{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T17:41:53Z","timestamp":1772041313187,"version":"3.50.1"},"reference-count":45,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T00:00:00Z","timestamp":1734652800000},"content-version":"vor","delay-in-days":354,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pain Research and Management"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> Lumbar facet joints are the source of pain in 15%\u201341% of individuals experiencing low back pain (LBP). Conventional lumbar facet radiofrequency ablation (RFA) has Level II evidence for improving pain and function. The best proven technique, the parallel technique, is technically challenging, time\u2010consuming, and often uncomfortable for the patient. A novel RFA technique using a 3\u2010tined cannula offers a potentially less complex and shorter procedure.<\/jats:p><jats:p><jats:bold>Objectives:<\/jats:bold> To describe the novel lumbar facet joint RFA technique with the 3\u2010tined cannula and to evaluate its efficacy in treating chronic lumbar facet joint pain.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Eligible adult patients with chronic lumbar facet joint pain, confirmed by positive medial branch blocks (MBBs), refractory to conservative treatment, received the novel RFA treatment with the 3\u2010tined cannula. The change in pain intensity at 2\u2009months follow\u2010up compared to baseline, percentage of patients reporting a \u2265 30% and \u2265 50% reduction of pain intensity, patient global impression of change (PGIC), need for pain medication, walking ability, sleep quality, and patient satisfaction were evaluated.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> A total of 44 patients were included. Patients experienced a clinically meaningful and significant pain relief at follow\u2010up and 41% of the patients reported \u2265 50% reduction of pain. Forty\u2010eight percent experienced at least a score of \u201cmuch improved\u201d on the PGIC. No severe side effects or complications were observed.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> Our observational study suggests that lumbar facet joint RFA using the novel technique achieves significant pain relief. The larger lesions decrease the likelihood of missing the target nerve while obviating the need to conduct numerous lesions. Limiting is the single\u2010center set\u2010up with a relatively short\u2010term follow\u2010up duration. Randomized controlled clinical trials are warranted to confirm the efficacy of the novel RFA technique to treat lumbar facet joint pain.<\/jats:p>","DOI":"10.1155\/prm\/8871568","type":"journal-article","created":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T11:08:27Z","timestamp":1734692907000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Lumbar Facet Joint Radiofrequency Ablation With a 3\u2010Tined Cannula: A Technical Report and Observational Study"],"prefix":"10.1155","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4130-4549","authenticated-orcid":false,"given":"Andrea","family":"K\u00fcnzle","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2796-729X","authenticated-orcid":false,"given":"Sander M. 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