LETTER TO THE EDITOR Investigating the Effects of Pulsed Radiofrequency on Dorsal Root Ganglion in Chronic Lumbar Radicular Pain Patients: Is It Not Important
نویسنده
چکیده
It is interesting to read the paper by Koh et al. on the investigation of the pulsed radiofrequency (PRF) of the dorsal root ganglion (DRG) in patients of chronic lumbosacral radicular (CLR) pain [1]. It is noteworthy that the authors attempted to perform a controlled trial on a challenging topic. However, I am afraid that the study design, results, and conclusions have further “muddied the water” instead of bringing clarity to the existing evidence on the efficacy of PRF-DRG in CLR pain patients. I would like to highlight some aspects of the study, which decrease the confidence in their study results and conclusions.
منابع مشابه
Response to pulsed and continuous radiofrequency lesioning of the dorsal root ganglion and segmental nerves in patients with chronic lumbar radicular pain.
OBJECTIVES We aimed to prospectively evaluate the response and safety of pulsed and continuous radiofrequecy lesioning of the dorsal root ganglion/segmental nerves in patients with chronic lumbosacral radicular pain. METHODS Seventy-six patients with chronic lumbosacral radicular pain refractory to conventional therapy met the inclusion criteria and were randomly assigned to one of 2 types of...
متن کاملAssessing the effectiveness of ‘pulse radiofrequency treatment of dorsal root ganglion’ in patients with chronic lumbar radicular pain: study protocol for a randomized control trial
BACKGROUND Chronic lumbar radicular pain can be described as neuropathic pain along the distribution of a particular nerve root. The dorsal root ganglion has been implicated in its pathogenesis by giving rise to abnormal impulse generation as a result of irritation, direct compression and sensitization. Chronic lumbar radicular pain is commonly treated with medications, physiotherapy and epidur...
متن کاملRetrospective review of the efficacy and safety of repeated pulsed and continuous radiofrequency lesioning of the dorsal root ganglion/segmental nerve for lumbar radicular pain.
BACKGROUND Chronic lumbosacral radicular pain is a common source of radiating leg pain seen in pain management patients. These patients are frequently managed conservatively with multiple modalities including medications, physical therapy, and epidural steroid injections. Radiofrequency has been used to treat chronic radicular pain for over 30 years; however, there is a paucity of literature ab...
متن کاملPulsed radiofrequency treatment of the lumbar dorsal root ganglion in patients with chronic lumbar radicular pain: a randomized, placebo-controlled pilot study
BACKGROUND No proof of efficacy, in the form of a randomized controlled trial (RCT), exists to support pulsed radiofrequency (PRF) treatment of the dorsal root ganglion (DRG) for chronic lumbar radicular (CLR) pain. We determined the feasibility of a larger trial (primary objective), and also explored the efficacy of PRF in decreasing pain on a visual analog scale (VAS) and improving the Oswest...
متن کاملShort-Term Effects of Pulsed Radiofrequency on Chronic Refractory Cervical Radicular Pain
OBJECTIVE To evaluate the short-term effectiveness of pulsed radiofrequency on the dorsal root ganglion (DRG) in patients with chronic refractory cervical radicular pain. METHOD Fifteen patients (13 males, 2 females; mean age, 55.9 years) with chronic radicular pain due to cervical disc herniation or foraminal stenosis refractory to active rehabilitative management, including transforaminal c...
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تاریخ انتشار 2015