Pain medicine

Impact of temperature on the magnitude and duration of relief after lumbar facets medial branch nerves radiofrequency ablation: a randomized double-blinded study

Reg Anesth Pain MedPublished Randomised controlled trial

Authors' conclusion

This prospective double-blinded randomized trial demonstrated that RFA at both temperatures (80°C, 90°C) provided significance at all the time periods examined. However, RFA at 90°C was superior to 80°C in regard to the duration of relief.

Study context

Population
Patients undergoing radiofrequency ablation (RFA) for lumbar facetogenic pain
Comparison
Lumbar RFA at 90°C vs 80°C
Primary endpoint
Self-reported pain scores
Follow-up
Up to 12 months
Methodological detailsdouble-blinded, prospective
  • Double-blinded
  • Prospective

Primary result

As reported in the abstract

Both groups reported pain improvement in all follow-up time points; both achieved statistically significant pain reduction
p<0.05

Secondary outcomes

Duration of relief (time to repeat RFA of same medial branch nerves)

P < 0.04

OutcomeOR (CI)P value
Pain improvement >50% (univariate analysis, RFA temperature as factor)Univariate analysis2.7 (1.1–6.6)P = 0.031

Original publication

Impact of temperature on the magnitude and duration of relief after lumbar facets medial branch nerves radiofrequency ablation: a randomized double-blinded study. Reg Anesth Pain Med. Published 27 February 2024. doi:10.1136/rapm-2023-104869

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