There are many structures in the lumbar spine that can serve as pain generators and often, the etiology of low back pain is multifactorial. Various structures have been incriminated as possible sources of chronic LBP, including the posterior longitudinal ligament, …show more content…
Consequently, with radiofrequency the pain returns when the axons regenerate requiring repetition of the radiofrequency procedure.
Although numerous studies have examined conservative management for low back pain, at the present time, there are lacks of published controlled trials of conservative management specifically targeted to facet joint pain. Physiotherapy techniques which are commonly employed for treatment of Low back pain are electrotherapy modalities, Manual Therapy, Exercises and Prevention strategies.
Some authorities report that poor endurance of trunk extensor muscles may induce strain on passive structures of lumbar spine, leading eventually to low back pain. Evidence suggests that muscle endurance is low for people with low back pain than individuals without low back