Efficacy of Pulsed Radiofrequency in Interventional Management of Chronic Spinal Pain

Minh Trung Phan1, , Ha Van Linh1, Nghiêm Việt Dũng1, Hà Văn Tuấn1
1 Khoa Chấn thương Chỉnh hình, Bệnh viện Thanh Nhàn

Main Article Content

Abstract

This study aimed to evaluate the effectiveness of pulsed radiofrequency (PRF) in reducing pain in patients with chronic spinal pain conditions. A prospective, uncontrolled clinical intervention study was conducted on 90 patients with chronic cervical or lumbar spinal pain at the Department of Orthopedic Trauma Surgery – Thanh Nhan Hospital. Patients were treated using appropriate PRF techniques. Pain intensity was assessed using the Visual Analog Scale (VAS) at five time points: before intervention, 24 hours, 1 month, 3 months, and 6 months after intervention. The Oswestry Disability Index (ODI), Neck Disability Index (NDI), and Patient Global Impression of Change (PGIC) were also used to evaluate treatment outcomes. The mean VAS score decreased from 5.7 ± 1.14 before treatment to 1.20 ± 1.39 at 6 months post-intervention (p<0.05). Both ODI and NDI scores showed statistically significant reductions. After 6 months, 82.2% of patients reported more than 50% pain relief. No serious complications were observed during or after the procedure. PRF is an effective and safe interventional method for managing chronic spinal pain, significantly improving patient’s quality of life.


Key words: Pulsed radiofrequency (PRF); chronic spinal pain; interventional pain management; Visual Analog Scale (VAS); Oswestry Disability Index (ODI); Neck Disability Index (NDI); Patient Global Impression of Change (PGIC).

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