Physical status; ASA I , II. (American society of anesthesiologist)
BMI; 22-30 Kg/m2.
Presence of
1. Chronic Lumbar Facet Joint Pain (numerical rating scale (NRS) ≥ 6) lasting for 3 months or more without any response to noninvasive conservative treatment methods like NSAIDs and gabapentin therapy for pain control, or physiotherapy,
2. Patients have two to three levels of bilateral facet arthropathy with normal motor power of lower extremities
3. Local paraspinal tenderness with increased pain on hyperextension, rotation, or lateral bending of the lower lumbar spine.
More than or equal to 50% temporary pain relief following an ultrasound guided diagnostic medial branch block with local anesthetic corticosteroid injection.
You may not be if
Those with spondylolisthesis or disc herniation or internal disc disruption (IDD).
Previous spinal surgery at the level to be treated , Spinal canal stenosis or spinal instability.
Patient with previous radiofrequency ablation.
Patients having radicular pain, neurogenic claudication, or neurological deficits.
Coagulopathy, bleeding disorders .
Allergy to medications or contrast to be used .
Rheumatic disorders.
Systemic infections, or local infections in the field of intervention .
Any uncontrolled medical or psychiatric condition .
Pregnancy, lactating women .
Clareo Health | Impact OF Cooled Versus Thermal Radiofrequency Denervation In Management Of Chronic Lumber Facet Joint Pain
