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CASE REPORT
Year : 2018  |  Volume : 4  |  Issue : 2  |  Page : 84-86

Radiofrequency lesioning of rami communicans for discogenic back pain: Is failure inevitable? A case report


1 Fellow, Daradia: The Pain Clinic, Kolkata, West Bengal, India
2 Director, Daradia: The Pain Clinic, Kolkata, West Bengal, India

Correspondence Address:
Praneet Singh
Daradia: The Pain Clinic, Kolkata, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10046-0113

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Internal disc disruption is the most common cause of low back pain amongst the younger adults. It is characterized by diffuse axial back pain with or without non-dermatomal leg pain limited up to knee usually. Presence of hyper-intense zone in magnetic resonance imaging (MRI), provocative discography and rami communicans block is the current diagnostic modalities. Radiofrequency ablation of the rami communicans is one of the therapeutic options in cases which are resistant to other treatment modalities. However, many a time it has been found that in spite of significant pain relief achieved with diagnostic rami communicans block with local anesthetics, conventional radio frequency procedures may give unsuccessful outcomes. We hereby discuss a similar case scenario with possible explanations based on literature.


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