Pain Management Case Reports最新文献

{"title":"Eagle Syndrome: A Diagnostic Challenge with a Novel Solution","authors":"Gaurav Chauhan","doi":"10.36076/pmcr.2018/2/133","DOIUrl":"https://doi.org/10.36076/pmcr.2018/2/133","url":null,"abstract":"","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123638060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spinal Cord Stimulator Placement in a Patient with Type 2\u0000von Willebrand’s Disease","authors":"S. Masson","doi":"10.36076/pmcr.2018/2/153","DOIUrl":"https://doi.org/10.36076/pmcr.2018/2/153","url":null,"abstract":"We present a case of a 76-year-old female with\u0000a history of lumbar post-laminectomy pain syndrome\u0000and Type II von Willebrand’s disease who\u0000underwent successful implantation of a spinal\u0000cord stimulator. A consultation with the patient’s\u0000hematologist was obtained, and antihemophilic\u0000factor/von Willebrand factor complex was administered\u0000immediately prior to insertion and removal\u0000of trial leads. After reporting greater than 90%\u0000pain relief, the patient then underwent permanent\u0000implantation with administration of antihemophilic\u0000factor/von Willebrand factor complex prior\u0000to placement. The epidural space was entered\u0000atraumatically, and lead placement was uneventful\u0000with minimal resistance met. Leads were tunneled\u0000to her right gluteal region, where a pocket was\u0000created for her generator. She continues to report\u0000good relief without neurological signs of epidural\u0000hematoma nearly 6 months post-procedure.\u0000Key words: von Willebrand disease, high-frequency\u0000spinal cord stimulator, post-laminectomy\u0000pain syndrome","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130626933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"NEEDLE TIP DEPTH ASSESSMENT ON FORAMINAL OBLIQUE FLUOROSCOPIC\u0000VIEWS DURING CERVICAL RADIOFREQUENCY NEUROTOMY. A TECHNICAL NOTE","authors":"R. Raju","doi":"10.36076/pmcr.2018/2/127","DOIUrl":"https://doi.org/10.36076/pmcr.2018/2/127","url":null,"abstract":"Background: Precise needle tip visualization\u0000using fluoroscopy is critical to avoid injury to\u0000nearby neurovascular structures during cervical\u0000radiofrequency neurotomy (RFN). The contralateral\u0000oblique (CLO) view has been shown to\u0000be superior to the lateral view for needle tip visualization\u0000during cervical interlaminar epidural\u0000injection (CESI). It has been demonstrated that\u0000increasing the angle of obliquity during CESI\u0000causes the needle tip to appear to move dorsal\u0000and superficial on contralateral oblique views.\u0000Needle tip visualization for cervical RFN has been\u0000described using a foraminal oblique (FO) view,\u0000but the technique and effect of angle on needle\u0000tip depth have not been studied.\u0000Objective: To analyze how the needle tip depth\u0000changes with varying oblique angles of FO views\u0000during cervical RFN.\u0000Methods: Fluoroscopic views during cervical\u0000RFN between lateral and 50 degrees FO in a\u0000single subject were analyzed.\u0000Results: The needle tip appears to move ventral\u0000and deeper with increasing angle of obliquity with\u0000respect to the lamina.\u0000Conclusion: Contrary to the phenomenon noticed\u0000with contralateral oblique views in CESI, in this\u0000case the needle tip appears to move ventral and\u0000deeper with increasing angle of obliquity on foraminal\u0000oblique views during cervical RFN. It becomes\u0000crucial for practitioners to understand that during\u0000cervical RFN, with inadequate foraminal oblique\u0000angle, needle tip looks artificially superficial, which\u0000in turn may cause one to advance the needle to\u0000a dangerous depth.\u0000Limitation: This is an observational study in a\u0000single subject; hence further larger studies are\u0000needed to confirm the findings in this technical\u0000report.\u0000Key words: contralateral oblique, needle depth\u0000assessment, cervical radiofrequency neurotomy,\u0000cervical radiofrequency ablation, foraminal\u0000oblique, fluoroscopy views, fluoroscopy angles","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123784068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic Pulsed Radiofrequency Ablation of Genicular Nerves\u0000for the Treatment of Chronic Knee Pain","authors":"Dipan C. Patel","doi":"10.36076/pmcr.2018/2/145","DOIUrl":"https://doi.org/10.36076/pmcr.2018/2/145","url":null,"abstract":"Chronic knee pain is the second most common\u0000cause of chronic pain in the United States.\u0000Occasionally, patients become refractory to\u0000conventional treatments such as intraarticular\u0000cortisone injections and viscosupplementation.\u0000Patients who have exhausted these therapies or\u0000have a contraindication to the therapies may be\u0000candidates for diagnostic genicular nerve block\u0000and if successful, subsequent radiofrequency\u0000ablation (RFA).\u0000For patients who have undergone image-guided\u0000genicular nerve radiofrequency ablation with fluoroscopic\u0000or ultrasound guidance without success,\u0000an endoscopic approach can be used as an alternative\u0000modality with success. With direct visualization\u0000of the genicular nerves, the likelihood of\u0000success with an endoscopic approach increases\u0000as some patients can have varying anatomy of\u0000the genicular nerves for which cannot always be\u0000detected with fluoroscopy or ultrasound.\u0000The purpose of this study is to demonstrate the\u0000utilization of a direct endoscopic approach for\u0000genicular nerve RFA for patients with chronic\u0000knee pain that have failed to improve after\u0000image-guided genicular RFA with fluoroscopic\u0000or ultrasound guidance.\u0000Two patients who had underwent successful diagnostic\u0000genicular nerve blocks were assessed for\u0000pre-procedure and post-procedure visual analog\u0000scale (VAS) scores following endoscopic genicular\u0000nerve RFA after failure of the conventional image\u0000guided approach at 6 and 12 months.\u0000Both patients reported greater than 80% reduction\u0000in VAS score and improvement in function at\u00006 and 12 months\u0000Limitations of the current study is a limited number\u0000of patients, and lack of the use of a formal\u0000functional scale to demonstrate improvement.\u0000Ultimately, the conclusion was drawn that an\u0000endoscopically-guided genicular nerve RFA can\u0000be utilized successfully due to direct visualization\u0000of the genicular nerves when conventional approaches\u0000with Fluoroscopic/ultrasound guidance\u0000has failed to achieve analgesia and functional\u0000improvement.\u0000Key words: Genicular nerve block, endoscopic,\u0000radiofrequency ablation. knee pain, chronic osteoarthritis,\u0000genicular neuritis, genicular neuralgia,\u0000total knee arthroplasty, arthritis","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"422 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123036330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cervical Pain and Tuberculosis: Case Report","authors":"Mark R. Jones","doi":"10.36076/pmcr.2019/3/9","DOIUrl":"https://doi.org/10.36076/pmcr.2019/3/9","url":null,"abstract":"The presenting symptoms of tuberculosis\u0000(TB)\u0000are varied and may include acute and chronic\u0000pain in anatomical regions with active TB infection.\u0000Cervical spine TB, although rare, can present\u0000with nonspecific symptomatology emanating\u0000from the upper cervical spine, leading providers\u0000to overlook TB in their diagnostic approach.\u0000This case report demonstrates the necessity of\u0000a thorough history and physical with particular\u0000emphasis on pertinent sociodemographic risk\u0000factors for pain medicine clinicians to reliably\u0000ensure accurate diagnosis and treatment. A patient\u0000with TB of the cervical spine presented as a\u0000referral with pain symptoms refractory to standard\u0000pharmacologic analgesic regimens. Only with a\u0000thorough social history, made difficult by language\u0000and sociodemographic barriers, were we able to\u0000direct our diagnostic approach to elucidate the\u0000etiology, and engage the patient with the appropriate\u0000therapy.\u0000Key words: Tuberculosis, cervicalgia, cervical\u0000spine, extrapulmonary tuberculosis, pregabalin,\u0000social history","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121161700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Superior Hypogastric Plexus Block for Chronic Pelvic Pain Through\u0000an S1 Transforaminal Approach: A Case Report","authors":"Z. Sykes","doi":"10.36076/pmcr.2019/3/133","DOIUrl":"https://doi.org/10.36076/pmcr.2019/3/133","url":null,"abstract":"Chronic prostatitis/chronic pelvic pain syndrome\u0000(CPPS) is a debilitating syndrome commonly\u0000seen in men under the age of 50 years, which\u0000greatly impacts the quality of life. The treatment\u0000is challenging, which often requires a multimodal\u0000management approach. The superior hypogastric\u0000plexus is located anterior to L5 and S1 vertebral\u0000bodies in the retroperitoneal space and contains\u0000afferent pain fibers from most of the pelvic\u0000structures. Performing a superior hypogastric\u0000plexus block (SHPB) can potentially alleviate\u0000pain originating from various pelvic regions and\u0000structures. It is currently a viable therapy for many\u0000syndromes including endometriosis, interstitial\u0000cystitis, irritable bowel syndrome, and pain after\u0000pelvic surgery.\u0000In this case report, we present a patient who had\u0000chronic pelvic pain with a poor response to conservative\u0000management. Initially, attempts at an\u0000SHPB from the classic posterolateral approach\u0000were unsuccessful. This technique for performing\u0000this block can prove difficult due to vasculature\u0000variability or anatomic barriers, such as the iliac\u0000crest and transverse process of the fifth lumbar\u0000vertebrae. Thus, a left S1 transforaminal approach\u0000was used to block the plexus. This provided the\u0000patient with one month of near 100% pain relief,\u0000with gradual return to baseline thereafter.\u0000CPPS poses unique treatment challenges.\u0000Although often treated conservatively, SHPB\u0000is a valid treatment option for those who fail to\u0000respond adequately to other modalities. An S1\u0000transforaminal approach is a novel and valuable\u0000alternative technique for SHPB in patients with\u0000compromising anatomy.\u0000Key words: Chronic prostatitis, chronic pelvic\u0000pain, superior hypogastric plexus, superior hypogastric\u0000plexus block, pelvic trauma, pelvic pain\u0000in men","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"71 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131698669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Misdiagnosing Abdominal Myofascial Pain Syndrome as Anterior\u0000Cutaneous Nerve Entrapment Syndrome: Are we Failing Patients with\u0000Nonspecific Abdominal Pain?","authors":"N. G","doi":"10.36076/pmcr.2019/3/91","DOIUrl":"https://doi.org/10.36076/pmcr.2019/3/91","url":null,"abstract":"Background: Chronic abdominal wall pain\u0000(CAWP) is often undiagnosed and results in\u0000significant health care use as well as patient\u0000suffering. There are two main types: abdominal\u0000myofascial pain syndrome (AMPS) and anterior\u0000cutaneous nerve entrapment syndrome\u0000(ACNES). Although the 2 conditions share clinical\u0000similarities, they have subtly distinct unique\u0000features.\u0000Objectives: To highlight the current practice,\u0000elucidate the characteristics of the 2 types of\u0000CAWP, and direct the spotlight on abdominal\u0000myofascial pain.\u0000Study Design: Prospective case series.\u0000Setting: Tertiary pain medicine clinic in a university\u0000hospital.\u0000Methods: As a part of a prospective audit of\u0000management of chronic abdominal pain, patients\u0000completed brief pain inventory-short form\u0000questionnaires at baseline and at 3 months posttrigger\u0000point treatment.\u0000Results: All 3 patients were misdiagnosed with\u0000ACNES. Patient 1 was attending the emergency\u0000department once every 5 days prior to being correctly\u0000diagnosed with AMPS. Following trigger\u0000point treatment, there was a significant reduction\u0000in emergency department attendance. Patient 2,\u0000with a 10-year history of lower abdominal pain that\u0000resulted in severe disability, was able to mobilize\u0000following trigger point treatment. Patient 3, with\u0000a high opioid use (360 mg per day), was able to\u0000discontinue opioids following ultrasound-guided\u0000trigger point injection with depot steroids.\u0000Limitations: Open label case series in a small\u0000cohort.\u0000Conclusions: AMPS is as common as the various\u0000visceral inflammatory diseases. Lack of awareness,\u0000ignoring its existence, and misdiagnosing it\u0000may not benefit patients with chronic abdominal\u0000pain.\u0000Key words: Chronic abdominal wall pain, abdominal\u0000myofascial pain syndrome, anterior cutaneous\u0000nerve entrapment syndrome, viscerosomatic\u0000convergence","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127998056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LOCAL ANESTHETIC SPREAD TO THE CONTRALATERAL TRIGEMINAL GANGLION","authors":"Kim T. Nguyen","doi":"10.36076/pmcr.2019/3/59","DOIUrl":"https://doi.org/10.36076/pmcr.2019/3/59","url":null,"abstract":"Chronic neuropathic pain syndromes can severely\u0000affect a person’s quality of life. Trigeminal\u0000neuralgia is among these syndromes and involves\u0000the mandibular branch of the fifth cranial\u0000trigeminal nerve. Patients typically present with\u0000facial pain described as electrical and shock-like\u0000in nature, exacerbated by movements of the jaw\u0000such as talking and chewing. Many patients are\u0000unable to achieve adequate relief with medical\u0000management and therefore require interventions\u0000such as injections of local anesthetics, steroids,\u0000or glycerol. One method of injection uses ultrasound\u0000guidance for local anesthetic injection in\u0000the pterygopalatine fossa affecting the trigeminal\u0000ganglion.\u0000A 64-year-old woman with a history of trigeminal\u0000neuralgia presented for a trigeminal nerve block on\u0000her right side via ultrasound guidance. Following\u0000the injection, she experienced the desired effect\u0000of numbness on her right side in the distribution\u0000of the trigeminal nerve. In addition, the patient\u0000reported feeling the same effects on her left side\u0000despite no injection being done on that side.\u0000We describe a unique case in which local anesthetics\u0000spread through the pterygopalatine fossa\u0000and across the midline, affecting the contralateral\u0000trigeminal ganglion. Patients should be monitored\u0000for hemodynamic changes following this injection.\u0000Key words: Trigeminal neuralgia, trigeminal\u0000nerve block, pterygopalatine fossa, regional block,\u0000trigeminal ganglion","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117030865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Genicular Nerve Cooled Radiofrequency Ablation\u0000on Chronic Knee Osteoarthritis Pain","authors":"J. Carrier","doi":"10.36076/pmcr.2019/3/83","DOIUrl":"https://doi.org/10.36076/pmcr.2019/3/83","url":null,"abstract":"Background: Outside of an invasive total knee\u0000arthroplasty, the available therapies for the treatment\u0000of pain secondary to knee osteoarthritis\u0000(OA) provide marginal and short-lived symptomatic\u0000relief. Genicular nerve radiofrequency\u0000ablation (RFA) serves as an alternative treatment\u0000modality for OA-associated knee pain and\u0000disability.\u0000Objectives: To quantify the effectiveness of\u0000cooled radiofrequency ablation (C-RFA) of the\u0000genicular nerves for chronic knee pain secondary\u0000to OA.\u0000Study Design: Retrospective chart review\u0000performed using Redcap, implementing current\u0000procedural terminology codes.\u0000Setting: An academic pain management center.\u0000Methods: Study population included patients\u0000treated with C-RFA from April 2015 through June\u00002017. Numeric Rating Scale (NRS) data were\u0000analyzed at 3 time points: 2 weeks, 4-6 weeks,\u0000and 7-33 weeks post-RFA (extended follow-up).\u0000Primary outcome for statistical analysis was NRS\u0000and the change in NRS from baseline at each\u0000of the 3 predetermined time points. Differences\u0000between the change in NRS and the number of\u0000diagnostic blocks performed (1 vs. 2) was evaluated.\u0000Correlation between the change in NRS and\u0000patient body mass index (BMI) was calculated.\u0000Results: Pre-RFA average NRS scores were\u0000available for 47 knees from 31 individuals, which\u0000were included in the analysis. The mean NRS\u0000score decreased by 50% at 2 weeks (n = 33; P\u0000< 0.001), 55% at 4-6 weeks (n = 18; P < 0.001),\u0000and 26% at 7-33 weeks (n = 18; P = 0.009).\u0000Eight patients (12 knees) provided specific data\u0000on the total duration of relief following RFA. The\u0000mean duration was 39 weeks or approximately\u00009 months. There were no statistically significant\u0000differences between groups receiving 1 versus 2\u0000diagnostic blocks at 2 weeks or 4-6 weeks post-\u0000RFA. At 7-33 weeks, those who received 1 block\u0000had a decrease in NRS of –3.1, whereas those\u0000who received 2 blocks had an increase in NRS\u0000of +0.1 (P = 0.008). There was no correlation\u0000identified between BMI and change in NRS at\u0000any time point.\u0000Limitations: This study’s retrospective design\u0000inherently leads to a higher risk of selection bias.\u0000The sample size was relatively small as a high\u0000percentage of patients were lost to follow-up. The\u0000primary outcome measure for this study was the\u0000change in mean NRS pain score, and the mean\u0000of ordinal data with a nonnormal distribution lacks\u0000validity in statistical analysis.\u0000Conclusions: In this study population, C-RFA of\u0000the genicular nerves lead to 50% or greater pain\u0000relief at 2 weeks and 4-6 weeks postintervention.\u0000A 26% pain relief was achieved at 7-33 weeks,\u0000but this did not meet the established minimal clinically\u0000important difference cutoff. Two diagnostic\u0000genicular nerve blocks did not improve the rate\u0000of treatment success when compared to a single\u0000diagnostic block. BMI does not appear to correlate\u0000with outcomes.\u0000Key words: Genicular radiofrequency ablation,\u0000genicular RFA, cooled radiofrequency ablation,\u0000chronic knee pain, knee osteoarthritis","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121333648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Modified Pain Therapy for Thoracic Compression Fracture in the\u0000Elderly: Cooled Radiofrequency Ablat ion at Thoracic Facet Joints","authors":"Y. Wen","doi":"10.36076/pmcr.2019/3/99","DOIUrl":"https://doi.org/10.36076/pmcr.2019/3/99","url":null,"abstract":"We reported an alternative therapy for 2 cases\u0000respectively with acute and old thoracic compression\u0000fracture and persistent back pain. A 94-yearold\u0000woman who had multiple comorbidities suffered\u0000from severe pain that was caused by an\u0000acute thoracic spine compression fracture. The\u0000other patient was an 89-year-old man with an old\u0000thoracic compression fracture for 2 years. Neither\u0000of them could have satisfactory pain relief by the\u0000conservative treatments. Surgical intervention\u0000was also not considered. Cooled radiofrequency\u0000ablation was applied to both patients’ thoracic\u0000facet joints. The 2 patients’ back pain improved\u0000considerably after the ablation. Cooled radiofrequency\u0000ablation over thoracic facet joints could\u0000be a pain management alternative for relieving\u0000thoracic compression fracture-related pain.\u0000Key words: Compression fracture, thoracic vertebra,\u0000cooled radiofrequency denervation, facet\u0000joint, comorbidity","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"34 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133622842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}