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...

This report describes a case of bilateral greater occipital neuralgia treated with cooled radiofrequency ablation. The case is considered in relation to a review of greater occipital neuralgia, continuous thermal and pulsed radiofrequency ablation, and current medical literature on cooled radiofrequency ablation. In this case, a 35-year-old female with a 2.5-year history of chronic suboccipital...

Sluijter et al.8 assumed that, because the tissue temperature was kept below the thermal destructive range, thermal tissue injury was avoided. By using mathematical calculations, they further showed that the high-density electrical currents generated at the electrode tip stressed the cellular membranes and biomolecules and caused altered cell function, leading to cell injury. Later investigator...

results three hundred patients were eligible for the study. after 1 month, 62% of patients (186 patients) reported good pain relief [95% confidence interval (ci) 0.53, 0.7]; 8.6% (26 patients) reported excellent pain relief (95% ci 0.07-0.09); 20. 4% (61 patients) reported poor pain relief (95% ci 0.18-0.22), and 9% (27 patients) reported no pain relief (95% ci 0.08-0.099). the average pain num...

Trigger point injection treatment is an effective and widely applied treatment for myofascial pain syndrome. The trapezius muscle frequently causes myofascial pain in neck area. We herein report a case in which direct pulsed radiofrequency (RF) treatment was applied to the trapezius muscle. We observed that the RF treatment produced continuous pain relief when the effective duration of trigger ...