Radiofrequency Ablation for Craniofacial Pain Syndromes

The first results of radiofrequency ablation of facet nerves and its effectiveness in eliminating local chronic back pain and reflected pain vertebrogenic syndromes were studied in 122 patients. Thebest results were obtained in patients with spondyloarthrosis with a positive test blockade of the facet nerves. Spondyloarthrosis is the most common condition presenting as neck pain, although it usually appears as an incidental finding in older asymptomatic subjects in cervical radiographs.Keywords: back pain, reflex, pain, syndrome, facet nerve, high-frequency, exposure, spondyloarthrosis, syndrome, radiofrequency ablation.

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The neurosurgical treatment of craniofacial pain syndromes: current surgical indications and techniques

Neurological Sciences ◽

10.1007/s10072-019-03789-4 ◽

2019 ◽

Vol 40 (S1) ◽

pp. 159-168 ◽

Cited By ~ 2

Author(s):

Andrea Franzini ◽

Shayan Moosa ◽

Antonio D’Ammando ◽

Beatrice Bono ◽

Kristen Scheitler-Ring ◽

...

Keyword(s):

Surgical Indications ◽

Pain Syndromes ◽

Neurosurgical Treatment ◽

Craniofacial Pain

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CT-guided infiltration of greater occipital nerve for refractory craniofacial pain syndromes other than occipital neuralgia

Diagnostic and Interventional Imaging ◽

10.1016/j.diii.2020.05.006 ◽

2020 ◽

Vol 101 (10) ◽

pp. 643-648

Author(s):

A. Ricquart Wandaele ◽

A. Kastler ◽

A. Comte ◽

G. Hadjidekov ◽

R. Kechidi ◽

...

Keyword(s):

Occipital Neuralgia ◽

Ct Guided ◽

Occipital Nerve ◽

Pain Syndromes ◽

Greater Occipital Nerve ◽

Craniofacial Pain

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Radiofrequency ablation of the sacroiliac joint

10.1093/med/9780197607947.003.0008 ◽

2021 ◽

pp. 83-92

Author(s):

Haider M. Ali ◽

Yashar Eshraghi ◽

Maged Guirguis

Keyword(s):

Radiofrequency Ablation ◽

Pain Management ◽

Pain Relief ◽

Sacroiliac Joint ◽

Joint Pain ◽

Positive Response ◽

Lateral Branch ◽

Tissue Destruction ◽

Sacroiliac Joint Pain ◽

Pain Syndromes

Radiofrequency ablation (RFA) is a revolutionary procedure in the practice of pain management that can be used in the treatment of sacroiliac joint pain syndromes. It is a technology that uses radiofrequency needle probes to create lesions by way of localized tissue destruction. It is indicated for patients with chronic sacroiliac joint pain who have had a positive response to a lateral branch block. This procedure typically provides at least 6 and up to 12 months of significant pain relief and can be repeated. Practitioners should be well versed in the different evolving methods for RFA as well as its evidence, relevant anatomy, the technology used in RFA, and the complications that may occur with this procedure and how to prevent them. This chapter explores these principles and presents the relevant findings from the literature for this innovative procedure for sacroiliac joint pain.

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Trigeminal branch stimulation for the treatment of intractable craniofacial pain

Journal of Neurosurgery ◽

10.3171/2014.12.jns14645 ◽

2015 ◽

Vol 123 (1) ◽

pp. 283-288 ◽

Cited By ~ 15

Author(s):

Jason A. Ellis ◽

Juan C. Mejia Munne ◽

Christopher J. Winfree

Keyword(s):

Effective Treatment ◽

Retrospective Review ◽

Pain Control ◽

Senior Author ◽

Electrode Placement ◽

Risks And Benefits ◽

Pain Syndromes ◽

Craniofacial Pain ◽

Pain Improvement

OBJECT Trigeminal branch stimulation has been used in the treatment of craniofacial pain syndromes. The risks and benefits of such an approach have not been clearly delineated in large studies, however. The authors report their experience in treating craniofacial pain with trigeminal branch stimulation and share the lessons they have learned after 93 consecutive electrode placements. METHODS A retrospective review of all patients who underwent trigeminal branch electrode placement by the senior author (C.J.W.) for the treatment of craniofacial pain was performed. RESULTS Thirty-five patients underwent implantation of a total of 93 trial and permanent electrodes between 2006 and 2013. Fifteen patients who experienced improved pain control after trial stimulation underwent implantation of permanent stimulators and were followed for an average of 15 months. At last follow-up 73% of patients had improvement in pain control, whereas only 27% of patients had no pain improvement. No serious complications were seen during the course of this study. CONCLUSIONS Trigeminal branch stimulation is a safe and effective treatment for a subset of patients with intractable craniofacial pain.

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