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Some evidence suggests superior clinical outcomes of percutaneous needle aponeurotomy compared with collagenase Clostridium histolyticum (CCH) injections and a higher minor complication rate with CCH.

Hirase T et al. J Hand Microsurg. [PMID: 34511831]


Heat treatments have shown to have short-term benefits for acute low back pain.

There is good evidence that spinal manipulation and acupuncture provide short-term improvement compared with usual care alone.

Intra-articular steroid injections and cooled radiofrequency ablation of the sacral lateral branch nerves and dorsal ramus of L5 can be considered for patients with persistent sacroiliac joint pain. There is fair evidence that thermal radiofrequency ablation of the facet joints improves pain for at least 6 months.

Kreiner DS et al. Spine J. [PMID: 32333996]

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