoud, R., Abd El-bar, A., Elshirbiny, M. (2022). Role of Radiofrequency in Management of Chronic Low Back Pain. EKB Journal Management System, 2(2), 89-96. doi: 10.21608/aumj.2022.143533.1012
Waleed Ahmed Qenawy; Khaled Ismail Abd El-Aziz; Radwan Nouby Mahmoud; Ahmed Sayed Abd El-bar; Mohammad F. Elshirbiny. "Role of Radiofrequency in Management of Chronic Low Back Pain". EKB Journal Management System, 2, 2, 2022, 89-96. doi: 10.21608/aumj.2022.143533.1012
Qenawy, W., Abd El-Aziz, K., Mahmoud, R., Abd El-bar, A., Elshirbiny, M. (2022). 'Role of Radiofrequency in Management of Chronic Low Back Pain', EKB Journal Management System, 2(2), pp. 89-96. doi: 10.21608/aumj.2022.143533.1012
Qenawy, W., Abd El-Aziz, K., Mahmoud, R., Abd El-bar, A., Elshirbiny, M. Role of Radiofrequency in Management of Chronic Low Back Pain. EKB Journal Management System, 2022; 2(2): 89-96. doi: 10.21608/aumj.2022.143533.1012

Role of Radiofrequency in Management of Chronic Low Back Pain

Aswan University Medical Journal
Volume 2, Issue 2, December 2022, Page 89-96  XML PDF (868.91 K)
Document Type: Original Article
DOI: 10.21608/aumj.2022.143533.1012
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Authors
Waleed Ahmed Qenawy email 1; Khaled Ismail Abd El-Aziz1; Radwan Nouby Mahmoud2; Ahmed Sayed Abd El-bar3; Mohammad F. Elshirbiny4
1Neurosurgery Department, Faculty of Medicine, Aswan University
2Neurosurgery Department, Faculty of Medicine, Assuit University
3Neurosurgery Department, Faculty of Medicine, Ain shams University
4Neurosurgery Department, Faculty of Medicine, Mansoura University
Abstract
Background: Chronic low back pain (LBP) affects about 45% of the population, it is treated conservatively, and if failed, we use invasive methods, as radiofrequency neurotomy (RF).
Objective: to evaluate the efficacy, safety, and outcome of RF in patients with chronic LBP.
Patients and Methods: This prospective study included patients with chronic LBP lasting ≥3 months. We performed RF to the included participant, moreover, we assessed the chronic LBP by visual analogue score, the improvement of the daily activities, and the safety immediately after the procedure, after one week, after one month and after three months.
Results: We included 40 patients with chronic LBP not responding to medical treatment. The average age was 58.28 ±7.2, 13 of them were male. The L4-L5-S1 levels were the most affected (67.5%). The pain score reduced from 8 before the operation to 3 after three months follow up p-value < 0.001. Regarding to Daily living activities, after 3 months the number of patients with normal daily activities was 50 %, and the number of supported patients still only 3 patients p-value < 0.001.
Conclusion: RF showed promising results in the management of chronic LBP, it has advantages regarding the long term follow up.
Keywords
Radiofrequency neurotomy; low back pain; LBP; VAS
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