Clinical Efficacy of Continuous Radiofrequency Combined with Sitting Rotation-pushing Manipulation of Spinal Nerve Posterior Branch in Treatment of Small Articular Low Back Pain
LI Yuan-dong,WANG Ping,LIU Ai-feng
First Teaching Hospital of Tianjin University of Traditional Chinese Medicine/National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China
Abstract:
Objective To observe the clinical effect of continuous radiofrequency of posterior medial branch of spinal nerve combined with sitting rotation manipulation in the treatment of facet arthrogenic low back pain. Methods A total of 180 cases were included in the study using retrospective cohort study, including 90 cases in the continuous RF combined with sitting rotation maneuver group (RF+maneuver group) and 90 cases in the simple continuous RF group (RF group). Visual analog pain (VAS) score, Oswestry disability index (ODI) score, Japanese Orthopaedic Association (JOA) score, SF-36 quality of life score and lumbar soft tissue tension were observed before and after treatment. Intra-group and intergroup statistical analysis were performed and the clinical ef.cacy was evaluated. Results The total effective rate of the RF+manipulation group (97.78%) was better than that of the RF group (92.22%) and the difference was statistically significant (P<0.05). The VAS, ODI,