Quality of Life in Patients after Lumbar Thermolesion
DOI:
https://doi.org/10.15225/PNN.2016.5.2.6Keywords
pain, VAS scale, thermolesionAbstract
Introduction. One of the methods of treating lumbago coming from joints of the articular origin are thermolesions of intervertebral joints. Thermolessions are aimed at damaging the paracentral shoulder of the dorsal branch of lumbar roots, innervating ill joints.
Aim. The aim of this work was to assess the quality of life and the level of pain in patients after lumbar thermolesions within a six-month observation period.
Material and Methods. 30 patients subject to thermolesion treatments of intervertebral joints in the lumbar section were analysed. The level of pain was being assessed on the VAS scale (Eng. Visual Analogue Scale) and the quality of life with the Oswestry questionnaire before the surgery, on the first day after the surgery, after the first month, three months and after six months. 20 questionnaire forms which were subject to further analysis were returned.
Results. On the basis of the analysis of the research conducted, there was noted a reduction of pain intensity as well as of the degree of disability expressed on the VAS and Oswestry Scales present in the early and late period after lumbar thermolesion.
Conclusions. Lumbar thermolesion is an effective method of treating the lumbago pain of the articular origin and reducing disability in patients in the early and late period. (JNNN 2016;5(2):76–80)
References
Mafi J.N., McCarthy E.P., Davis R.B., Landon B.E. Worsening trends in the management and treatment of back pain. JAMA. Intern Med. 2013;173:1573–1581.
DePalma M.J., Ketchum J.M., Saullo T. What is the source of chronic low back pain and does age play a role? Pain Med. 2011;12:224–233.
Van Kleef M., Vanelderen P., Cohen S.P. et al. 12. Pain originating from the lumbar facet joints. Pain Pract. 2010;10:459–469.
Cohen S.P., Raja S.N. Pathogenesis, diagnosis, and treatment of lumbar zygapophysial (facet) joint pain. Anesthesiology. 2007;106:591–614.
Ghormley R.K. Low back pain with special reference to the articular facets, with presentation of an operative procedure. JAMA. 1933:1773–1777.
Nath S., Nath C.A., Pettersson K. Percutaneous lumbar zygapophysial (facet) joint neurotomy using radiofrequency current, in the management of chronic low back pain: a randomized double-blind trial. Spine. 2008;33:1291–1297.
Dreyfuss P., Halbrook B., Pauza K. et al. Efficacy and validity of radiofrequency neurotomy for chronic lumbar zygapophysial joint pain. Spine (Phila Pa 1976) 2000;25:1270–1277.
Malec-Milewska M., Kolęda I., Sękowska A., Kucia H., Kosson D. Zastosowanie termolezji w leczeniu bólu przewlekłego opornego na farmakoterapię. Postępy Nauk Medycznych. 2014;5:317–322.
Dobrogowski J., Wrzosek A., Wordliczek J. Radiofrequency denervation with or without addition of pentoxifylline or methylprednisolone for chronic lumbar zygapophysial joint pain. Pharmacol Rep. 2005;57:475–480.
Royal M.A., Bhakta B., Gunyea I. et al. Radiofrequency neurolysis for facet arthropathy: a retrospective case series and review of the literature. Pain Pract. 2002;2:47–52.
Dobrogowski J. Niefarmakologiczne metody leczenia bólu. Polski Przegląd Neurologiczny. 2007;3(4):272–278.
Dobrogowski J., Wardliczek J. Medycyna bólu. Wyd. Lek. PZWL, Warszawa 2004.
Dobrogowski J., Wardliczek J. Ból przewlekły. MCKP-UJ, Kraków 2002.
Derby R., Melnik I., Lee J.E., Lee S.H. Correlation of lumbar medial branch neurotomy results with diagnostic medial branch block cutoff values to optimize therapeutic outcome. Pain Med. 2012;13:1533–1546.
Deyo R.A., Dworkin S.F., Amtmann D. et al. Report of the NIH Task Force on Research Standards for Chronic Low Back Pain. Pain Med. 2014;15:1249–1267.
Krasuski M. Algorytm postępowania diagnostyczno-leczniczego w zespołach bólowych kręgosłupa. Rehabilitacja Medyczna. 2005;9(3):19–25.
Schofferman J., Kine G. Effectiveness of repeated radiofrequency neurotomy for lumbar facet pain. Spine (Phila Pa 1976) 2004;29:2471–2473.
MacVicar J., Borowczyk J.M., MacVicar A.M., Loughnan B.M., Bogduk N. Lumbar medial branch radiofrequency neurotomy in New Zealand. Pain Med. 2013;14:639–645.
Burnham R.S., Holitski S., Dinu I. A prospective outcome study on the effects of facet joint radiofrequency denervation on pain, analgesic intake, disability, satisfaction, cost, and employment. Arch Phys Med Rehabil. 2009;90:201–205.
Civelek E., Cansever T., Kabatas S. et al. Comparison of effectiveness of facet joint injection and radiofrequency denervation in chronic low back pain. Turk Neurosurg. 2012;22:200–206.
Roy C., Chatterjee N., Ganguly S., Sengupta R. Efficacy of combined treatment with medial branch radiofrequency neurotomy and steroid block in lumbar facet joint arthropathy. J Vasc Interv Radiol. 2012;23:1659–1664.
Shabat S., Leitner Y., Bartal G., Folman Y. Radiofrequency treatment has a beneficial role in reducing low back pain due to facet syndrome in octogenarians or older. Clin Interv Aging. 2013;8:737–740.
Falco F.J., Manchikanti L., Datta S. et al. An update of the effectiveness of therapeutic lumbar facet joint interventions. Pain Physician. 2012;15:E909–E953.
Park J., Park J.Y., Kim S.H. et al. Long term results from percutaneous radiofrequency neurotomy on posterior primary ramus in patients with chronic low back pain. Acta Neurochir Suppl. 2006;99:81–83.
Son J.H., Kim S.D., Kim S.H., Lim D.J., Park J.Y. The efficacy of repeated radiofrequency medial branch neurotomy for lumbar facet syndrome. J Korean Neurosurg Soc. 2010;48:240–243.
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