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cervical zygapophyseal joint pain

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https://www.readbyqxmd.com/read/27861839/widespread-pressure-pain-hypersensitivity-is-similar-in-women-with-frequent-episodic-and-chronic-tension-type-headache-a-blinded-case-control-study
#1
María Palacios Ceña, Matteo Castaldo, Kelun Wang, Paola Torelli, Paolo Pillastrini, César Fernández-de-Las-Peñas, Lars Arendt-Nielsen
OBJECTIVE: To investigate differences in widespread pressure pain hyperalgesia in the trigemino-cervical and extra-trigeminal (distant pain-free) regions in women with frequent episodic (FETTH) and chronic (CTTH) tension-type headache. BACKGROUND: It seems that people with tension-type headache exhibit central sensitization. No study has investigated differences between FETTH and CTTH in terms of widespread pressure pain hypersensitivity. METHODS: Forty-three women with FETTH, 42 with CTTH, and 45 women without headache diagnosis were recruited...
November 11, 2016: Headache
https://www.readbyqxmd.com/read/27735104/a-modified-posterolateral-approach-for-radiofrequency-denervation-of-the-medial-branch-of-the-cervical-segmental-nerve-in-cervical-facet-joint-pain-based-on-anatomical-considerations
#2
Maarten van Eerd, Arno Lataster, Micha Sommer, Jacob Patijn, Maarten van Kleef
The cervical facet joints, also called the zygapophyseal joints, are a potential source of neck pain (cervical facet joint pain). The cervical facet joints are innervated by the cervical medial branches (CMBs) of the cervical segmental nerves. Cervical facet joint pain has been shown to respond to multisegmental radiofrequency denervation of the cervical medial branches. This procedure is performed under fluoroscopic guidance. Currently, three approaches are described and used. Those three techniques of radiofrequency treatment of the CMBs, classified on the base of the needle trajectory toward the anatomical planes, are as follows: the posterolateral technique, the posterior technique, and the lateral technique...
October 13, 2016: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/27594664/morphology-of-cervical-spine-meniscoids-in-individuals-with-chronic-whiplash-associated-disorder-a-case-control-study
#3
Scott F Farrell, Peter G Osmotherly, Jon Cornwall, Peter Lau, Darren A Rivett
Study Design Case-control study. Background Cervical spine meniscoids are thought to contribute to neck pain and hypomobility in individuals with chronic whiplash-associated disorder (WAD); however, their morphology has not been studied in a clinical population. Objectives To investigate cervical spine meniscoid morphology in individuals with chronic WAD. Methods Twenty volunteers with chronic WAD (mean ± SD age, 39.3 ± 11.0 years; 10 female) and 20 age- and sex-matched controls (age, 39.1 ± 10.6 years) underwent cervical spine magnetic resonance imaging...
October 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27298080/immunohistochemical-investigation-of-nerve-fibre-presence-and-morphology-in-elderly-cervical-spine-meniscoids
#4
Scott F Farrell, Peter G Osmotherly, Jon Cornwall, Darren A Rivett
BACKGROUND CONTEXT: Innervation of anatomical structures is fundamental to their capacity to generate nociceptive impulses. Cervical spine meniscoids are hypothesised to be contributors to neck pain, however their innervation is not comprehensively understood. PURPOSE: To examine the presence and morphology of nerve fibres within cervical spine meniscoids and adjacent joint capsules. STUDY DESIGN: Cross-sectional study. SAMPLE: Cervical hemispines of 12 embalmed cadavers (mean [SD] age 82...
June 10, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27084411/women-with-chronic-and-episodic-migraine-exhibit-similar-widespread-pressure-pain-sensitivity
#5
María Palacios-Ceña, Lidiane Lima Florencio, Gabriela Natália Ferracini, Johanna Barón, Ángel L Guerrero, Carlos Ordás-Bandera, Lars Arendt-Nielsen, César Fernández-de-Las-Peñas
OBJECTIVE: To investigate widespread pressure hyperalgesia in the trigemino-cervical and extra-trigeminal (distant pain-free) regions in women with episodic and chronic migraine. METHODS: Fifty-one women with episodic migraine, 52 women with chronic migraine, and 52 healthy women without headache history were recruited. Pressure pain thresholds (PPT) were bilaterally assessed over the trigeminal area (i.e., temporalis muscle), cervical area (i.e., C5/C6 zygapophyseal joint), and two extra-trigeminal areas (i...
November 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/27018055/chronic-whiplash-associated-disorders-wad-responses-to-nerve-blocks-of-cervical-zygapophyseal-joints
#6
Mats Persson, Jan Sörensen, Björn Gerdle
OBJECTIVE: This study explores the prevalence of facet joint pain in chronic Whiplash Associated Disorder (WAD). DESIGN: Forty-seven patients with chronic WAD were scheduled for medial branch blocks of the cervical spine. METHODS: The patient's localization of the pain together with established pain maps guided to the first level of zygapophyseal joint to be tested. The joint was anesthetized by injecting bupivacaine (0.5 ml; 5 mg/ml) to the medial branches of the cervical dorsal rami above and below the joint...
March 27, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/26904960/anatomical-specificities-of-the-degenerated-cervical-spine-a-narrative-review-of-clinical-implications-with-special-focus-on-targeted-spinal-injections
#7
REVIEW
Christelle Nguyen, Katherine Sanchez, Alexandra Roren, Clémence Palazzo, Laëtitia Falcou, Jean-Luc Drapé, François Rannou, Serge Poiraudeau, Marie-Martine Lefèvre-Colau
BACKGROUND: Cervical radiculopathy is most often related to foraminal stenosis due to osteoarthritic changes of the uncovertebral joints anteriorly or zygapophyseal joints posteriorly, rather than disc herniation. OBJECTIVES: To describe anatomical specificities of the degenerated cervical spine. METHODS: A critical narrative review was conducted. Articles were non-systematically selected and based on authors' expertise, self-knowledge, and reflective practice...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/26406215/percutaneous-radiofrequency-rhizotomy-for-cervical-zygapophyseal-joint-mediated-neck-pain-a-retrospective-review-of-outcomes-in-forty-four-cases
#8
Patricia Duff, Basabjit Das, Connail McCrory
BACKGROUND: Percutaneous radiofrequency (RF) rhizotomy of the medial branches of the dorsal rami from the spinal nerves is the standard treatment for cervical zygapophyseal joint mediated pain. There is a paucity of data regarding the longevity of analgesia following this procedure. OBJECTIVE: To determine the duration of complete pain relief, analgesic consumption and any adverse events following percutaneous cervical RF rhizotomy. METHODS: Retrospective chart review of patients who had undergone percutaneous cervical RF rhizotomy for zygapophyseal joint mediated neck pain...
2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/26240991/pain-from-intra-articular-ngf-or-joint-injury-in-the-rat-requires-contributions-from-peptidergic-joint-afferents
#9
Jeffrey V Kras, Christine L Weisshaar, Parul S Pall, Beth A Winkelstein
Non-physiological stretch of the cervical facet joint's capsular ligament induces persistent behavioral hypersensitivity and spinal neuronal hyperexcitability via an intra-articular NGF-dependent mechanism. Although that ligament is innervated by nociceptors, it is unknown if a subpopulation is exclusively responsible for the behavioral and spinal neuronal responses to intra-articular NGF and/or facet joint injury. This study ablated joint afferents using the neurotoxin saporin targeted to neurons involved in either peptidergic ([Sar(9),Met (O2)(11)]-substance P-saporin (SSP-Sap)) or non-peptidergic (isolectin B4-saporin (IB4-Sap)) signaling to investigate the contributions of those neuronal populations to facet-mediated pain...
September 14, 2015: Neuroscience Letters
https://www.readbyqxmd.com/read/26218948/a-systematic-review-and-best-evidence-synthesis-of-the-effectiveness-of-therapeutic-facet-joint-interventions-in-managing-chronic-spinal-pain
#10
REVIEW
Laxmaiah Manchikanti, Alan D Kaye, Mark V Boswell, Sanjay Bakshi, Christopher G Gharibo, Vahid Grami, Jay S Grider, Sanjeeva Gupta, Sachin Sunny Jha, Dharam P Mann, Devi E Nampiaparampil, Manohar Lal Sharma, Lindsay N Shroyer, Vijay Singh, Amol Soin, Ricardo Vallejo, Bradley W Wargo, Joshua A Hirsch
BACKGROUND: The therapeutic spinal facet joint interventions generally used for the treatment of axial spinal pain of facet joint origin are intraarticular facet joint injections, facet joint nerve blocks, and radiofrequency neurotomy. Despite interventional procedures being common as treatment strategies for facet joint pathology, there is a paucity of literature investigating these therapeutic approaches. Systematic reviews assessing the effectiveness of various therapeutic facet joint interventions have shown there to be variable evidence based on the region and the modality of treatment utilized...
July 2015: Pain Physician
https://www.readbyqxmd.com/read/26218947/a-best-evidence-systematic-appraisal-of-the-diagnostic-accuracy-and-utility-of-facet-zygapophysial-joint-injections-in-chronic-spinal-pain
#11
REVIEW
Mark V Boswell, Laxmaiah Manchikanti, Alan D Kaye, Sanjay Bakshi, Christopher G Gharibo, Sanjeeva Gupta, Sachin Sunny Jha, Devi E Nampiaparampil, Thomas T Simopoulos, Joshua A Hirsch
BACKGROUND: Spinal zygapophysial, or facet, joints are a source of axial spinal pain and referred pain in the extremities. Conventional clinical features and other noninvasive diagnostic modalities are unreliable in diagnosing zygapophysial joint pain. STUDY DESIGN: A systematic review of the diagnostic accuracy of spinal facet joint nerve blocks. OBJECTIVE: To determine the diagnostic accuracy of spinal facet joint nerve blocks in chronic spinal pain...
July 2015: Pain Physician
https://www.readbyqxmd.com/read/25882866/pain-is-associated-to-clinical-psychological-physical-and-neurophysiological-variables-in-women-with-carpal-tunnel-syndrome
#12
Juan J Fernández-Muñoz, María Palacios-Ceña, Margarita Cigarán-Méndez, Ricardo Ortega-Santiago, Ana I de-la-Llave-Rincón, Jaime Salom-Moreno, César Fernández-de-las-Peñas
OBJECTIVES: To investigate potential relationships of clinical (age, function, side of pain, years with pain), physical (cervical range of motion, pinch grip force), psychological (depression), and neurophysiological (pressure and thermal pain thresholds) outcomes and hand pain intensity in carpal tunnel syndrome (CTS). METHODS: Two hundred and forty-four (n=224) women with CTS were recruited. Demographic data, duration of the symptoms, function and severity of the disease, pain intensity, depression, cervical range of motion, pinch tip grip force, heat/cold pain thresholds (HPT/CPT), and pressure pain thresholds (PPT) were collected...
February 2016: Clinical Journal of Pain
https://www.readbyqxmd.com/read/25775740/surgical-results-of-old-distractive-flexion-injury-of-subaxial-cervical-spine-report-of-ten-cases
#13
Torphong Bunmaprasert, Premchai Tirangkura
BACKGROUND: Acute distractive-flexion injury of subaxial cervical spine (C3-C7) results in facet subluxation or dislocation. However, when the injury is missed or neglected, it may cause serious complications including axial pain, deformity and neurological deficit. OBJECTIVE: To demonstrate the pathoanatomy, presentation and management of these injuries. MATERIAL AND METHOD: The present study was conducted retrospectively at Chiang Mai University Hospital during 2008-2011...
January 2015: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/25702178/bony-fusion-in-a-chronic-cervical-bilateral-facet-dislocation
#14
Alexa Bodman, Lawrence Chin
BACKGROUND: Cervical facet dislocation injuries typically present shortly after occurrence due to the pain and neurologic deficit that can be associated with this injury. Bilateral dislocations of the facet joint require prompt evaluation, reduction, and surgical intervention. Rare case reports present bilateral dislocations presenting in a delayed fashion. CASE REPORT: We report the case of a 60-year-old male who presented with mild neck pain 1 year after initial injury...
February 22, 2015: American Journal of Case Reports
https://www.readbyqxmd.com/read/25632768/-first-guidelines-of-croatian-interest-group-in-diagnosing-and-treating-pain-conditions-of-cervical-and-thoracic-spine-using-minimally-invasive-procedures
#15
Karlo Houra, Darko Ledić, Dražen Kvesić, Darko Perović, Ivan Radoš, Leonardo Kapural
Pain syndromes originating from cervical and thoracic spine remain to be a major public health problem. Medical expenses in general and surgical procedures associated with overall care for the neck and thoracic pain are high and growing. Furthermore, these two chronic pain conditions are also leading causes for missed workdays. Chronic pain syndromes originating from cervical spine are most commonly caused by degenerative changes of the facet joints. Cervi- cobrachial syndrome is most commonly caused by herniated discs...
September 2014: Lijec̆nic̆ki Vjesnik
https://www.readbyqxmd.com/read/25527021/the-anatomy-and-morphometry-of-cervical-zygapophyseal-joint-meniscoids
#16
Scott F Farrell, Peter G Osmotherly, Jon Cornwall, Darren A Rivett
PURPOSE: Meniscoids are folds of synovial membrane that project into the articular cavities of zygapophyseal joints throughout the cervical spine. These structures have been implicated in musculoskeletal neck pain; however, their anatomy has not been extensively investigated. The purpose of this study was to explore the morphometry and composition of the cervical zygapohyseal joint meniscoids. METHODS: Twelve adult cadaveric hemi-spines were dissected and their C2-3 to C6-7 zygapophyseal joints disarticulated (six female; six left; mean 81...
September 2015: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/25354696/surgical-approaches-for-cervical-spine-facet-dislocations-in-adults
#17
REVIEW
David Del Curto, Marcel Jun Tamaoki, Délio E Martins, Eduardo Barros Puertas, João Carlos Belloti
BACKGROUND: The choice of surgical approach for the management of subaxial cervical spine facet dislocations is a controversial subject amongst spine surgeons. Reasons for this include differences in the technical familiarity and experience of surgeons with the different surgical approaches, and variable interpretation of image studies regarding the existence of a traumatic intervertebral disc herniation and of the neurological status of the patient. Moreover, since the approaches are dissimilar, important variations are likely in neurological, radiographical and clinical outcomes...
October 30, 2014: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25303617/myofibroma-of-the-cervical-spine-presenting-as-brachialgia
#18
Benjamin M Davies, Daniel du Plessis, Kanna K Gnanalingham
Myofibromas are rare, benign tumors of myofibroblasts. Their occurrence in adults, involving bone outside of the head and neck, is especially uncommon. The authors report the case of a 34-year-old woman who presented with left-sided brachialgia. Magnetic resonance imaging identified an expansile soft-tissue lesion of the C6-7 facet joint. En bloc resection via a left posterior midline approach was undertaken. Histopathological analysis confirmed the lesion to be a myofibroma. Brachialgia resolved following surgery and there is no evidence of recurrence at 20 months follow-up...
December 2014: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/25296741/mobilization-versus-manipulations-versus-sustain-apophyseal-natural-glide-techniques-and-interaction-with-psychological-factors-for-patients-with-chronic-neck-pain-randomized-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
A Lopez-Lopez, J L Alonso Perez, J L González Gutierez, R La Touche, S Lerma Lara, H Izquierdo, J Fernández-Carnero
BACKGROUND: Three different types of manual therapy techniques for patients with neck pain and relationship with psychological factors has not been evaluated. AIM: To compare the effectiveness high velocity and low amplitude (HVLA) manipulation vs. posteroanterior mobilization (PA mob) vs. sustain appophyseal natural glide (SNAG) in the management of patients with neck pain and to evaluate the interaction with psychological factors. STUDY DESING: Randomized clinical trial...
April 2015: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/25277533/prevalence-of-degenerative-changes-of-the-atlanto-axial-joints
#20
Marcel W Betsch, Sabina R Blizzard, Matthew S Shinseki, Jung U Yoo
BACKGROUND CONTEXT: Degeneration of the atlantodens and atlanto-axial joints is associated with cervical spine pain and may also be associated with an increased risk of dens fracture. However, there is paucity of literature describing the prevalence of specific degenerative changes in the atlantodens and atlanto-axial facet joints. PURPOSE: To document age-related degenerative changes of the cervical spine in a large cohort of patients. STUDY DESIGN/SETTING: This is a retrospective cohort study...
February 1, 2015: Spine Journal: Official Journal of the North American Spine Society
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