Pain relief with intraarticular or medial branch nerve blocks in patients with positive lumbar facet joint SPECT imaging: a 12-week outcome study

Southern Medical Journal
William E Ackerman, Mahmood Ahmad

Abstract

Single-photon emission computed tomography (SPECT) is useful in identifying patients who may respond to lumbar facet injections. There are two methods for performing lumbar facet joint injections: intraarticular and medial branch nerve blocks. A consensus has yet to be reached among physicians as to which method is the most effective. The purpose of this study was to compare the effectiveness of intraarticular and medial branch nerve blocks in SPECT-positive lumbar facet joint patients with nonradicular lower back pain. This study was a prospective, double-blinded outcome study of 12 weeks' duration. Forty-six male (26) and female patients (20) between the ages of 18 and 55 (mean 39.3 years) with nonradicular lower back pain who were lumbar facet joint SPECT-positive were studied. No patient was included in this study if magnetic resonance imaging evidence of a lumbar disc herniation was present. Patients were randomly assigned by computer to have intraarticular (group I) or medial branch nerve blocks (group II) with lidocaine and triamcinolone, with 23 patients in each group. Outcome measurements assessed the Numeric Pain Intensity Scores (NPIS 0-10) and the Oswestry Disability Index scores (ODI 0-50). There were no difference...Continue Reading

References

Dec 1, 1992·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·P J RyanI Fogelman
Dec 1, 1996·British Journal of Rheumatology·A L DolanT Gibson
Sep 22, 2000·Current Review of Pain·L Manchikanti
Feb 25, 2003·Techniques in Vascular and Interventional Radiology·M J B Stallmeyer, A Orlando Ortiz
Aug 9, 2005·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Nikolai Bogduk
Apr 6, 2006·The Journal of Bone and Joint Surgery. American Volume·John M CavanaughSrinivasu Kallakuri
Feb 28, 2007·Anesthesiology·Steven P Cohen, Srinivasa N Raja
Oct 24, 2007·Methods in Molecular Medicine·Ai Lyn TanDennis McGonagle
Oct 27, 2007·Neurosurgical Focus·Jill S Barnholtz-Sloan, Carol Kruchko

❮ Previous
Next ❯

Citations

Jul 16, 2015·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·David FreiermuthWilhelm Ruppen
Feb 5, 2011·Physical Medicine and Rehabilitation Clinics of North America·Jose Mena, Andrew L Sherman
Feb 5, 2010·The Spine Journal : Official Journal of the North American Spine Society·Conor O'Neill, Douglas K Owens
Aug 1, 2009·The Spine Journal : Official Journal of the North American Spine Society·Daoud MakkiTagreed Toma
Sep 3, 2016·The Journal of Pain : Official Journal of the American Pain Society·Daniel VardehClifford J Woolf
Sep 15, 2016·Neurology India·V V Ramesh ChandraA Y Lakshmi
May 8, 2018·American Journal of Physical Medicine & Rehabilitation·David J KennedyByron J Schneider
Sep 11, 2013·Nature Reviews. Rheumatology·David Borenstein
Nov 21, 2012·Nature Reviews. Rheumatology·Steven P CohenChad Brummett
Jun 2, 2020·Regional Anesthesia and Pain Medicine·Standiford Helm, Ramsin Benyamin
Apr 24, 2019·Journal of Clinical Medicine·Jun-Young ParkJeong-Hun Suh
Jan 3, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Oluwatobi O OnafowokanMike Hutton
Dec 13, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·David J KennedyByron J Schneider
Jul 14, 2020·Clinical Spine Surgery : a Spine Publication·Aditya MazmudarAlpesh A Patel

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.