Dorsal Root Ganglion Pulsed Radiofrequency for the Management of Intractable Vertebral Metastatic Pain: A Case Series

Objective Metastatic bone pain is characteristic of cancer pain and is a form of refractory cancer pain, as the pain includes not only nociceptive but also neuropathic pain. Although some drugs are effective in the management of painful bone metastases, pain while moving is one of the most refractor...

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Bibliographic Details
Published in:Pain medicine (Malden, Mass.) Mass.), 2015-05, Vol.16 (5), p.1007-1012
Main Authors: Arai, Young‐Chang P., Nishihara, Makoto, Yamamoto, Yoshihiro, Arakawa, Maki, Kondo, Miki, Suzuki, Chiharu, Kinoshita, Akiko, Kambara, Kazuyo, Ikemoto, Tatsunori
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Cancer
Dorsal Root Ganglion Block
Female
Ganglia, Spinal
Humans
Male
Metastasis
Metastatic Bone Pain
Middle Aged
Pain management
Pain Management - methods
Pain, Intractable - etiology
Pain, Intractable - therapy
Pulsed Radiofrequency
Pulsed Radiofrequency Treatment - methods
Retrospective Studies
Spinal Neoplasms - complications
Spinal Neoplasms - secondary
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Summary:Objective Metastatic bone pain is characteristic of cancer pain and is a form of refractory cancer pain, as the pain includes not only nociceptive but also neuropathic pain. Although some drugs are effective in the management of painful bone metastases, pain while moving is one of the most refractory forms of pain. Although pulsed radiofrequency (RF) dramatically reduces neuropathic pain, chronic pain, and vertebral metastatic pain, the number of cases reported in these studies was very small (five or less). Design Case report. Setting Single pain center. Patients Fifteen patients suffering from intractable vertebral metastatic pain. Interventions Dorsal root ganglion (DRG) pulsed RF. Outcome Measures A numerical rating scale (NRS) of pain at rest and while moving. Results Almost all patients experienced sound pain relief after the pulsed RF treatment. There were no severe side effects reported. Conclusion DRG pulsed RF procedure provided sound pain relief for patients with intractable vertebral metastatic pain. Metastatic bone pain is characteristic of cancer pain and is a form of refractory cancer pain, as the pain includes not only nociceptive but also neuropathic pain. Although some drugs are effective in the management of painful bone metastases, pain while moving is one of the most refractory forms of pain. DRG pulsed RF procedure provided sound pain relief for patients with intractable vertebral metastatic pain.
ISSN:1526-2375
1526-4637
DOI:10.1111/pme.12629