Lumbar Facet Block and Radiofrequency Ablation International Consensus Guidelines Part 1 (210)

2:45 PM–3:45 PM Friday, February 28

This symposium presents the findings of an international consortium of pain medicine and governmental organizations on the treatment of lumbar facet joint pain to include patient selection, performance and interpretation of diagnostic blocks, and optimization of radiofrequency ablation outcomes.

Guideline Questions, Methodology and Patient Selection: How Many Blocks, Cutoff for a Positive Block, and Are Medial Branch or Intra-Articular Injections Better?

Steven Cohen

Imaging and Facet Pain: Evidence for Pre-Block Imaging and Imaging for the Performance Facet Blocks

W. Michael Hooten

What is the Evidence for Larger Lesions and Parallel Electrode Orientation?

David Provenzano

What Volume(s) Should be Used for Medial Branch Blocks and Intra-Articular Injections?

Jee Youn Moon

Learning Objectives:

  • Review selection criteria for “diagnostic” facet blocks.
  • Assess how to maximize lesion size and its relationship to RF ablation success rate.
  • Identify the issues surrounding patient selection for clinical practice and clinical trials.