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Interdisziplinäres Positionspapier: der Stellenwert der Radiofrequenzdenervierung in der Therapie chronischer Schmerzen

Interdisciplinary position paper: the value of radiofrequency denervation in the treatment of chronic pain

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Zusammenfassung

In der Therapie chronischer Schmerzzustände ist die Radiofrequenzdenervierung seit Jahren als wichtiges minimal-invasives Verfahren etabliert. Positiven Erfahrungen zahlreicher Anwenderinnen und Anwender in unterschiedlichen Indikationen steht eine nicht einheitliche Evidenzlage gegenüber. Bei sorgfältiger Patientenselektion und korrekter Indikationsstellung können damit eine längerfristige Schmerzreduktion, ein reduzierter Analgetikabedarf und eine Verbesserung der Lebensqualität erreicht werden. Ziel dieses interdisziplinären Positionspapiers ist es, den Stellenwert der Radiofrequenzdenervierung in der Therapie chronischer Schmerzen darzustellen. Die zusammenfassenden Empfehlungen der Expertengruppe basieren auf verfügbarer Evidenz ebenso wie auf den klinischen Erfahrungen österreichischer Zentren, die das Verfahren häufig einsetzen. Das Positionspapier enthält Empfehlungen zur Patientenselektion und zu bewährten Indikationen. Sicherheitsaspekte, Komplikationen, Nebenwirkungen und Kontraindikationen werden beschrieben.

Abstract

Radiofrequency denervation has been established for many years as an important minimally invasive procedure for the treatment of chronic pain conditions. Positive experiences of many users for various indications are contrasted by a nonuniform evidence. With meticulous patient selection and correct assessment of the indications a longer term reduction of pain, a reduced need for analgesics and an improvement in the quality of life can be achieved. The aim of this interdisciplinary position paper is to present the value of radiofrequency denervation in the treatment of chronic pain. The summarized recommendations of the expert group are based on the available evidence and on the clinical experiences of Austrian centers that frequently implement the procedure. The position paper contains recommendations on patient selection and proven indications. We discribe safety aspects, complications, side effects and contraindications.

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Literatur

  1. Bundesministerium für Arbeit, Soziales, Gesundheit und Konsumentenschutz (2018) Update der evidenz- und konsensbasierten Österreichischen Leitlinie für das Management akuter, subakuter, chronischer und rezidivierender unspezifischer Kreuzschmerzen 2018, 1. Aufl. (Version 28.06.2018 Beschlossene Fassung)

    Google Scholar 

  2. Registernummer 033-051; Klassifikation S2k; Stand: 06.12.2017, gültig bis 5. Dez. 2022

  3. Bogduk (Hrsg) (2014) Practice guidelines for spinal diagnostic & treatment procedures, 2. Aufl.

    Google Scholar 

  4. Yang AJ, Zachary L (2019) Radiofrequency ablation for posterior sacroiliac joint complex. PM&R. https://doi.org/10.1002/pmrj.12200

    Article  Google Scholar 

  5. Chen CH, Weng PW, Wu LC, Chiang YF, Chiang CJ (2019) Radiofrequency neurotomy in chronic lumbar and sacroiliac joint pain: a meta-analysis. Medicine 98(26):e16230. https://doi.org/10.1097/MD.0000000000016230

    Article  PubMed  PubMed Central  Google Scholar 

  6. Stelzer W, Stelzer V, Stelzer D, Braune M, Duller C (2017) Influence of BMI, gender, and sports on pain decrease and medication usage after facet-medial branch neurotomy or SI joint lateral branch cooled RF-neurotomy in case of low back pain: original research in the Austrian population. J Pain Res 13(10):183–190

    Google Scholar 

  7. Arias Garau J (2018) Radiofrequency denervation of the cervical and lumbar spine. Phys Med Rehabil Clin N Am 2:139–154

    Google Scholar 

  8. Perolat R, Kastler A, Nicot B et al (2018) Facet joint syndrome: from diagnosis to interventional management. Insights Imaging 9:773–789

    PubMed  PubMed Central  Google Scholar 

  9. Lee CH, Chung CK, Kim CH (2017) The efficacy of conventional radiofrequency denervation in patients with chronic low back pain originating from the fact joints: a meta-analysis of randomized controlled trials. Spine J 17(11):1770–1780

    PubMed  Google Scholar 

  10. Falo FJ, Manchikanti L, Datta S et al (2012) Systematic review of the therapeutic effectiveness of cervical facet joint interventions: an update. Pain Phys 15(6):E839–E868

    Google Scholar 

  11. Manchikanti L, Kaye A, Boswell MV et al (2015) A systematic review and best evidence synthesis of effectiveness of therapeutic facet joint interventions in managing chronic spinal pain. Pain Phys 18:E535–E582

    Google Scholar 

  12. Engel A, Rappard G, King W, Kennedy DJ, Standards Division of the International Spine Intervention Society (2016) The effectiveness and risks of fluoroscopically guided cervical medial branch thermal radiofrequency neurotomy: a systematicreview with comprehensive analysis of the published data. Pain Med 17(4):658–669

    PubMed  Google Scholar 

  13. Chang-Hyun L, Kee CC, Heon CK (2017) The efficacy of conventional radiofrequency denervation in patients with chronic low back pain originating from the facet joint: a meta-analysis of randomized controlled trials. Spine J 17:1770–1780

    Google Scholar 

  14. Manchikanti L, Abdi S, Atluri S et al (2013) An update of comprehensive evidence-based guidelines for interventional techniques in chronic spinal pain. Part II: guidance and recommendations. Pain Physician 16(2 Suppl):S49–S283

    PubMed  Google Scholar 

  15. Contreras Lopez WO, Navarro PA, Vargas MD, Alape E, Camacho Lopez PA (2019) Pulsed radiofrequency versus continuous radiofrequency for facet joint low back pain: a systematic review. World Neurosurg 122:390–396. https://doi.org/10.1016/j.wneu.2018.10.191

    Article  PubMed  Google Scholar 

  16. Datta S, Lee M, Falco FJE, Bryce DA, Hayek SM (2009) Systematic assessment of diagnostic accuracy and therapeutic utility of lumbar facet joint interventions. Pain Physician 12(2):437–460

    PubMed  Google Scholar 

  17. Hoppenfeld J (2014) Facet joint procedures: facet joint injections, medial branch blocks, and radiofrequency ablation of the medial branches of the spinal nerve. In: Hoppenfeld J (Hrsg) Fundamentals of pain medicine. How to diagnose and treat your patients, S 19–42

    Google Scholar 

  18. Manchikanti L, Hirsch JA, Falco FJ, Boswell MV (2016) Management of lumbar zygapophysial (facet) joint pain. World J Orthop 7(5):315–337

    PubMed  PubMed Central  Google Scholar 

  19. MacVicar J, Borowczyk JM, MacVicar AM, Loughnan BM, Bogduk N (2013) Lumbar medial branch radiofrequency neurotomy in New Zealand. Pain Med 14(5):639–645

    PubMed  Google Scholar 

  20. Dreyfuss P, Halbrook B, Pauza K, Joshi A, McLarty J, Bogduk N (2000) Efficacy and validity of radiofrequency neurotomy for chronic lumbar zygapophysial joint pain. Spine 25(10):1270–1277

    CAS  PubMed  Google Scholar 

  21. Manejias EM, Hu J, Tatli Y, Lutz GE (2008) Lumbar zygapophysial joint radiofrequency denervation: a long-term clinical outcome study. HSS J 4(2):180–187

    PubMed  PubMed Central  Google Scholar 

  22. Facchini G, Spinnato P, Guglielmi G, Albisinni U, Bazzocchi A (2017) A comprehensive review of pulsed radiofrequency in the treatments of pain asscociated with different spinal conditions. Br J Radiol 90:20150406

    PubMed  PubMed Central  Google Scholar 

  23. Lan M, Zipu J, Ying S, Hao R, Fang L (2018) Efficacy and safety of CT-guided percutaneous pulsed radiofrequency treatment of the Gasserian ganglion in patients with medically intractable idiopathic trigeminal neuralgia. J Pain Res 11:2877–28885

    CAS  PubMed  PubMed Central  Google Scholar 

  24. Vanneste T, Van Lantschoot A, Van Boxem K, Van Zundert J (2017) Pulsed radiofrequency in chronic pain. Curr Opin Anaesthesiol 30(5):577–582

    PubMed  Google Scholar 

  25. Huygen F, Kallewaard JW, van Tulkder M et al (2019) “Evidence-based Interventional pain medicine according to clinical diagnoses”: update 2018. Pain Pract 19(6):664–675

    PubMed  PubMed Central  Google Scholar 

  26. de Lima DA, Krause Gonçalves MC, Correia e Sá Grando ST, de Lima Cintra TL, Pinto DM, Gonçalves Krause R (2019) Indications of the neurotomy of genicular nerves by radiofrequency for the treatment of knee osteoarthritis: a Literature review. Rev Bras Ortop 54(3):233–240. https://doi.org/10.1055/s0039-1692121 (Epub 2019 Jun 27)

    Article  Google Scholar 

  27. Hong T, Wang H, Li G, Yao P, Ding Y (2019) Systematic review and meta-analysis of 12 randomized controlled trials evaluating the efficacy of invasive radiofrequency treatment for knee pain and function. Biomed Res Int. https://doi.org/10.1155/2019/9037510

    Article  PubMed  PubMed Central  Google Scholar 

  28. Orhurhu V, Urits I, Grandhi R, Abd-Elsayed A (2019) Systematic review of radiofrequency ablation for management of knee pain. Curr Pain Headache Rep 23(8):55. https://doi.org/10.1007/s11916-019-0792-y

    Article  PubMed  Google Scholar 

  29. Kwak SG, Lee DG, Chang MC (2018) Effectiveness of pulsed radiofrequency treatment on cervical radicular pain: a meta-analysis. Medicine 97(31):e11761. https://doi.org/10.1097/MD.0000000000011761

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Maas ET, Ostelo RWJG, Niemisto L et al (2015) Radiofrequency denervation for chronic low back pain. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD008572.pub2 (Oct)

    Article  PubMed  PubMed Central  Google Scholar 

  31. Cohen SP, Strassels SA, Kurihara C et al (2013) Establishing an optimal “cutoff” threshold for diagnostic lumbar facet blocks. Clin J Pain 29(5):382–391

    PubMed  Google Scholar 

  32. Cohen SP, Moon JY, Brummett CM, White RL, Larkin TM (2015) Medial branch blocks or intra-articular injections as a prognostic tool before lumbar facet radiofrequency denervation: a multicenter, case-control study. Reg Anesth Pain Med 40(4):376–383

    CAS  PubMed  Google Scholar 

  33. Schwarzer AC, Aprill CN, Derby R, Fortin J, Kine G, Bogduk N (1994) The false-positive rate of uncontrolled diagnostic blocks of the lumbar zygapophysial joints. Pain 58(2):195–200

    CAS  PubMed  Google Scholar 

  34. Manchikanti L, Pampati S, Cash KA (2010) Making sense of the accuracy of diagnostic lumbar facet joint nerve blocks: an assessment of the implications of 50 % relief, 80 % relief, single block, or controlled diagnostic blocks. Pain Phys 13(2):133–143

    Google Scholar 

  35. Holz SC, Sehgal N (2016) What is the correlation between facet joint radiofrequency outcome and response to comparative medial branch blocks? Pain Phys 19(3):163–172

    Google Scholar 

  36. Manchukonda R, Manchikanti KN, Cash KA, Pampati V, Manchikanti L (2007) Facet joint pain in chronic spinal pain: an evaluation of prevalence and false-positive rate of diagnostic blocks. J Spinal Disord Tech 20(7):539–545

    PubMed  Google Scholar 

  37. Juch JNS, Maas ET, Ostelo RWJG et al (2017) Effect of radiofrequency denervation on pain intensity among patients with chronic low back pain: The Mint randomized clinical trials. JAMA 318(4):68

    PubMed  PubMed Central  Google Scholar 

  38. van Kuijk SMJ, Van Zundert J, Hans G et al (2018) Flawed study design and incorrect presentation of data negatively impact potentially useful Interventional treatments for patients with low back pain: a critical review of JAMA’s minT study. Pain Pract 18(3):292–295

    PubMed  Google Scholar 

  39. Foster NE, Underwood M, Maher CG, Hartvigsen J, van Tulder M, Buchbinder R (2018) Low back pain—Author’s reply. Lancet 392(12):2549–2550

    PubMed  Google Scholar 

  40. Cosman ER Jr, Dolensky JR, Hoffman RA (2014) Factors that affect radiofrequency heat lesion size. Pain Med 15(12):2020–2036

    PubMed  Google Scholar 

  41. Kayser R, Ender SA, Lieske S et al (2013) Sonographische Darstellung der lumbalen Facettengelenke. Alternative zur Röntgendiagnostik vor Facettenblockade und Radiofrequenzdenervierung. Man Med 51:225–229

    Google Scholar 

  42. Wu T, Zhai WH, Dong Y et al (2016) Effectiveness of ultrasound-guided versus fluoroscopy or computed tomography scanning guidance in lumbar facet joint injections in adults with facet joint syndrome: a meta-analysis of controlled trials. Arch Phys Med Rehabil 97(9):1558–1563

    PubMed  Google Scholar 

  43. Ozkan D, Akkaya T, Yildiz S et al (2016) Ultrasound-guided pulsed radiofrequency treatment of the pudendal nerve in chronic pelvic pain. Anaesthesist 65(2):134–136

    CAS  PubMed  Google Scholar 

  44. Feigl GC, Mattersberger C, Rosmarin W, Likar R, Avila González C (2018) Lumbar CT-guided radiofrequency ablation of the medial branch of the dorsal ramus of the spinal nerve: anatomic study and description of a new technique. Schmerz 32(2):99–104

    CAS  PubMed  Google Scholar 

  45. Lord S, McDonald GJ, Bogduk N (1998) Percutaneous radiofrequency neurotomy of the cervical medial branches: a validated treatment for cervical zygapophysial joint pain. Neurosurg Q 8:288–308

    Google Scholar 

  46. (2004) Percutaneous radiofrequency lumbar medial branch neurotomy. In: Bogduk N (Hrsg) Practice guidelines—spinal diagnostic & treatment procedures. Part one. International Spine Intervention Society, San Francisco, S 188–218

  47. Aydin SM, Gharibo CG, Mehnert M, Stitik TP (2010) The role of radiofrequency ablation for sacroiliac joint pain: a meta-analysis. PM R 2(9):842–851

    PubMed  Google Scholar 

  48. Ho KY, Hadi MA, Pasutharnchat K, Tan K‑H (2013) Cooled radiofrequency denervation for treatment of sacroiliac joint pain: two-year results from 20 cases. J Pain Res 6:505–511

    PubMed  PubMed Central  Google Scholar 

  49. Koulousakis D, Koulousakis A, Sturm V (2011) The application of pulsed radio frequency in chronic pain. Eur J Pain Suppl 5(S1):292–292

    Google Scholar 

  50. Kroll HR, Kim D, Danic MJ, Sankey SS, Gariwala M, Brown M (2008) A randomized, double-blind, prospective study comparing the efficacy of continuous versus pulsed radiofrequency in the treatment of lumbar facet syndrome. J Clin Anesth 20(7):534–537

    PubMed  Google Scholar 

  51. Lakemeier S, Lind M, Schultz W et al (2013) A comparison of Intraarticular lumbar facet joint steroid injections and lumbar facet joint radiofrequency denervation in the treatment of low back pain: a randomized, controlled, double-blind trial. Anesth Analg 117:228–235

    CAS  PubMed  Google Scholar 

  52. Nath S, Nath CA, Pettersson K (2008) Percutaneous lumbar zygapophysial (facet) joint neurotomy using radiofrequency current, in the management of chronic low back pain. A randomized double-blind trial. Spine 33(12):1291–1297

    PubMed  Google Scholar 

  53. Salman OH, Gad GS, Mohamed AA, Rafae HH, Abdelfatah AM (2016) Randomized, controlled blind study comparing sacroiliac intra-articular steroid injection to radiofrequency denervation for sacroiliac joint pain. Egypt J Anaesth 32:219–225

    Google Scholar 

  54. Tekin I, Mirzai H, Ok G, Erbuyun K, Vatansever D (2007) A comparison of conventional and pulsed radiofrequency denervation in the treatment of chronic facet joint pain. Clin J Pain 23(6):524–529

    PubMed  Google Scholar 

  55. van Kleef M, Barendse GA, Kessels A, Voets HM, Weber WE, de Lange S (1999) Randomized trial of radiofrequency lumbar facet denervation for chronic low back pain. Spine 24(18):1937–1942

    PubMed  Google Scholar 

  56. McCormick ZL, Choi H, Reddy R et al (2019) Randomized prospective trial of cooled versus traditional radiofrequency ablation of the medial branch nerves for the treatment of lumbar facet joint pain. Reg Anesth Pain Med 44(3):389–397

    PubMed  PubMed Central  Google Scholar 

  57. Cohen SP, Hurley RW, Buckenmaier CC 3rd, Kurihara C, Morlando B, Dragovich A (2008) Randomized placebo-controlled study evaluating lateral branch radiofrequency denervation for sacroiliac joint pain. Anesthesiology 109:279–288

    PubMed  Google Scholar 

  58. Patel N, Gross A, Brown L, Gekht G (2012) A randomized, placebo-controlled study to assess the efficacy of lateral branch neurotomy for chronic sacroiliac joint pain. Pain Med 13:383–398

    PubMed  Google Scholar 

  59. Choi W‑J, Hwang S‑J, Song J‑G et al (2011) Radiofrequency treatment relieves chronic knee osteoarthritis pain: a double-blind randomized controlled trial. Pain 152:481–487

    PubMed  Google Scholar 

  60. El-Hakeim E, Elawamy A, Kamel EZ et al (2018) Fluoroscopic guided radiofrequency of genicular nerves for pain alleviation in chronic knee osteoarthritis: a single-blind randomized controlled trial. Pain Physician 21:169–177

    PubMed  Google Scholar 

  61. Jamison DE, Cohen SP (2018) Radiofrequency techniques to treat chronic knee pain: a comprehensive review of anatomy, effectiveness, treatment parameters, and patient selection. J Pain Res 11:1879–1888. https://doi.org/10.2147/JPR.S144633

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  62. Naber J, Lee N, Kapural L (2019) Clinical efficacy assessment of cooled radiofrequency ablation of the hip in patients with avascular necrosis. Pain Manag 9(4):355–359

    PubMed  Google Scholar 

  63. Bhatia A, Hoydonckx Y, Peng P et al (2018) Radiofrequency procedures to relieve chronic hip pain: an evidence-based narrative review. Reg Anesth Pain Med 43(1):72–83

    PubMed  Google Scholar 

  64. Davis T, Loudermilk E, DePalma M et al (2018) Prospective, multicenter, randomized, crossover clinical trial comparing the safety and effectiveness of cooled radiofrequency ablation with corticosteroid injection in the management of knee pain from osteoarthritis. Reg Anesth Pain Med 43:84–91

    PubMed  Google Scholar 

  65. Xiao L, Shu F, Xu C et al (2018) Highly selective peripheral nerve radio frequency ablation for the treatment of severe knee osteoarthritis. Exp Therapeut Med 16:3973–3977

    Google Scholar 

  66. Qudsi-Sinclair S, Borrás-Rubio E, Abellan-Guillén JF, Padilla Del Rey ML, Ruiz-Merino G (2017) A comparison of genicular nerve treatment using either radiofrequency or analgesic block with corticosteroid for pain after a total knee arthroplasty: a double-blind, randomized clinical study. Pain Pract 17((5):578–588

    PubMed  Google Scholar 

  67. Bharti N, Sujith J, Singla N, Panda NB, Bala I (2019) Radiofrequency thermoablation of the Gasserian ganglion versus the peripheral branches of the trigeminal nerve for treatment of trigeminal neuralgia: a randomized, control trial. Pain Physician 22(2):147–154

    PubMed  Google Scholar 

  68. Salgado-López L, de Quintana-Schmidt C, Belvis Nieto R et al (2019) Efficacy of sphenopalatine ganglion radiofrequency in refractory chronic cluster headache. World Neurosurg 122:e262–e269

    PubMed  Google Scholar 

  69. Abbas DN, Reyad RM (2018) Thermal versus super voltage pulsed radiofrequency of stellate ganglion in post-mastectomy neuropathic pain syndrome: a prospective randomized trial. Pain Physician 21:351–362

    PubMed  Google Scholar 

  70. Ding Y, Hong T, Li H, Yao P, Zhao G (2019) Efficacy of CT guided pulsed radiofrequency for trigeminal postherpetic neuralgia. Front Neurosci 13:708. https://doi.org/10.3389/fnins.2019.00708

    Article  PubMed  PubMed Central  Google Scholar 

  71. Wan C, Dong D‑S, Song T (2019) High-voltage, long-duration pulsed radiofrequency on Gasserian ganglion improves acute/subacute zoster-related trigeminal neuralgia: a randomized, double-blinded, controlled trial. Pain Physician 22(4):361–368

    PubMed  Google Scholar 

  72. Ding Y, Yao P, Li H et al (2019) CT-guided stellate ganglion pulsed radiofrequency stimulation for facial and upper limb postherpetic neuralgia. Front Neurosci 13:170. https://doi.org/10.3389/fnins.2019.00170

    Article  PubMed  PubMed Central  Google Scholar 

  73. Chang MC (2018) Efficacy of pulsed radiofrequency stimulation in patients with peripheral neuropathic pain: a narrative review. Pain Physician 21(3):E225–E234

    PubMed  Google Scholar 

  74. Levi M, Sivapalaratnam S (2019) Coagulation and anticoagulation in the intraoperative setting. Transfus Apher Sci 58(4):386–391

    PubMed  Google Scholar 

  75. Mehta V, Poply K, Husband M, Anwar S, Langford R (2018) The effects of radiofrequency neurotomy using a strip-Lesioning device on patients with sacroiliac joint pain: results from a single-center, randomized, sham-controlled trial. Pain Physician 21(6):607–618

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Abteilung für Anästhesiologie und Intensivmedizin, Klinikum Klagenfurt am Wörthersee, Feschnigstraße 11, 9020, Klagenfurt am Wörthersee, Österreich

    Rudolf Likar M.Sc.

  2. Institut für Anästhesie und Schmerzambulanz, Marienkrankenhaus Vorau, Vorau, Österreich

    Johann Auer M.Sc. &  Ulrike Lischnig M.Sc.

  3. Wien, Österreich

    Albert Chavanne &  Wilfried Ilias

  4. Schmerzambulanz, Krankenhaus der Elisabethinen, Graz, Österreich

    Michael Kern

  5. Abteilung für Wirbelsäulenchirurgie, Orthopädisches Spital Speising, Wien, Österreich

    Petra Krepler

  6. Abteilung für Spezielle Anästhesie und Schmerztherapie, MedUni Wien/AKH Wien, Wien, Österreich

    Hans-Georg Kress FFPMCAI, EDMPM

  7. Abteilung Anästhesie und Intensivmedizin, Allgemeine Unfallversicherungsanstalt UKH Steiermark/Standort Kalwang, Kalwang, Österreich

    Gernot Maurer

  8. Institut für Radiologie, Kardinal Schwarzenberg Klinikum GmbH, Schwarzach im Pongau, Österreich

    Oliver Sommer

  9. Abteilung für Neurochirurgie, Klinikum Klagenfurt am Wörthersee, Klagenfurt am Wörthersee, Österreich

    Martin C. Spendel

  10. Abteilung Radiologie und Nuklearmedizin, Krankenhaus der Barmherzigen Brüder, Wien, Österreich

    Siegfried Thurnher

  11. Klinik Diakonissen, Schladming, Österreich

    Karl Wohak

  12. Abteilung für Anästhesie und operative Intensivmedizin, Krankenhaus St. Vinzenz, Zams, Österreich

    Andreas Wolf

  13. Institut für Physikalische Medizin und Rehabilitation, Salzkammergut Klinikum Bad Ischl – Gmunden Vöcklabruck, Vöcklabruck, Österreich

    Michael Wölkhart M.Sc., FEBPRM

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  1. Rudolf Likar M.Sc.
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  2. Johann Auer M.Sc.
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  3. Albert Chavanne
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  4. Wilfried Ilias
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  7. Hans-Georg Kress FFPMCAI, EDMPM
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  15. Michael Wölkhart M.Sc., FEBPRM
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Correspondence to Rudolf Likar M.Sc..

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R. Likar, J. Auer, A. Chavanne, W. Ilias, M. Kern, P. Krepler, H.-G. Kress, U. Lischnig, G. Maurer, O. Sommer, M.C. Spendel, S. Thurnher, K. Wohak, A. Wolf und M. Wölkhart geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Likar, R., Auer, J., Chavanne, A. et al. Interdisziplinäres Positionspapier: der Stellenwert der Radiofrequenzdenervierung in der Therapie chronischer Schmerzen. Schmerz 35, 124–129 (2021). https://doi.org/10.1007/s00482-020-00526-1

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