El Boghdady, M., Samir, M., Sabry, H., Kotb, M. (2018). Role of Radiofrequency in the Management of Chronic Low Back Pain. The Egyptian Journal of Hospital Medicine, 70(11), 1970-1978.
Mohamed H. El Boghdady; Mohamed W. Samir; Hatem A. Sabry; Mohamed M. Kotb. "Role of Radiofrequency in the Management of Chronic Low Back Pain". The Egyptian Journal of Hospital Medicine, 70, 11, 2018, 1970-1978.
El Boghdady, M., Samir, M., Sabry, H., Kotb, M. (2018). 'Role of Radiofrequency in the Management of Chronic Low Back Pain', The Egyptian Journal of Hospital Medicine, 70(11), pp. 1970-1978.
El Boghdady, M., Samir, M., Sabry, H., Kotb, M. Role of Radiofrequency in the Management of Chronic Low Back Pain. The Egyptian Journal of Hospital Medicine, 2018; 70(11): 1970-1978.
Role of Radiofrequency in the Management of Chronic Low Back Pain
Department of Neurosurgery, Faculty of Medicine, Ain Shams University
Abstract
Background: low back pain (LBP) is related to disability and work absence and accounts for high economical costs. The management of LBP comprises a range of different intervention strategies including surgery, drug therapy, and non-medical interventions. Failed back surgery syndrome is a common problem with enormous costs to patients, insurers, and society, defined as persistent back and/ or leg pain after spine surgery. The etiology of failed back surgery can be poor patient selection, incorrect diagnosis, suboptimal selection of surgery, poor technique, failure to achieve surgical goals, and/or recurrent pathology. Aim of the Work: to evaluate the efficacy, safety and outcome of radiofrequency as a method for management of patients with chronic low back pain. Subjects and Methods: thisprospective study was conducted at El Galaa Military Hospital starting from January 2017. Twenty-five patients with chronic low back pain with mal-response to medical treatment justified for receiving interventional pain management as a conservative method of treatment of low back pain. They were subjected to radiofrequency neurotomy as a method for managing low back pain. Results: there was highly statistically significant decrease in pain score immediately, 1 week, 1 month and 3 months than pain score before RF with p-value < 0.01and there was highly statistically significant difference between daily living activities before RF and daily living activities at different times of measurement with p-value < 0.01. Conclusion: low back pain is a medical, social and economical problem. Radiofrequency neurotomy had advantage regarding the long term follow up but the costs and equipment-wised problem still make it less prevailed. Recommendations: longer follow up and randomized study if could be conducted the results may indicate much clues.
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