par Van Cutsem, Nathalie 
;Tuna, Turgay
Référence Revue médicale de Bruxelles, 44, 4, page (284-287)
Publication Publié, 2023-09-01
;Tuna, Turgay Référence Revue médicale de Bruxelles, 44, 4, page (284-287)
Publication Publié, 2023-09-01
Article révisé par les pairs
| Résumé : | Chronic spinal pain is the most prevalent chronic disease worldwide. Interventional pain management is a part of the multidisciplinary therapeutic arsenal. Lumboradiculalgia is one of the most common causes of functional capacity limitation. Their treatment includes the local injection of anesthetics and/or corticosteroids into the epidural space via the transforaminal or interlaminar route. Cervicoradicular pain can also be treated by cervical epidural injection of local anesthetics and corticosteroids by interlaminar route or by selective infiltration centered on the cervical root under ultrasound control. Facettar syndromes are among the most common causes of spinal pain. The interventional management is intended to be diagnostic and therapeutic and includes nerve blocks of the median branches innervating the facet joints, intra-articular infiltrations and radiofrequency with thermo-ablation. Median branch nerve block is more effective than intra-articular infiltration in determining which patient will benefit most from radiofrequency thermo-ablation. The sacroiliac joint is a fairly common cause of lower back pain. Infiltrations of the sacroiliac joints are performed for diagnostic purposes, confirming clinical and therapeutic tests. Therapeutic management also includes radiofrequency by thermocoagulation and cooled radiofrequency. The levels of evidence and the recommendations concerning these different technical procedures are low to moderate, with the need for additional studies of better quality. |
