Lumbar Zygapophysial Joint Evaluation and Treatment
نویسنده
چکیده
Whereas the existence of " facet syndrome " is debatable, most clinicians currently agree that lumbar z-joints are a common source of low back pain. This premise is strongly supported by numerous anatomic and clinical studies.
منابع مشابه
Pathogenesis, diagnosis, and treatment of lumbar zygapophysial (facet) joint pain.
Lumbar zygapophysial joint arthropathy is a challenging condition affecting up to 15% of patients with chronic low back pain. The onset of lumbar facet joint pain is usually insidious, with predisposing factors including spondylolisthesis, degenerative disc pathology, and old age. Despite previous reports of a "facet syndrome," the existing literature does not support the use of historic or phy...
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BACKGROUND Zygapophysial joint arthrosis is a pathology related with axial lumbar pain. The most accepted treatment, after failure of medical management, is the thermal denervation of the medial branch. Nonetheless, the placement of the heat probe remains a challenge to surgeons, even when using the fluoroscope. Using a variation of Shealy's and Bogduk's original techniques, which includes abla...
متن کاملRadiofrequency denervation for neck and back pain: a systematic review within the framework of the cochrane collaboration back review group.
STUDY DESIGN Systematic review. OBJECTIVE To assess the effectiveness of radiofrequency denervation for the treatment of musculoskeletal pain disorders. SUMMARY OF BACKGROUND DATA There is a lack of effective treatment for chronic zygapophysial joint pain and discogenic pain. Radiofrequency denervation appears to be an emerging technology, with substantial variation in its use. METHODS Or...
متن کاملOn diagnostic blocks for lumbar zygapophysial joint pain
Diagnostic blocks are used to identify patients with back pain stemming from their lumbar zygapophysial joints. Single, diagnostic blocks have an unacceptably high false positive rate. As well, comparative local anaesthetic blocks lack validity because the prevalence of the condition is low. Relying on 50% relief following single-diagnostic blocks does not provide a valid diagnosis. Placebo-con...
متن کاملControlled zygapophysial joint blocks: the travesty of cost-effectiveness.
OBJECTIVE The aim of this study was to develop equations by which the costs could be compared of various models of performing diagnostic blocks for spinal pain. DESIGN Algorithms were elaborated describing different strategies for the diagnosis of cervical or lumbar zygapophysial joint pain using placebo-controlled diagnostic blocks, comparative local anaesthetic blocks, or no control blocks,...
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تاریخ انتشار 2005