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Superior cluneal nerves radiofrequency in the management of chronic low back pain
Leonado Arce Gálvez1,2, Jesús Daes Mora3,2, Rafael Enrico Valencia Gómez3,2
1Physical Medicine and Rehabilitation, Colombia.
Introduction:
Chronic low back pain is a highly prevalent condition with multiple etiologies. Cluneal nerve neuropathy is an increasingly relevant condition in the management of this condition, and radiofrequency is an alternative management option.
Methods:
A case series, which included four patients who underwent ultrasound-guided conventional radiofrequency intervention of the superior cluneal nerves, using a previously undescribed technique and direction of intervention.
Results:
Patients reported a 50-90 % improvement in pain and a functional benefit for their daily activities of more than 40 % at 4- and 10-week follow-up, with no adverse events following the intervention.
Conclusions:
Continuous radiofrequency of the cluneal nerves is an interesting alternative in the management of this pathology of low back pain. The ultrasound technique described may be a management proposal with lower risk and adequate effectiveness.
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