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Minimally Invasive Treatment of Facet Osteoarthritis Pain in Spine: A Clinical Approach Evaluating Cryotherapy.
Castillo-Rangel, Carlos; Gallardo-García, Erendy Sinaí; Fadanelli-Sánchez, Fiorella; Hernández-Peña, Vania Sayuri; Trujillo-Ramírez, Alex Missael; López-Gómez, Edith Del Carmen; García, Luis I; Iñiguez-Luna, María Isabel; Martínez-Bretón, Paulina; Ramírez-Rodríguez, Rodrigo; Ordoñez-Granja, Jaime; Trujillo-Aboite, Mayra Guadalupe; Marín, Gerardo.
Afiliação
  • Castillo-Rangel C; Department of Neurosurgery, "Hospital Regional 1◦ de Octubre", Institute of Social Security and Services for State Workers (ISSSTE), Mexico City, Mexico.
  • Gallardo-García ES; Faculty of Medicine campus Cd. Mendoza, Universidad Veracruzana, Camerino Z Mendoza, Veracruz, Mexico.
  • Fadanelli-Sánchez F; Faculty of Medicine campus Cd. Mendoza, Universidad Veracruzana, Camerino Z Mendoza, Veracruz, Mexico.
  • Hernández-Peña VS; Faculty of Medicine campus Cd. Mendoza, Universidad Veracruzana, Camerino Z Mendoza, Veracruz, Mexico.
  • Trujillo-Ramírez AM; Faculty of Medicine campus Cd. Mendoza, Universidad Veracruzana, Camerino Z Mendoza, Veracruz, Mexico; Faculty of Medicine, Universidad Veracruzana, Veracruz, Mexico.
  • López-Gómez EDC; Faculty of Medicine campus Cd. Mendoza, Universidad Veracruzana, Camerino Z Mendoza, Veracruz, Mexico.
  • García LI; Department of Biophysics, Brain Research Institute, Universidad Veracruzana, Xalapa, Veracruz, Mexico.
  • Iñiguez-Luna MI; Brain Research Institute, Universidad Veracruzana, Xalapa, Veracruz, Mexico.
  • Martínez-Bretón P; Faculty of Medicine campus Veracruz, Universidad Veracruzana, Veracruz, Veracruz, Mexico.
  • Ramírez-Rodríguez R; Brain Research Institute, Universidad Veracruzana, Xalapa, Veracruz, Mexico.
  • Ordoñez-Granja J; Department of Neurosurgery, "Hospital Regional 1◦ de Octubre", Institute of Social Security and Services for State Workers (ISSSTE), Mexico City, Mexico.
  • Trujillo-Aboite MG; Department of Emergency, "Hospital General de Zona No. 27" Mexican Social Security Institute, Mexico City, Mexico.
  • Marín G; Neural Dynamics and Modulation Lab, Cleveland Clinic, Cleveland, Ohio, USA. Electronic address: drmarin.neuroscience@gmail.com.
World Neurosurg ; 185: e741-e749, 2024 05.
Article em En | MEDLINE | ID: mdl-38423456
ABSTRACT

BACKGROUND:

Chronic pain management remains a challenging aspect of neurosurgical care, with facet arthrosis being a significant contributor to the global burden of low back pain. This study evaluates the effectiveness of cryotherapy as a minimally invasive treatment for patients with facet arthrosis. By focusing on reducing drug dependency and pain intensity, the research aims to contribute to the evolving field of pain management techniques, offering an alternative to traditional pain management strategies.

METHODS:

Through a retrospective longitudinal analysis of patients with facet osteoarthritis treated via cryotherapy between 2013 and 2023, we evaluated the impact on medication usage and pain levels, utilizing the Visual Analog Scale for pre- and posttreatment comparisons.

RESULTS:

The study encompassed 118 subjects, revealing significant pain alleviation, with Visual Analog Scale scores plummeting from 9.0 initially to 2.0 after treatment. Additionally, 67 patients (56.78%) reported decreased medication consumption. These outcomes underscore cryotherapy's potential as a pivotal tool in chronic pain management.

CONCLUSIONS:

The findings illuminate cryotherapy's efficacy in diminishing pain and curtailing medication dependency among patients with facet arthrosis. This study reaffirms cryotherapy's role in pain management and propels the discourse on nontraditional therapeutic avenues, highlighting the urgent need for personalized and innovative treatment frameworks.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Crioterapia / Articulação Zigapofisária / Manejo da Dor Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Crioterapia / Articulação Zigapofisária / Manejo da Dor Idioma: En Ano de publicação: 2024 Tipo de documento: Article