Journal
JOURNAL OF PAIN RESEARCH
Volume 14, Issue -, Pages 2807-2831Publisher
DOVE MEDICAL PRESS LTD
DOI: 10.2147/JPR.S325665
Keywords
radiofrequency neurotomy; radiofrequency ablation; pulsed ablation; cooled ablation; sacroiliac joint neurotomy; peripheral joint neurotomy; occipital neuralgia; chronic pain
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Funding
- Abbott Laboratories
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Radiofrequency neurotomy, also known as radiofrequency ablation, is a common interventional procedure used to treat pain from innervated structures. Its applications have expanded to peripherally innervated targets in recent years. The American Society of Pain and Neuroscience has identified the need for evidence-based guidance on RFN.
Radiofrequency neurotomy (RFN), also known as radiofrequency ablation (RFA), is a common interventional procedure used to treat pain from an innervated structure. RFN has historically been used to treat chronic facet-joint mediated pain. The use of RFN has more recently expanded beyond facet-joint mediated pain to peripherally innervated targets. In addition, there has also been the emergence of different radiofrequency modalities, including pulsed and cooled RFN. The use of RFN has been particularly important where conservative and/or surgical measures have failed to provide pain relief. With the emergence of this therapeutic option and its novel applications, the American Society of Pain and Neuroscience (ASPN) identified the need for formal evidence-based guidance. The authors formed a multidisciplinary work group tasked to examine the latest evidence-based medicine for the various applications of RFN, including cervical, thoracic, lumbar spine; posterior sacroiliac joint pain; hip and knee joints; and occipital neuralgia. Best practice guidelines, evidence and consensus grading were provided for each anatomical target.
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