Article Text

Download PDFPDF

EP026 Current situation of radiofrequency for the treatment of low back pain originating in the facet joints in Spain
  1. Rubén Rubio Haro1,2,
  2. Marcos Salmerón-Martín3,2,
  3. Alberto Gómez-León4,2,
  4. Jorge Orduña-Valls5,2,
  5. Rogelio Rosado-Caracena6,2,
  6. Alicia Alonso-Cardaño7,2,
  7. Gisela Roca-Amatria8,2 and
  8. Javier de Andrés-Ares9,2
  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 Virgen de las Nieves , Granada, Spain
  4. 4Pain Clinic, University Hospital Rey Juan Carlos, Madrid, Spain
  5. 5Pain Clinic, Clinic University Hospital, Valencia, Spain
  6. 6Pain Clinic, Fremap Majadahonda Hospital, Madrid, Spain
  7. 7Pain Clinic, University Hospital of Leon, Leon, Spain
  8. 8Pain Clinic, University Hospital Sagrado Corazón , Barcelona, Spain
  9. 9Pain Clinic, University Hospital La Paz, Madrid, Spain


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

Background and Aims Radiofrequency (RF) is the main treatment for patients suffering from low back pain originating in the lumbar facet joints; since there is lot of 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 lumbar medial branch; shared trough the Spanish pain society, 91 people answered it.

Results 13/91 perform one ultrasound-guided diagnostic block, 44/91 perform one fluoroscopy-guided block, 14/91 perform either one fluoroscopy or ultrasound-guided block depending on the patient and 6/91 perform two fluoroscopy-guided blocks. 55/91 do the parallel approach and 22/91 the perpendicular approach. 80/91 guide the RF with fluoroscopy, 8/91 with ultrasound and 3/91 combining ultrasound and fluoroscopy. 82/91 use conventional RF, 2/91 use cooled and 8/91 use pulsed. For cannula diameter, 12/91 use 22G, 39/91 use 20G, 42/91 use 18G and 3/91 use 16G. For active tip, 1/91 use 2mm, 15/91 use 5mm and 71/91 use 10mm. 11/91 use blunt-straight, 21/91 use sharp-straight, 25/91 use blunt-curved and 37/91 use sharp-curved. 6/91 apply the RF at 42°C, 8/91 at 45-60°C, 61/91 at 80°C, 12/91 at 85°C and 4/91 at 90°C. 3/91 apply 60 seconds of RF, 61/91 apply 90 seconds, 12/91 apply 120 seconds, 1/91 apply 150 seconds and 6/91 apply 180 seconds. 51/91 do one lesion, 16/91 two lesions and 15/91 three lesions.

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

  • radiofrequency
  • lumbar 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.