Intradiscal electrothermal therapy for chronic discogenic low back pain: a comparison of two heating protocols

Year 2018, Volume: 4 Issue: 3, 168 - 173, 04.07.2018

Korgün Ökmen , Burcu Metin Ökmen

https://doi.org/10.18621/eurj.328117

Abstract

Objectives. This study aims to
evaluate the effect of intradiscal electrothermal therapy (IDET) applied in
patients with chronic low back pain using two heating protocols. Methods.
In this study, data of 50
patients who were exposed to percutaneous IDET using two heating protocols were
retrospectively analyzed. The patients were divided into two groups: in Group 1
(n=25), maximum 75⁰C catheter tipping was used, while in Group 2
(n=25), maximum 90⁰C catheter tipping was performing. Pre-treatment
(M0) and post-treatment results at 3 (M3), 6 (M6), 12 (M12), and 18 months (M18)
were evaluated using the visual analogue acale (VAS), Oswestry disability index
(ODI), and short form-36 (SF-36) scores. Results. There was no statistically significant difference in demografic
characteristics and M0 VAS, ODI values and SF-36 dimensions of the patients between the groups (p > 0.05). It was found that there were statistically significant
improvement than baseline values in the M3, M6, M12, and M18 VAS, ODI, and
SF-36 scores in both treatment groups (p
< 0.05). Between the group
comparison; only the M18 VAS and SF-36 pain values were found statistically
significant in the positive direction in Group 2 (p < 0.05). Conclusion.
Similar successful
results were obtained in our study involving two different heating procedures
up to 12 months of administering IDET treatment. But at the 18^th
month the 90⁰C IDET seems to be more effective in improving the pain
scores. 

Keywords

intradiscal electrothermal therapy, intradiscal treatment, chronic low back pain, intradiscal treatment

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