AI Article Synopsis
- The study aimed to compare the effectiveness of FJ injections (FJI) and FJ radiofrequency (FJRF) denervation in treating chronic low back pain in 100 patients.
- Results indicated that while FJI showed better outcomes shortly after the procedure, FJRF demonstrated superior long-term results at the 6th and 12th month assessments.
- The findings suggest that FJI should be the first treatment option, but if pain persists or returns, FJRF may be more effective for ongoing management.
Article Abstract
Aim: The study was conducted to compare the clinical effectiveness of FJ injections (FJI) and FJ radiofrequency (FJRF) denervation in patients with chronic low back pain.
Material And Methods: This study included 100 patients; 50 in FJI 50 in FJRF group. VNS, NASS and EQ-5D were used to evaluate the outcomes. All outcome assessments were performed at baseline, 3 months, 6 months and 12 months.
Results: FJI in early post-op but FJRF in 1st, 6th and 12th month VNS showed better results (p < 0.001). There was no significant difference in the 1st (p=1) and 6th month (p=0.13) but in 12th month (p=0.04) in NASS. Increase in level number showed positive effect in NASS in FJRF group (p=0.018) but no effect in FJI group (p=0.823) in the 12th month follow-up. There was no significant difference with respect to 1st month (p=0.17), 6th month (p=0.22) and 12th month (p=0.11) post-procedure follow-ups in EQ-5D. At the short term FJI was more effective than FJRF however in midterm follow-up FJRF had more satisfying results than FJRF.
Conclusion: To our knowledge, the first choice should be the FJI and if pain reoccurs after a period of time or injection is not effective, RF procedure should be used for the treatment of chronic lumbar pain.
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| http://dx.doi.org/10.5137/1019-5149.JTN.5207-11.1 | DOI Listing |
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