Open AccessPulsed Radiofrequency Dorsal Root Ganglion-Fluoroscopy Guide for Lumbar Radicular Pain
Author(s) -
Nugroho Wicaksono
Publication year - 2021
Publication title -
journal of anaesthesia and pain
Language(s) - English
Resource type - Journals
eISSN - 2722-3205
pISSN - 2722-3167
DOI - 10.21776/ub.jap.2021.002.02.02
Subject(s) - pulsed radiofrequency , medicine , radicular pain , fluoroscopy , neuropathic pain , dorsal root ganglion , low back pain , lumbar , nerve root , anesthesia , interventional pain management , lumbosacral joint , surgery , radiology , dorsum , anatomy , pain management , pathology , pain relief , alternative medicine
Background: Lumbosacral radicular pain is the most common neuropathic pain. Pulsed Radio Frequency (PRF) is a method that believes to be safe and effective for reducing pain. Case: A 43-year-old woman experiences chronic right lumbar radiculopathy due to Herniated nucleus pulposus (HNP) L4-5. Anamnesis and physical examination show a sign of neuropathic pain. The MRI examination shows a paracentral disc protrusion L4-5 that compresses the transversing nerve L5. The conservative management did not produce a satisfying result indicated by the patient still experience pain with the Numeric Rating Scale (NRS) 4-5. Patient unable to do activity properly. We perform pain management using the dorsal root ganglion L5 pulsed radiofrequency-fluoroscopy (PRF) and producing a positive outcome. Patients experience a decrease in pain intensity with NRS 1. The examination on one and two months post-intervention show an improvement. Patient able to do the daily activity with NRS 1-2. Conclusion: Pulsed radiofrequency dorsal root ganglion-fluoroscopy guide that relatively safe, minimum complications, and minimal side effects, making it the preferred treatment for chronic lumbar radicular pain.