Article Text

Download PDFPDF

EP226 Current situation of radiofrequency for the treatment of cervical back pain originating in the facet joints in Spain
  1. Rubén Rubio Haro1,2,
  2. Alberto Gómez-León3,2,
  3. Marcos Salmerón-Martín4,2,
  4. John Carlos Pérez-Moreno4,2,
  5. Mercé Matute Crespo5,2,
  6. Mar Monerris-Tabasco6,2 and
  7. Maite Bovaira-Forner7,2
  1. 1Pain Clinic, Medicina del Dolor, Valencia, Spain
  2. 2Member of the Radiofrequency Working Group in Spanish Pain Society, Madrid, Spain
  3. 3Pain Clinic, University Hospital Rey Juan Carlos, Madrid, Spain
  4. 4Pain Clinic, University Hospital Virgen de las Nieves , Granada, Spain
  5. 5Pain Clinic, University Hospital of Lleida, Lleida, Spain
  6. 6Pain Clinic, Germans Trías y Pujol Hospital, Badalona, Spain
  7. 7Pain Clinic, Intermutual de Levante Hospital, Valencia, Spain


Application for ESRA Abstract Prizes: I apply as an Anesthesiologist (Aged 35 years old or less)

Background and Aims Radiofrequency (RF) is an effective treatment for patients suffering from cervical pain originating in the facet joints; since there is some variability in performing the technique, our objective is to analyse it current situation in Spain.

Methods We have performed a survey to analyse the situation of the use of RF to treat the cervical medial branch; shared trough the Spanish pain society, 91 people answered it.

Results 15/91 perform one ultrasound-guided diagnostic block, 30/91 perform one fluoroscopy-guided block, 15/91 perform either one fluoroscopy or ultrasound-guided block depending on the patient, 5/91 perform two fluoroscopy-guided blocks and 1/91 perform two ultrasound-guided blocks. 35/91 do the parallel approach and 27/91 the perpendicular approach. 57/91 guide the RF with fluoroscopy, 22/91 with ultrasound, 10/91 combining ultrasound and fluoroscopy and 1 with CT. 58/91 use conventional and 27/91 use pulsed. For cannula diameter, 17/91 use 22G, 44/91 use 20G, 16/91 use 18G and 1/91 use 16G. For active tip, 3/91 use 2mm, 50/91 use 5mm and 26/91 use 10mm. 15/91 use blunt-straight, 30/91 use sharp- straight, 13/91 use blunt-curved and 19/91 use sharp-curved. 27/91 apply the RF at 42°C, 9/91 at 45-60°C, 45/91 at 80°C, 4/91 at 85°C and 1/91 at 90°C. 1/91 apply 60 seconds of RF, 50/91 apply 90 seconds, 9/91 apply 120 seconds, 1/91 apply 150 seconds and 6/91 apply 180 seconds. 49/91 do one lesion, 13/91 two lesions and 11/91 three lesions.

Conclusions We need to stablish the best form to perform RF for treating cervical pain originating in the cervical facet joints.

  • cervical pain
  • facet joints

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.