Pulsed radiofrequency in the treatment of patients with chronic neuropathic spinal pain.
Shabat S, Pevsner Y, Folman Y, Gepstein R.
Minim Invasive Neurosurg. 2006 Jun;49(3):147-9.
Spinal Care Unit, Sapir Medical Center, Kfar-Saba, and Tel-Aviv Sackler Medical School, Israel. drshabat@hotmail.com

In recent years there has been debate among spinal surgeons, neurosurgeons and pain physicians regarding the efficacy of radiofrequency (RF) ablation when treating patients with a neuropathic pain source. It is usually considered as a treatment option after conservative treatment has failed. Twenty-eight patients with a minimal follow-up of 1 year were examined in our institution after they had undergone pulsed radiofrequency (PRF) procedures due to neuropathic spinal pain. Nineteen patients (68 %) reported long-term pain relief (more than 1 year) which was defined as a reduction of the visual analogue score by at least 30 %. No complications were found in this study except for mild discomfort in the treated area which spontaneously resolved up to 3 weeks after the procedure. We concluded that PRF is a safe and an effective procedure for patients who suffer from chronic neuropathic pain from spinal origin. It should be tried after conservative treatment has failed.

PMID: 16921454 [PubMed - in process]