Lumbar and Sacral Radiofrequency Neurotomy
Radiofrequency (RF) neurotomy is an interventional procedure used to alleviate certain types of low back pain. RF energy is used to thermally coagulate the specific nerves that transmit pain signals….
Radiofrequency (RF) neurotomy is an interventional procedure used to alleviate certain types of low back pain. RF energy is used to thermally coagulate the specific nerves that transmit pain signals….
The sacroiliac joint and the lumbar zygapophysial joints are both known pain generators with demonstrated pain-referral patterns. They are both amenable to image-guided intraarticular injection of corticosteroids, a procedure that…
Epidural steroid injection (ESI) has been used as a treatment for low back pain for over 50 years. In the last 10 to 15 years, there has been a significant…
The commonly performed spinal procedures, such as epidural injections, spinal nerve blocks, zygapophysial joint (z-joint) interventions, and discography, are reported to be safe. However, diagnostic and therapeutic spinal interventions can…
Analgesic medications are commonly used for low back pain (LBP). Evidence on the efficacy of pharmacologic therapy for LBP comes from clinical trials that have many limitations, including short-term studies…
The determination of whether a patient should pursue an active or passive treatment program is often made by medical practitioners. Knowledge about all forms of treatment, including complementary and alternative…
Imaging is an integral part of the clinical examination of the patient with back pain; it is, however, often used excessively and without consideration of the underlying literature. The primary…
Psychosocial factors are at least as important as biomedical factors in the onset, maintenance, and treatment of chronic low back pain. This article reviews some of the common psychosocial factors…
The interventional procedures available to help diagnose and treat low back pain are numerous and expanding. With a growing population that is living longer, the incidence of low back pain…
Low back pain with radiating pain to the hip, buttock, or limb is the most common reason for electrodiagnostics referral. Electrodiagnostics is used to assess for lumbosacral radiculopathy potentially underlying…