Evidence-Based Invasive Treatment of Chronic Musculoskeletal Pain
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چکیده
Diagnostic Procedures Nerve blocks are the most common type of invasive diagnostic procedure. Their rationale is simple: if a certain anatomical structure is the source of pain, then anesthetizing its nerve supply should temporarily relieve the pain. Face and construct validity have been demonstrated for blocks of the nerves that supply the zygapophysial (facet) joints of the cervical and lumbar spine [6]. There is some evidence that selective blocks of the spinal nerves are sensitive and specific for identifying a nerve root as the source of pain [3]. Unfortunately, other types of nerve blocks have not been subjected to rigorous validation studies.
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