The Effect and Role of Steroids in Facet Joint Radiofrequency Denervation: a Narrative Review
Purpose of Review There is ongoing controversy regarding the role of steroids in facet joint radiofrequency denervation and its associated side effects. We reviewed the available evidence to ascertain whether steroids confer any therapeutic value, affect lesion size, or prevent neuritis among other...
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| Veröffentlicht in: | Current physical medicine and rehabilitation reports 2017-12, Vol.5 (4), p.180-185 |
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| container_title | Current physical medicine and rehabilitation reports |
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| creator | Odonkor, Charles A. Shin, Ben C. Cohen, Steven P. |
| description | Purpose of Review
There is ongoing controversy regarding the role of steroids in facet joint radiofrequency denervation and its associated side effects. We reviewed the available evidence to ascertain whether steroids confer any therapeutic value, affect lesion size, or prevent neuritis among other considerations.
Recent Findings
A review of the current body of literature identified a limited number of qualified studies and there is no general consensus regarding evidence-based justifications for steroids in facet joint radiofrequency denervation.
Summary
Based on the current available evidence regarding the potential utility of steroids in facet joint radiofrequency denervation, we conclude that steroids may (1) play a role in preventing neuritis, (2) have a potentially negative impact on lesion size when given before denervation, and (3) theoretically provide long-term therapeutic pain relief in a small subset of patients. Further studies including multi-institutional randomized placebo-controlled studies are greatly needed to clinically guide the use of steroids in facet joint radiofrequency denervation. |
| doi_str_mv | 10.1007/s40141-017-0164-7 |
| format | Article |
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There is ongoing controversy regarding the role of steroids in facet joint radiofrequency denervation and its associated side effects. We reviewed the available evidence to ascertain whether steroids confer any therapeutic value, affect lesion size, or prevent neuritis among other considerations.
Recent Findings
A review of the current body of literature identified a limited number of qualified studies and there is no general consensus regarding evidence-based justifications for steroids in facet joint radiofrequency denervation.
Summary
Based on the current available evidence regarding the potential utility of steroids in facet joint radiofrequency denervation, we conclude that steroids may (1) play a role in preventing neuritis, (2) have a potentially negative impact on lesion size when given before denervation, and (3) theoretically provide long-term therapeutic pain relief in a small subset of patients. Further studies including multi-institutional randomized placebo-controlled studies are greatly needed to clinically guide the use of steroids in facet joint radiofrequency denervation.</description><identifier>ISSN: 2167-4833</identifier><identifier>EISSN: 2167-4833</identifier><identifier>DOI: 10.1007/s40141-017-0164-7</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Arthritis ; Back pain ; Cytokines ; Denervation ; Interventional Pain Management (L Huynh and J Levin ; Medicine ; Medicine & Public Health ; Pathology ; Rehabilitation Medicine ; Section Editors ; Steroids ; Topical Collection on Interventional Pain Management</subject><ispartof>Current physical medicine and rehabilitation reports, 2017-12, Vol.5 (4), p.180-185</ispartof><rights>Springer Science+Business Media, LLC 2017</rights><rights>Springer Science+Business Media, LLC 2017.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2317-edffec6e3d53a4fe78774758fa4ddbbd85bfbd259b7f81666858d12a9ee0de863</citedby><cites>FETCH-LOGICAL-c2317-edffec6e3d53a4fe78774758fa4ddbbd85bfbd259b7f81666858d12a9ee0de863</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40141-017-0164-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2932768248?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,21388,21389,27924,27925,33530,33744,41488,42557,43659,43805,51319,64385,64389,72469</link.rule.ids></links><search><creatorcontrib>Odonkor, Charles A.</creatorcontrib><creatorcontrib>Shin, Ben C.</creatorcontrib><creatorcontrib>Cohen, Steven P.</creatorcontrib><title>The Effect and Role of Steroids in Facet Joint Radiofrequency Denervation: a Narrative Review</title><title>Current physical medicine and rehabilitation reports</title><addtitle>Curr Phys Med Rehabil Rep</addtitle><description>Purpose of Review
There is ongoing controversy regarding the role of steroids in facet joint radiofrequency denervation and its associated side effects. We reviewed the available evidence to ascertain whether steroids confer any therapeutic value, affect lesion size, or prevent neuritis among other considerations.
Recent Findings
A review of the current body of literature identified a limited number of qualified studies and there is no general consensus regarding evidence-based justifications for steroids in facet joint radiofrequency denervation.
Summary
Based on the current available evidence regarding the potential utility of steroids in facet joint radiofrequency denervation, we conclude that steroids may (1) play a role in preventing neuritis, (2) have a potentially negative impact on lesion size when given before denervation, and (3) theoretically provide long-term therapeutic pain relief in a small subset of patients. Further studies including multi-institutional randomized placebo-controlled studies are greatly needed to clinically guide the use of steroids in facet joint radiofrequency denervation.</description><subject>Arthritis</subject><subject>Back pain</subject><subject>Cytokines</subject><subject>Denervation</subject><subject>Interventional Pain Management (L Huynh and J Levin</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pathology</subject><subject>Rehabilitation Medicine</subject><subject>Section Editors</subject><subject>Steroids</subject><subject>Topical Collection on Interventional Pain Management</subject><issn>2167-4833</issn><issn>2167-4833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1UE1LAzEQDaJgqf0B3gKeV_Oxm6TepLZ-IAq1HiVkNxPdUpOabCv996asoBcHhpmBeW_ePIROKTmnhMiLVBJa0oJQmVOUhTxAA0aFLErF-eGf_hiNUlqSHIoJosgAvS7eAU-dg6bDxls8DyvAweHnDmJobcKtxzPTQIfvQ-s7PDe2DS7C5wZ8s8PX4CFuTdcGf4kNfjQx5mELeA7bFr5O0JEzqwSjnzpEL7PpYnJbPDzd3E2uHoqG8Swa7F6AAG4rbkoHUklZyko5U1pb11ZVtastq8a1dIoKIVSlLGVmDEAsKMGH6KznXceQlaVOL8Mm-nxSszFnUiiW3x8i2m81MaQUwel1bD9M3GlK9N5I3Rups5F6b6SWGcN6TMq7_g3iL_P_oG8gZXWq</recordid><startdate>20171201</startdate><enddate>20171201</enddate><creator>Odonkor, Charles A.</creator><creator>Shin, Ben C.</creator><creator>Cohen, Steven P.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope></search><sort><creationdate>20171201</creationdate><title>The Effect and Role of Steroids in Facet Joint Radiofrequency Denervation: a Narrative Review</title><author>Odonkor, Charles A. ; Shin, Ben C. ; Cohen, Steven P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2317-edffec6e3d53a4fe78774758fa4ddbbd85bfbd259b7f81666858d12a9ee0de863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Arthritis</topic><topic>Back pain</topic><topic>Cytokines</topic><topic>Denervation</topic><topic>Interventional Pain Management (L Huynh and J Levin</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Pathology</topic><topic>Rehabilitation Medicine</topic><topic>Section Editors</topic><topic>Steroids</topic><topic>Topical Collection on Interventional Pain Management</topic><toplevel>online_resources</toplevel><creatorcontrib>Odonkor, Charles A.</creatorcontrib><creatorcontrib>Shin, Ben C.</creatorcontrib><creatorcontrib>Cohen, Steven P.</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>Current physical medicine and rehabilitation reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Odonkor, Charles A.</au><au>Shin, Ben C.</au><au>Cohen, Steven P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect and Role of Steroids in Facet Joint Radiofrequency Denervation: a Narrative Review</atitle><jtitle>Current physical medicine and rehabilitation reports</jtitle><stitle>Curr Phys Med Rehabil Rep</stitle><date>2017-12-01</date><risdate>2017</risdate><volume>5</volume><issue>4</issue><spage>180</spage><epage>185</epage><pages>180-185</pages><issn>2167-4833</issn><eissn>2167-4833</eissn><abstract>Purpose of Review
There is ongoing controversy regarding the role of steroids in facet joint radiofrequency denervation and its associated side effects. We reviewed the available evidence to ascertain whether steroids confer any therapeutic value, affect lesion size, or prevent neuritis among other considerations.
Recent Findings
A review of the current body of literature identified a limited number of qualified studies and there is no general consensus regarding evidence-based justifications for steroids in facet joint radiofrequency denervation.
Summary
Based on the current available evidence regarding the potential utility of steroids in facet joint radiofrequency denervation, we conclude that steroids may (1) play a role in preventing neuritis, (2) have a potentially negative impact on lesion size when given before denervation, and (3) theoretically provide long-term therapeutic pain relief in a small subset of patients. Further studies including multi-institutional randomized placebo-controlled studies are greatly needed to clinically guide the use of steroids in facet joint radiofrequency denervation.</abstract><cop>New York</cop><pub>Springer US</pub><doi>10.1007/s40141-017-0164-7</doi><tpages>6</tpages></addata></record> |
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| ispartof | Current physical medicine and rehabilitation reports, 2017-12, Vol.5 (4), p.180-185 |
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| source | ProQuest Central (Alumni Edition); ProQuest Central UK/Ireland; SpringerLink Journals - AutoHoldings; ProQuest Central |
| subjects | Arthritis Back pain Cytokines Denervation Interventional Pain Management (L Huynh and J Levin Medicine Medicine & Public Health Pathology Rehabilitation Medicine Section Editors Steroids Topical Collection on Interventional Pain Management |
| title | The Effect and Role of Steroids in Facet Joint Radiofrequency Denervation: a Narrative Review |
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