Ultrasound-Guided Thermocoagulation of Medial Nerve Branch in Lumbar Facet Joints Pain.

Launched by ERASME UNIVERSITY HOSPITAL · Jun 11, 2018

Keywords

ClinConnect Summary

Low back pain affects 70 to 80% of people at least once in their lives. They have considerable socio-economic repercussions and represent the leading medical cause of work stoppage, at around 25% .1

The articular pain between the lumbar vertebrae, called facet joints pain, represent between 15 and 45% of all low back pain and their manifestations are grouped under the name of facet syndrome including localized pains at the lumbar level as well as pains referred to the gluteal, trochanteric, inguinal and lateral and posterior region of the thigh. 2-5 The thermocoagulation of the roots inner...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Over the age of 18.
• • Facet Syndrome.
• • Symptomatology superior than 3 mounths.
• • A failure of conservative treatement (drugs, physiotherapy...)
• • Partial improvement after two lumbar facet infiltrations.
• Exclusion Criteria:
• • Allergy to any of the constituents of the infiltrated product, or to the contrast medium
• • Unstable medical condition: cardiac, respiratory, endocrine (uncontrolled diabetes)
• • Local infection (cutaneous, perimedullary / spinal) or systemic.
• • Coagulopathy (platelets \<50000 / mm3, Prothrombin time \<60%, INTernational normalized ratio\> 1.5), anticoagulant or antiplatelet therapy treatment other than aspirin.
• • Lumbar arthrodesis.
• • Neurological condition affecting motor function (Stroke, Parkinson...)
• • Pregnant woman.