Tag: LBP

  • Medial Branch Block and Radiofrequency Ablation

    Medial branch blocks and radiofrequency ablation are two types of procedures used to diagnose and manage pain in the spine, particularly in the back and neck. Medial branch blocks involve the injection of an anesthetic near the medial branches of spinal nerves, which supply sensation to the facet joints. The goal is to temporarily block the pain signals to determine if it is originating from the facet joints. If the test is positive, then radiofrequency ablation may be indicated. This procedure involves the use of radiofrequency energy to destroy the medial branches, thus interrupting the pain signals and providing pain relief for longer periods

    This is a presentation I presented at “Ultrasound and C-Arm Guided Radiofrequency Ablation Pain Management Course” at University Kebangsaan Malaysia in 2022. I summarized and made a step-by-step guide for C-arm medial branch block and RFA.  

  • Pain Intervention for Low Back Pain

    This is a presentation I made for an introduction about pain intervention. It has some basic general information about some common low back pain condition and the role of interventional pain management. 

  • Practical Low Back Pain Examination & Diagnosis

    Low back pain is a common problem that affects many people. A thorough examination is important for identifying the underlying cause of the pain. The examination should include taking a detailed history of the patient’s symptoms, including how the pain started, the location of the pain, the duration of the pain, and any related symptoms such as leg pain, numbness or tingling.

    I have summarized some of the most common LBP conditions found in practice: lumbar facet pain, sacroiliac joint pain, discogenic pain, and lumbosacral radicular pain. I hope this can be a practical guide to diagnose the patient’s source of pain. 

  • Lumbar Facet Joint Pain

    Lumbar facet joint pain is lower back pain caused by damaged or degenerated spine joints. These joints provide stability and mobility to the spine. Joint damage leads to lower back pain, stiffness, and discomfort, caused by arthritis, injury, or wear and tear. This was a presentation I made covering the basics of lumbar facet joint pain and the interventional c-arm guided treatment.