Abstract
Lumbar Communicating Ramus injection and radiofrequency ablation are performed for chronic low 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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Oh WS, Shim JC. A randomized controlled trial of radiofrequency denervation of the ramus communicans nerve for chronic discogenic low back pain. Clin J Pain. 2004;20(1):55–60.
Simopoulos TT, Malik AB, Sial KA, Elkersh M, Bajwa ZH. Radiofrequency lesioning of the L2 ramus communicans in managing discogenic low back pain. Pain Physician. 2005;8:61–5.
van Tilburg CWJ, Stronks DL, Groeneweg JG, Huygen FJPM. Randomized sham-controlled, double-blind, multicenter clinical trial on the effect of percutaneous radiofrequency at the ramus communicans for lumbar disc pain. Eur J Pain. 2017;21:520–9.
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Lumbar rami communicantes block and radiofrequency ablation chapter was reviewed by Sudhir Diwan; Fabricio D. Assis; Andrea M. Trescot; Milan Stojanovic; Peter S. Staats; Agnes R. Stogicza; Andre M. Mansano.
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del Rey, M.L.P. (2020). Lumbar Rami Communicantes 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_17
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DOI: https://doi.org/10.1007/978-3-030-31741-6_17
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