The treatment of cervical pain syndromes with radiofrequency procedures

A. C.M. Vervest, R. J. Stolker

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50 Citations (Scopus)

Abstract

The treatment of mechanical cervical pain by means of radiofrequency lesions was studied in 53 patients. All had pain which had existed from 2 and 20 years and had failed to respond to conservative measures. Patients with pain over the facet joints underwent a percutaneous facet joint denervation (PFD). The results were good to excellent in 89.5 per cent of denervations. If there was pain radiating to the occipital region, head and/or shoulders the conductance was evaluated with segmental nerve blockades. Where the result was positive, a percutaneous partial rhizotomy (PPR) was done. The results were good to excellent in 80.5 per cent of treatments. Apart from post-operative discomfort, which subsided in a few weeks, there were no complications. After a follow-up of 1.5 years, 44 patients (84.6 per cent) still had satisfactory pain relief. Radiofrequency procedures can be a safe method for achieving long-lasting pain relief in cervical pain syndromes where other treatments have failed.

Original languageEnglish
Pages (from-to)103-112
Number of pages10
JournalPain Clinic
Volume4
Issue number2
Publication statusPublished - 1991
Externally publishedYes

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