Image-Guided Radiofrequency Ablation for Joint and Back Pain: Rationales, Techniques, and Results

Cardiovasc Intervent Radiol. 2023 Nov;46(11):1538-1550. doi: 10.1007/s00270-023-03393-2. Epub 2023 Mar 10.

Abstract

Image-guided minimally invasive radiofrequency ablation (RFA) of sensory nerves has emerged as a treatment option for pain and swelling associated with advanced symptomatic joint and spine degeneration to bridge the gap between optimal medical therapy and surgical treatments. RFA of articular sensory nerves and the basivertebral nerve use image-guided percutaneous approaches resulting in faster recovery time and minimal risks. The current published evidence indicates clinical effectiveness; however, further research must be performed comparing other conservative treatments with RFA to understand further its role in different clinical settings, such as osteonecrosis. This review article discusses and illustrates the applications of RFA for treating symptomatic joint and spine degeneration.

Keywords: Back pain; Basivertebral ablation; Hip joint; Osteoarthritis; Radiofrequency ablation; Shoulder pain.

Publication types

  • Review

MeSH terms

  • Back Pain
  • Catheter Ablation* / methods
  • Humans
  • Radiofrequency Ablation*
  • Treatment Outcome