Ultrasound guided radiofrequency procedures in chronic pain management

Andrzej W Król

Abstract


Radiofrequency treatment in chronic pain management has been still fighting its position in evidence based medicine hierarchy ladder. Variability of human tissue and subjectivity of pain perception are known factors affecting outcome of clinical trials. Radiofrequency lesion size also depends on many factors. Precision in active tip positioning is a key factor to successful treatment. Ultrasound alone or in combination with fluoroscopy may further increase perfection in neural structure targeting improving outcome and increasing safety. In very short overview author highlights procedures where ultrasound has changed our clinical practice and where ultrasound works better in combination with fluoroscopy. After a decade of introducing ultrasound into contemporary pain interventional practice there is a call for critical review.


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