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Original Article

Clinical Pain 2018; 17(2): 67-73

Published online December 31, 2018

Copyright © Korean Association of Pain Medicine.

Radiating Pain and Postural Balance with Pulsed Radiofrequency Treatment in Patients with Lumbosacral Radiculopathy

요천추 신경근병증 환자에서 고주파치료 이후 방사통과 균형에 대한 효과

Jung Ho Kwon, M.D.1, Jinnman Chon, M.D., Ph.D.1,3, Hee-Sang Kim, M.D., Ph.D.1,3, Jong Ha Lee, M.D., Ph.D.1,3, Dong Hwan Kim, M.D., Ph.D.1,2, Seung Ah Lee, M.D., Ph.D.1,2, Yun Soo Soh, M.D., Ph.D.1,3, Yong Kim, M.D., Ph.D.1,3, Myung Chul Yoo, M.D.2 and Haneul Jang, M.D.1

권정호1ㆍ전진만1,3ㆍ김희상1,3ㆍ이종하1,3ㆍ김동환1,2ㆍ이승아1,2ㆍ소윤수1,3ㆍ김 용1,3ㆍ유명철2ㆍ장하늘1

1Department of Rehabilitation Medicine, Kyung Hee University Hospital, Seoul, 2Department of Rehabilitation Medicine, Gangdong Kyung Hee University Hospital, Seoul, 3Department of Medicine, Kyung Hee University, Seoul, Korea

경희대학교병원 재활의학과1, 강동경희대학교병원 재활의학과2, 경희대학교 의학과3

Received: March 31, 2018; Accepted: July 2, 2018

Abstract

Objective: To investigate the effect of pulsed radiofrequency (PRF) treatment on pain and balance in patients with lumbosacral radiculopathy. Method: This study included twenty-five patients who were diagnosed with chronic lumbosacral radiculopathy. They underwent PRF treatment in prone position under the fluoroscopic guidance. The effect of PRF was measured by the visual analog score (VAS). Patient ability to balance was evaluated by using the Tetra-ataxiometric posturography (Tetrax). Results: After PRF all patients showed improvement in pain as measured by VAS (p<0.001) and none of the patients reported any side effects. The posturographic balance, which was evaluated by Tetrax showed no significant decline after PRF treatment. The weight distribution index (WDI) with eyes open before treatment was 5.43 ± 2.88 and after treatment was 5.37 ± 2.65 (p=0.917). The mean stability index (SI) with eyes open before treatment was 16.52 ± 6.05 and after treatment was 16.61 ± 4.85 (p=0.906). The mean WDI with eyes closed before treatment was 5.66 ± 2.81 and after treatment was 5.16 ± 2.70 (p=0.470). Finally, the mean SI with eyes closed before was 25.88 ± 9.88 and after treatment was 25.99 ± 12.30 (p=0.962). Conclusion: The results suggest that PRF has an effect on pain in patients with chronic lumbosacral radiculopathy. The patients did not experience adverse effects, such as hypoesthesia, dysesthesia and decreased proprioception after PRF, and there were no significant declines in balance.

KeywordsLumbosacral radiculopathy, Radiating pain, Balance, Pulsed radiofrequency, Tetrax

Korean Association of Pain Medicine

Vol.23 No.2
December 2024

eISSN: 2765-5156

Frequency: Semi Annual

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