Abstract
Lumbar medial branch diagnostic injection and radiofrequency ablation are commonly performed for chronic lumbar facet-related back pain. This chapter provides a step-by-step guide on how to perform this intervention safely and shows all the relevant C-arm and needle positions that need to be demonstrated during the Fellow of Interventional Pain Practice (FIPP) exam administered by the World Institute of Pain (WIP). Both native and edited high-quality images are included, so the fluoroscopy anatomy is more easily understood.
Possible complications of the procedures and common reasons for failure at the FIPP exam are also outlined. Evidence for the procedure is provided based on the available literature reviewed by the Benelux section of WIP and also by the American Society of Interventional Pain Physicians (ASIPP).
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Suggested Reading
Manchikanti L, Kaye AD, Soin A et al. Comprehensive evidence-based guidelines for facet joint interventions in the management of chronic spinal pain: American Society of Interventional Pain Physicians (ASIPP) Guidelines Facet Joint Interventions 2020 Guidelines. Pain Physician. 2020;23(3S):S1–S127.
Dreyfuss P, et al. Efficacy and validity of radiofrequency neurotomy for chronic lumbar zygapophysial joint pain. Spine (Phila Pa 1976). 2000;25:1270–7. https://www.sciencedirect.com/book/9781416037798/pain-procedures-in-clinical-practice#book-info.
Falco FJE, et al. An update of the effectiveness of therapeutic lumbar facet joint interventions. Pain Physician. 2012;15(6):E909–53.
King W, Borowcyzk J. Zygapophysial joint pain: procedures for diagnosis and treatment. In: Pain procedures in clinical practice. Elsevier Saunders; 2010. p. 357–90.
MacVicar J, Borowczyk JM, MacVicar AM, Loughnan BM, Bogduk N. Lumbar medial branch radiofrequency neurotomy in New Zealand. Pain Med. 2013;14:639–45.
Manchikanti L, et al. An update of comprehensive evidence-based guidelines for interventional techniques in chronic spinal pain. Part II: guidance and recommendations. Pain Physician. 2013;16:S49–283.
Cohen SP, Bhaskar A, Bhatia A, et al. Consensus practice guidelines on interventions for lumbar facet joint pain from a multispecialty, international working group. Regional Anesthesia & Pain Medicine:rapm-2019-101243.
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The Lumbar Medial Branch and RFA chapter was reviewed by Athmaja Thottungal; Harvey Finkelstein; Alan Berkman; Amit Gulati; Andrea M. Trescot; Milan Stojanovic; Peter S. Staats; Agnes R. Stogicza; Andre M. Mansano; Athmaja Thottungal and Raja Reddy.
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van den Heuvel, S.A.S., Vivian, D.G., Verrills, P. (2020). Lumbar Medial Branch Block and Radiofrequency Ablation. In: Stogicza, A.R., Mansano, A.M., Trescot, A.M., Staats, P.S. (eds) Interventional Pain . Springer, Cham. https://doi.org/10.1007/978-3-030-31741-6_16
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DOI: https://doi.org/10.1007/978-3-030-31741-6_16
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