Management of Discogenic Back Pain Using Intradiscal Radiofrequency علاج آلام الظهر القرصية باستخدام الترددات الراديوية داخل القرص

Faculty Medicine Year: 2022
Type of Publication: ZU Hosted Pages:
Authors:
Journal: The Egyptian Journal of Hospital Medicine The Egyptian Journal of Hospital Medicine Volume:
Keywords : Management , Discogenic Back Pain Using Intradiscal    
Abstract:
Background: Degenerated discs producing discogenic back pain had nerves reportedly to be present in the inner third of the annulus fibrosis and nucleus pulposus. The electromagnetic field of the intradiscal radiofrequency (PRF) method was focused at the center of the target disc. Objective: This study aimed to evaluate the better management and reducing chronic discogenic low back pain (LBP) and disability. Patients and methods: This study included 26 patients who were diagnosed with chronic LBP without radiculopathy or neural compromise in MRI and carried out at Neurosurgery Department, Faculty of Medicine, Zagazig University. Complete history taking, clinical examination radiological examination were done preoperatively and postoperatively. Results: The present study included 26 patients with age ranged from 16 to 58 years. The majority of our patients were classified to be overweight by 38.4%. Level of physical activity was reported by patients; 38.5%, 30.8%, 19.2% and 11.5% had moderate, vigorous, light and sedentary physical activity respectively. MRI imaging was done for all patients pre and postoperatively with no change reported as larger percentage had disc bulge (65.4%), followed by black disc (34.6%). Among the studied patients, 73.1% had decrease in mean CPK postoperatively. Regarding final outcome (improvement in both OSI and VAS), 17 patients had successful outcome. There was statistically non-significant association between outcome and either age, sex, BMI, occupation, exercise level, preoperative MRI findings, CPK, OSI, VAS or sitting intolerance. Age, BMI, CPK, OSI and sitting intolerance were non-significantly higher among those with failed outcome. Conclusion: Intradiscal radiofrequency appears to be an effective method for selected patients with chronic discogenic low back pain. Keywords: Degenerated discs, Intradiscal radiofrequency, Low back pain
   
     
 
       

Author Related Publications

  • Ahmed Mohamed Essa Elsharkawi, "Posterior and postero-lateral incidental durotomy during lumbar spine surgery: primary repair versus augmented primary repair القطع غير المقصود للأم الجافية الخلفي والخلفي الوحشي أثناء جراحة العمود الفقري القطني: الإصلاح الأولي مقابل الإصلاح الأولي المُعزَّز", Egyptian Journal of Neurosurgery, 2021 More
  • Ahmed Mohamed Essa Elsharkawi, "Mild Head Injury Patients; Correlation between admission Computed Tomography Brain Scan and Outcome مرضى إصابات الرأس البسيطة؛ العلاقة بين فحص الدماغ المقطعي المحوسب عند الدخول إلى المستشفى والنتائج", Zagazig University Medical Journal, 2022 More
  • Ahmed Mohamed Essa Elsharkawi, "Outcome of surgical treatment of hepatocellular carcinoma-derived spinal metastases: Single center experience in Egypt نتائج العلاج الجراحي لنقائل العمود الفقري الناتجة عن سرطان الخلايا الكبدية: تجربة مركز واحد في مصر", Interdisciplinary Neurosurgery: Advanced Techniques and Case Management, 2022 More
  • Ahmed Mohamed Essa Elsharkawi, "Prognostic Factors for Surgical Treatment of Adult Post-Traumatic Lumbar Fractures العوامل التنبؤية للعلاج الجراحي لكسور الفقرات القطنية ما بعد الصدمة لدى البالغين", Zagazig University Medical Journal, 2025 More
  • Ahmed Mohamed Essa Elsharkawi, "Comprehensive Approach to Percutaneous Minimally Invasive Spine Stabilization for Lumbar and Thoracolumbar Disorders نهج شامل لتثبيت العمود الفقري عبر الجلد عن طريق التدخل الجراحي البسيط لعلاج اضطرابات الفقرات القطنية والصدرية القطنية", The Egyptian Journal of Hospital Medicine, 2025 More

Department Related Publications

  • Ahmed Hazem Saad Elsayed Soliman, "نتائج تثبيت الفقرات القطنية بالمسامير والقضبان في حالات ازاحة الفقرات مقارنة بنتائج التثبيت بمستطيل لوكس", لايوجد, 1900 More
  • Ahmed Hazem Saad Elsayed Soliman, "دراسة وجود بروتين ف أ س (أ ب ,-1) في الاورام السرطانية الحرشفية للانف والجيوب النفية", لايوجد, 1900 More
  • Hassan Abdelsalam Abdelfatah, "التثبيت الجراحى الدلخلي لكسور وتزحزح الفقرات الصدرية والقطنية عقب الاصابة", لايوجد, 1900 More
  • Hassan Abdelsalam Abdelfatah, "علاج تورم المخ الكاذب باستخدام صمام تنظيم السائل النخاعي من القناة الشوكية القطنية الي التجويف البريوني", لايوجد, 1900 More
  • Hassan Abdelsalam Abdelfatah, "التقسيم التدريجى للاشعة المقطعية ودرجة غيلب الوعي كمقياس توقفي لاصابات الرأس الشديدة", لايوجد, 1900 More
Tweet