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https://www.readbyqxmd.com/read/28210742/clinics-in-diagnostic-imaging-174-l5-vertebral-superior-facet-osteoblastoma-ob
#1
Manickam Subramanian, Hong Chou, Kabilan Chokkappan, Wilfred Cg Peh
A 25-year-old man presented with chronic low back pain and occasional radiation to the right lower limb. Magnetic resonance imaging and computed tomography (CT) of the lumbar spine showed an osteolytic expansile lesion with a central sclerotic nidus in the right superior facet of the L5 vertebra and surrounding marrow oedema. The diagnosis of osteoblastoma was made based on imaging findings and confirmed after CT-guided biopsy. Radiofrequency ablation of the lesion was successfully performed. The patient tolerated the procedure well and showed symptomatic relief...
February 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28162728/-477-radiofrequency-ablation-for-chronic-back-pain-a-comparison-of-two-techniques-of-radiofrequency-ablation-for-the-management-of-lumbar-facet-syndrome
#2
N Prabhu, U Parvez
No abstract text is available yet for this article.
April 2016: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/27989537/delayed-cardiac-tamponade-a-rare-but-life-threatening-complication-of-catheter-ablation
#3
Elizabeth Yetter, Jared Brazg, Diane Del Valle, Laura Mulvey, Eitan Dickman
Delayed cardiac tamponade (DCT) is a rare and life-threatening complication of catheter ablation performed as a treatment of atrial fibrillation, with few cases described in the medical literature. We present the case of a 57year-old man presenting with DCT 61days following a catheter ablation procedure. To the best of our knowledge, this is the most delayed case of cardiac tamponade (CT) following catheter ablation described in the literature. We also discuss the importance of point of care ultrasound (POCUS) in the diagnosis and treatment of CT...
November 17, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27906939/a-new-radiofrequency-ablation-procedure-to-treat-sacroiliac-joint-pain
#4
Jianguo Cheng, See Loong Chen, Nicole Zimmerman, Jarrod E Dalton, Garret LaSalle, Richard Rosenquist
BACKGROUND: Low back pain may arise from disorders of the sacroiliac joint in up to 30% of patients. Radiofrequency ablation (RFA) of the nerves innervating the sacroiliac joint has been shown to be a safe and efficacious strategy. OBJECTIVES: We aimed to develop a new RFA technique to relieve low back pain secondary to sacroiliac joint disorders. STUDY DESIGN: Methodology development with validation through prospective observational non-randomized trial (PONRT)...
November 2016: Pain Physician
https://www.readbyqxmd.com/read/27853391/failed-back-surgery-syndrome-current-perspectives
#5
REVIEW
Zafeer Baber, Michael A Erdek
The treatment of failed back surgery syndrome (FBSS) can be equally challenging to surgeons, pain specialists, and primary care providers alike. The onset of FBSS occurs when surgery fails to treat the patient's lumbar spinal pain. Minimizing the likelihood of FBSS is dependent on determining a clear etiology of the patient's pain, recognizing those who are at high risk, and exhausting conservative measures before deciding to go into a revision surgery. The workup of FBSS includes a thorough history and physical examination, diagnostic imaging, and procedures...
2016: Journal of Pain Research
https://www.readbyqxmd.com/read/27847567/temperature-distributions-of-the-lumbar-intervertebral-disc-during-laser-annuloplasty-a-cadaveric-study
#6
Min Hyung Lee, Il Sup Kim, Jae Taek Hong, Jae Hoon Sung, Sang Won Lee, Daniel H Kim
OBJECTIVE: Low back pain, caused intervertebral disc degeneration has been treated by thermal annuloplasty procedure, which is a non-surgical treatement. The theoretical backgrounds of the annuloplasty are thermal destruct of nociceptor and denaturization of collagen fiber to induce contraction, to shrink annulus and thus enhancing stability. This study is about temperature and its distribution during thermal annuloplasty using 1414 nm Nd : YAG laser. METHODS: Thermal annuloplasty was performed on fresh human cadaveric lumbar spine with 20 intact intervertebral discs in a 37℃ circulating water bath using newly developed 1414 nm Nd : YAG laser...
November 2016: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/27789550/obscure-upper-gastrointestinal-haemorrhage-haemosuccus-pancreaticus
#7
Prateush Singh, Asim Khan, Manuel Jasper, Javaid Subhani
A Caucasian man aged 28 years with a history of pancreatitis presented with fatigue, intermittent melaena and severe anaemia. Symptomatic treatment for anaemia was coupled with thorough investigation to localise the source of gastrointestinal haemorrhage. Two oesophagogastroduodenoscopies and colonoscopies failed to identify a cause. CT abdomen revealed splenomegaly secondary to splenic vein thrombosis with evidence of portal hypertension and small collateral vessels. A CT mesenteric angiogram revealed a splenic artery pseudoaneurysm as the likely source of bleeding...
October 27, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27676664/pulsed-dose-radiofrequency-before-ablation-of-medial-branch-of-the-lumbar-dorsal-ramus-for-zygapophyseal-joint-pain-reduces-post-procedural-pain
#8
David Arsanious, Emmanuel Gage, Jonathon Koning, Mazin Sarhan, Gassan Chaiban, Mohammed Almualim, Joseph Atallah
BACKGROUND: One of the potential side effects with radiofrequency ablation (RFA) includes painful cutaneous dysesthesias and increased pain due to neuritis or neurogenic inflammation. This pain may require the prescription of opioids or non-opioid analgesics to control post-procedural pain and discomfort. OBJECTIVES: The goal of this study is to compare post-procedural pain scores and post-procedural oral analgesic use in patients receiving continuous thermal radiofrequency ablation versus patients receiving pulsed dose radiofrequency immediately followed by continuous thermal radiofrequency ablation for zygopophaseal joint disease...
September 2016: Pain Physician
https://www.readbyqxmd.com/read/27625495/intractable-sacroiliac-joint-pain-treated-with-peripheral-nerve-field-stimulation
#9
Shushovan Chakrabortty, Sanjeev Kumar, Deepak Gupta, Sruthi Rudraraju
As many as 62% low back pain patients can have sacroiliac joint (SIJ) pain. There is limited (to poor) evidence in regards to long-term pain relief with therapeutic intra-articular injections and/or conventional (heat or pulsed) radiofrequency ablations (RFAs) for SIJ pain. We report our pain-clinic experience with peripheral nerve field stimulation (PNFS) for two patients of intractable SIJ pain. They had reported absence of long-term pain relief (pain relief >50% for at least 2 weeks postinjection and at least 3 months post-RFA) with SIJ injections and SIJ RFAs...
July 2016: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/27592808/ablation-of-the-basivertebral-nerve-for-treatment-of-back-pain-a-clinical-study
#10
Stephan Becker, Alexander Hadjipavlou, Michael H Heggeness
BACKGROUND CONTENT: Lumbar axial back pain arising from degenerative disc disease continues to be a challenging clinical problem whether treated with nonsurgical management, local injection, or motion segment stabilization and fusion. PURPOSE: The purpose of this study was to determine the efficacy of intraosseous basivertebral nerve (BVN) ablation for the treatment of chronic lumbar back pain in a clinical setting. STUDY DESIGN: Patients meeting predefined inclusion or exclusion criteria were enrolled in a study using radiofrequency energy to ablate the BVN within the vertebral bodies adjacent to the diagnosed level...
September 1, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27506065/-the-dark-side-of-facet-joint
#11
REVIEW
Laurence Perrin Barelli, Nadia Guzman Dettori
Low back pain (LBP) is a major medical and economical problem, because of its high incidence. Indeed, 70-85% of adult people will suffer from this kind of pain once in their life. We will focus in this article on chronic LBP, which represent an annual prevalence of 30% and more specifically on mechanical pain, with our without radiation into the legs. In case of failure of traditional analgesia combining drugs and physical therapies, we can propose interventional pain relief. This involves a series of diagnostic blocks (medial branch blocks), followed by the treatment (radiofrequency ablation)...
June 22, 2016: Revue Médicale Suisse
https://www.readbyqxmd.com/read/27443328/mri-guided-focused-ultrasound-ablation-of-lumbar-medial-branch-nerve-feasibility-and-safety-study-in-a-swine-model
#12
Elena A Kaye, Sebastien Monette, Govindarajan Srimathveeravalli, Majid Maybody, Stephen B Solomon, Amitabh Gulati
PURPOSE: About 10-40% of chronic low back pain cases involve facet joints, which are commonly treated with lumbar medial branch (MB) radiofrequency neurotomy. Magnetic resonance imaging-guided focused ultrasound (MRgFUS), a non-invasive, non-ionising ablation modality used to treat tumours, neuropathic pain and painful bone metastasis can also be used to disrupt nerve conduction. This work's purpose was to study the feasibility and safety of direct MRgFUS ablation of the lumbar MB nerve in acute and subacute swine models...
November 2016: International Journal of Hyperthermia
https://www.readbyqxmd.com/read/27429671/effectiveness-of-computed-tomography-guided-percutaneous-radiofrequency-ablation-therapy-for-osteoid-osteoma-initial-results-and-review-of-the-literature
#13
Erdal Karagöz, Deniz Özel, Fuat Özkan, Betül Duran Özel, Özgur Özer, Zafer Ünsal Coşkun
BACKGROUND: The aim of this retrospective study is to determine our experience of technique success rate, complications and clinical results in long term follow up for computed tomography (CT)-guided radiofrequency ablation [RA] therapy for osteoid osteoma (OO). MATERIAL/METHODS: We performed RA therapy to 18 patients with OO referred to interventional radiology from other clinics primarily from orthopedics; between January 2011 to May 2014. Daytime and nighttime pain intensity of 18 patients was noted according to visual analog scale (VAS)...
2016: Polish Journal of Radiology
https://www.readbyqxmd.com/read/27276397/randomized-clinical-trial-comparing-lumbar-percutaneous-hydrodiscectomy-with-lumbar-open-microdiscectomy-for-the-treatment-of-lumbar-disc-protrusions-and-herniations
#14
Alexandre Fogaça Cristante, Ivan Diasda Rocha, Raphael MartusMarcon, Tarcísio Eloy Pessoade Barros Filho
OBJECTIVES: Hydrodiscectomy is a new technique used for percutaneous spinal discectomy that employs a high-intensity stream of water for herniated disc ablation and tissue aspiration. No previous clinical study has examined the effects of percutaneous hydrodiscectomy. The aim of this study is to evaluate the outcomes of hydrodiscectomy compared to open microdiscectomy regarding pain, function, satisfaction, complications and recurrence rates. METHODS: In this randomized clinical trial, patients referred to our tertiary hospital for lumbar back pain were recruited and included in the study if they had disc protrusion or small herniation in only one level, without neurological deficits and with no resolution after six weeks of conservative treatment...
May 2016: Clinics
https://www.readbyqxmd.com/read/27228528/near-death-experience-from-placement-of-an-intrathecal-catheter
#15
Devang Padalia, Navdeep Jassal, Sagar Patel
UNLABELLED: The management of pain due to cancer is challenging and often requires invasive therapy in addition to medication management. Intrathecal drug delivery is a form of advanced therapy that delivers medication locally in the intrathecal space while reducing systemic side effects associated with high doses of opioids. Although risks associated with intrathecal drug delivery are low, some common complications include dislodgement, kinking, or fracture of the catheter, bleeding, neurological injury, infection, and cerebrospinal leaks...
2016: Pain Physician
https://www.readbyqxmd.com/read/27224937/innovations-in-interventional-pain-management-of-chronic-spinal-pain
#16
Laxmaiah Manchikanti, Mark V Boswell, Joshua A Hirsch
INTRODUCTION: Interventional pain management dates back to 1901, with significant innovations, which include the definition, literature synthesis, pathophysiology, and technical interventions. AREAS COVERED: Interventional pain management and interventional techniques include neural blockade, neural ablative procedures, spinal cord and peripheral nerve stimulation, intrathecal drug delivery systems, minimally invasive lumbar decompression (MILD®), percutaneous endoscopic spinal decompression, and regenerative medicine...
September 2016: Expert Review of Neurotherapeutics
https://www.readbyqxmd.com/read/27054038/evaluation-of-mri-protocols-for-the-assessment-of-lumbar-facet-joints-after-mr-guided-focused-ultrasound-treatment
#17
Roland Krug, Loi Do, Viola Rieke, Mark W Wilson, Maythem Saeed
BACKGROUND: MR-guided focused ultrasound (MRgFUS) might be a very safe and effective minimally invasive technique to treat facet joint pain caused by arthritis and other degenerative changes. However, there are still safety concerns for this treatment and challenges regarding MR imaging and temperature mapping due to susceptibility effects between the bone and soft tissue near the joint, which has resulted in poor MR image quality. The goal of this research was to evaluate multiple magnetic resonance imaging (MRI) pulse sequences for characterizing ablated lumbar facet joint lesions created by high-intensity focused ultrasound (FUS) and compare the findings to histological tissue assessment...
2016: Journal of Therapeutic Ultrasound
https://www.readbyqxmd.com/read/27008309/bipolar-radiofrequency-neurotomy-to-treat-neck-and-back-pain-in-patients-with-automatic-implantable-cardioverter-defibrillator
#18
Alexander Bautista, Alisher Dadabayev, Ellen Rosenquist, Jianguo Cheng
We report 2 cases of successful treatment of neck and back pain with bipolar radiofrequency ablation (RFA) of the cervical and lumbar facet joints in patients with an automatic implantable cardioverter defibrillator (AICD).Two patients with complex cardiac histories and AICD devices were treated with bipolar RFA of the facet joints. One presented with axial neck pain and the other with axial back pain. The histories and physical examinations were consistent with facetogenic pain. Diagnostic medial branch block resulted in more than 70% pain relief lasting for several days, allowing patients to perform routine daily activities without significant pain...
March 2016: Pain Physician
https://www.readbyqxmd.com/read/26962286/a-new-perspective-of-neuromyopathy-to-explain-intractable-pancreatic-cancer-pains-dry-needling-as-an-effective-adjunct-to-neurolytic-blocks
#19
Lakshmi Vas, Sushama Phanse, Renuka Pai
UNLABELLED: We present a new perspective of neuromyopathy in pancreatic cancer pain (PCP) referral to bodywall; proposal of new rationale to include ultrasound guided dry needling (USGDN) of body wall muscles as an effective adjunct to neurolytic coeliac plexus block (NCPB) or splanchnic nerve radiofrequency ablation (SRF) for comprehensive interventional management. METHODS: PCP response to SRF in 2 patients and NCPB in 3 patients was documented on numerical rating scale (NRS) on post procedure days 3 and 15...
January 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/26893018/modified-radiofrequency-ablation-for-the-treatment-of-hepatocellular-carcinoma
#20
Kazuhiro Nouso, Ayano Oonishi, Akiko Wakuta, Kazuya Kariyama
AIM: Radiofrequency ablation (RFA) is commonly used for the treatment of early hepatocellular carcinoma. However, it requires time to ablate sufficient areas, resulting in increased burden for the patients and operators. We introduce a novel and simple method to overcome this problem. METHODS: We placed the grounding pad on the back (Back group) instead of the thigh of the patient (Thigh group). To reveal the effect of this method, we randomly assigned the patients into the two groups and compared the outcome...
February 19, 2016: Hepatology Research: the Official Journal of the Japan Society of Hepatology
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