Best practice in radiofrequency denervation of the lumbar facet joints: a consensus technique | Zendy

Eldabe Sam | Zendy; Tariq Anisah | Zendy; Nath Sherdil | Zendy; Gulve Ashish | Zendy; Antrobus Hugh | Zendy; Baloch Mohjir | Zendy; Buczkowski Piotr | Zendy; Collighan Neil | Zendy; Fernandez Tacson | Zendy; Fritz Ann-Katrin | Zendy; Humble Stephen | Zendy; Huygen Frank | Zendy; Krishnan Murali | Zendy; Mehta Vivek | Zendy; Mishra Sailesh | Zendy; Muthukrishnan Sundar | Zendy; Snidvongs Saz | Zendy; Tamosauskas Rokas | Zendy; Underwood Martin | Zendy

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Best practice in radiofrequency denervation of the lumbar facet joints: a consensus technique

Author(s) -

Eldabe Sam,

Tariq Anisah,

Nath Sherdil,

Gulve Ashish,

Antrobus Hugh,

Baloch Mohjir,

Buczkowski Piotr,

Collighan Neil,

Fernandez Tacson,

Fritz Ann-Katrin,

Humble Stephen,

Huygen Frank,

Krishnan Murali,

Mehta Vivek,

Mishra Sailesh,

Muthukrishnan Sundar,

Snidvongs Saz,

Tamosauskas Rokas,

Underwood Martin

Publication year - 2020

Publication title -

british journal of pain

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.642

H-Index - 15

eISSN - 2049-4645

pISSN - 2049-4637

DOI - 10.1177/2049463719840053

Subject(s) - medicine , denervation , physical therapy , facet (psychology) , randomized controlled trial , best practice , lumbar , clinical practice , low back pain , physical medicine and rehabilitation , alternative medicine , surgery , psychology , anatomy , management , pathology , social psychology , personality , big five personality traits , economics

Background: Radiofrequency denervation is used to treat selected people with low back pain. Recent trials have been criticised for using a sub-optimal intervention technique.Objectives: To achieve consensus on a best practice technique for administering radiofrequency denervation of the lumbar facet joints to selected people with low back pain.Study design: A consensus of expert professionals in the area of radiofrequency denervation of the lumbar facet joints.Methods: We invited a clinical member from the 30 most active UK departments in radiofrequency pain procedures and two overseas clinicians with specific expertise to a 1 day consensus meeting. Drawing on the known anatomy of the medial branch, the theoretical basis of radiofrequency procedures, a survey of current practice and collective expertise, delegates were facilitated to reach consensus on the best practice technique.Results: The day was attended by 24 UK and international clinical experts. Attendees agreed a best practice technique for the conduct of radiofrequency denervation of the lumbar facet joints.Limitations: This consensus was based on a 1 day meeting of 24 clinical experts who attended and took part in the discussions. The agreed technique has not been subject to input from a wider community of experts.Conclusions: Current best practice for radiofrequency denervation has been agreed for use in a UK trial. Group members intend immediate implementation in their respective trusts. We propose using this in a planned Randomised Controlled Trial (RCT) of radiofrequency denervation for selected people with low back pain.

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