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Radiofrequency applications to dorsal root ganglia: a literature review.

Authors
  • Malik, Khalid
  • Benzon, Honorio T
Type
Published Article
Journal
Anesthesiology
Publication Date
Sep 01, 2008
Volume
109
Issue
3
Pages
527–542
Identifiers
DOI: 10.1097/ALN.0b013e318182c86e
PMID: 18719452
Source
Medline
License
Unknown

Abstract

Application of radiofrequency currents to the dorsal root ganglia, in the treatment of various pain syndromes, has been clinically practiced for more than 30 yr. The clinical efficacy and the safety of this technique, however, remain poorly understood. The authors reviewed the literature on this modality of pain relief to determine its clinical efficacy, safety, and mechanisms of action. The two modalities in common clinical use were pulsed and continuous mode radiofrequency. These techniques were generally found to be safe, and the majority of the observational studies reported their clinical efficacy. Five randomized controlled trials evaluated their clinical use; these trials were relatively short-termed and small in size, and their results were variable. The mechanism of action of these techniques was unclear. Larger controlled clinical trials evaluating the long-term effects of these techniques and basic science research to determine their precise mode of action are needed.

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