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cervical zygapophyseal joint pain

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https://www.readbyqxmd.com/read/29755174/clinical-diagnostic-tests-versus-medial-branch-blocks-for-adults-with-persisting-cervical-zygapophyseal-joint-pain-a-systematic-review-and-meta-analysis
#1
Kendra Usunier, Mark Hynes, James Michael Schuster, Annie Cornelio-Jin Suen, Jackie Sadi, David Walton
Purpose: A systematic review and meta-analysis were performed to identify clinical tests for diagnosing cervical zygapophyseal joint pain (CZP) and to determine their diagnostic accuracy. Method: A search strategy was carried out to find relevant evidence published in CINAHL, Embase, MEDLINE, and PEDro from 1980 to January 1, 2015, pertaining to the clinical diagnosis of CZP. Quality assessment was completed using the Quality Assessment of Diagnostic Accuracy Studies-2. Results were analyzed to pool sensitivity and specificity and clarify diagnostic value...
2018: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/29741743/radiofrequency-denervation-improves-health-related-quality-of-life-in-patients-with-thoracic-zygapophyseal-joint-pain
#2
Johan Hambraeus, Kjerstin S Hambraeus, Jan Persson
Objective: To describe a practical approach for the diagnosis and treatment of thoracic zygapophyseal joint pain and to present preliminary clinical data on the effects of this treatment approach on health-related quality of life. Design: An observational study. Setting: Specialist outpatient pain clinic in northern Sweden. Subjects: Patients with long-term thoracic pain. Methods: We describe a method of radiofrequency denervation of thoracic zygapophyseal joints...
May 1, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29558836/after-effects-of-neck-muscle-vibration-on-sensorimotor-function-and-pain-in-neck-pain-patients-and-healthy-controls-a-case-control-study
#3
Konstantin Beinert, Volker Englert, Wolfgang Taube
PURPOSE: Neck muscle vibration immediately improves cervical joint position sense and dynamic postural control but increases pressure pain thresholds in neck pain patients. The aim of this study was to explore longer lasting effects of neck muscle vibration on sensorimotor control and pressure pain threshold. MATERIALS AND METHODS: Five series of neck muscle vibration were delivered to 15 neck pain patients and 11 healthy controls in this case control study. Outcomes were cervical joint position sense, arm-matching acuity, and pressure pain threshold at the zygapophyseal joint of C2/C3, the angulus superior, and the tibialis anterior muscle...
March 21, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29229055/immediate-effects-of-upper-cervical-translatoric-mobilization-on-cervical-mobility-and-pressure-pain-threshold-in-patients-with-cervicogenic-headache-a-randomized-controlled-trial
#4
Miguel Malo-Urriés, José Miguel Tricás-Moreno, Elena Estébanez-de-Miguel, César Hidalgo-García, Andoni Carrasco-Uribarren, Sara Cabanillas-Barea
OBJECTIVE: The purpose of this study was to evaluate the immediate effects of upper cervical translatoric spinal mobilization (UC-TSM) on cervical mobility and pressure pain threshold in subjects with cervicogenic headache (CEH). METHODS: Eighty-two volunteers (41.54 ± 15.29 years, 20 male and 62 female) with CEH participated in the study and were randomly divided into the control and treatment groups. The treatment group received UC-TSM and the control group remained in the same position for the same time as the UC-TSM group, but received no treatment...
November 2017: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/28319883/the-influence-of-a-depressed-scapular-alignment-on-upper-limb-neural-tissue-mechanosensitivity-and-local-pressure-pain-sensitivity
#5
Patricia Martínez-Merinero, Enriqe Lluch, Tomas Gallezo-Izquierdo, Daniel Pecos-Martín, Gustavo Plaza-Manzano, Susana Nuñez-Nagy, Deborah Falla
BACKGROUND: A depressed scapular alignment could lead to prolonged and repetitive stress or compression of the brachial plexus, resulting in sensitization of neural tissue. However, no study has investigated the influence of alignment of the scapulae on sensitization of upper limb neural tissue in otherwise asymptomatic people. In this case-control study, we investigate the influence of a depressed scapular alignment on mechanosensitivity of the upper limb peripheral nervous system as well as pressure pain thresholds (PPT)...
June 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28025352/chronic-whiplash-associated-disorders-wad-responses-to-nerve-blocks-of-cervical-zygapophyseal-joints
#6
RANDOMIZED CONTROLLED TRIAL
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...
December 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
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
#7
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...
February 2017: 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
#8
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...
June 2017: 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
#9
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-fiber-presence-and-morphology-in-elderly-cervical-spine-meniscoids
#10
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 hypothesized to be contributors to neck pain; however, their innervation is not comprehensively understood. PURPOSE: This study aimed to examine the presence and morphology of nerve fibers within cervical spine meniscoids and adjacent joint capsules. STUDY DESIGN: This is a cross-sectional study...
October 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
#11
COMPARATIVE STUDY
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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