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facet joint injection

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https://www.readbyqxmd.com/read/27906940/a-new-technique-for-the-treatment-of-lumbar-facet-joint-syndrome-using-intra-articular-injection-with-autologous-platelet-rich-plasma
#1
Jiuping Wu, Zhenwu Du, Yang Lv, Jun Zhang, Wei Xiong, Ruiqiang Wang, Rui Liu, Guizhen Zhang, Qinyi Liu
BACKGROUND AND OBJECTIVES: Lumbar facet joint syndrome is currently suggested to be a main source of axial low back pain, and a large portion of axial low back pain is caused by disorders in lumbar facet joints. Intra-articular injection is one of the most common treatment methods in the early clinical application. Therefore, we attempt to seek a new injectable material, autologous platelet rich plasma (PRP), to treat lumbar facet syndrome, as well as to assess its therapeutic effectiveness and safety...
November 2016: Pain Physician
https://www.readbyqxmd.com/read/27891035/intradiscal-and-intra-articular-facet-infiltrations-with-plasma-rich-in-growth-factors-reduce-pain-in-patients-with-chronic-low-back-pain
#2
Fernando Kirchner, Eduardo Anitua
CONTEXT: Low back pain (LBP) is a complex and disabling condition, and its treatment becomes a challenge. AIMS: The aim of our study was to assess the clinical outcome of plasma rich in growth factors (PRGF-Endoret) infiltrations (one intradiscal, one intra-articular facet, and one transforaminal epidural injection) under fluoroscopic guidance-control in patients with chronic LBP. PRGF-Endoret which has been shown to be an efficient treatment to reduce joint pain...
October 2016: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/27833319/-99m-tc-methylene-diphosphonate-single-photon-emission-computed-tomography-computed-tomography-improves-the-diagnostic-accuracy-of-osteoid-osteoma
#3
Samuel Brian Squier, Jacob Ian Lewis, Joseph Matthew Accurso, Manoj Kumar Jain
We present a case of a 17-year-old football player who had previously received multiple facet joint injections for presumed secondary osteoarthritis. (99)mTc-methylene diphosphonate single-photon emission computed tomography/computed tomography imaging of the cervical spine demonstrated focal increased radiopharmaceutical activity in the right C2 lamina, which was associated with an osteolytic lesion with a central irregular sclerotic nidus. Surgical pathology confirmed an osteoid osteoma.
October 2016: Indian Journal of Nuclear Medicine: IJNM: the Official Journal of the Society of Nuclear Medicine, India
https://www.readbyqxmd.com/read/27825575/decreased-patient-exposure-to-ionizing-radiation-during-interventional-rheumatology-procedures-after-optimization-of-protection
#4
Céline Cozic, Fabien Audran, Christophe Blanchard, Christophe David, Vincent Andre, Michel Caulier, Stéphane Varin, Gilles Tanguy, Jérôme Dimet, Grégoire Cormier
OBJECTIVES: To decrease radiation exposure of patients undergoing interventional rheumatology procedures, without adversely affecting quality of care. METHODS: The radiation dose received, assessed by the dose-area product (DAP), was measured during 283 intraarticular injections performed under fluoroscopic guidance between May and July 2013. Then, three steps were taken to decrease patients' radiation exposure: a copper filter was added, the anti-scatter grid was removed, and exposure cell sensitivity was set at the highest value...
November 4, 2016: Joint, Bone, Spine: Revue du Rhumatisme
https://www.readbyqxmd.com/read/27815597/ultrasound-versus-fluoroscopy-guided-cervical-medial-branch-block-for-the-treatment-of-chronic-cervical-facet-joint-pain-a-retrospective-comparative-study
#5
Ki Deok Park, Dong-Ju Lim, Woo Yong Lee, JaeKi Ahn, Yongbum Park
OBJECTIVE: To compare the mid-term effects and advantages of the ultrasound (US)-guided with fluoroscopy(FL)-guided cervical medial branch blocks (CMBBs) for chronic cervical facet joint pain through assessment of pain relief, functional improvement, and injection efficiency. METHODS: Patients with chronic cervical facet joint pain who received US- (n = 68) or FL-guided CMBBs (n = 58) were included in this retrospective study. All procedures were performed using a FL or US...
November 4, 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/27803810/delayed-onset-of-a-spinal-epidural-hematoma-after-facet-joint-injection
#6
Mirko Velickovic, Tobias M Ballhause
The treatment of chronic back pain is a challenging problem. Facet joint infiltration is an established treatment for chronic low back pain caused by arthrosis of the lumbar facet joints. Due to the increasing number of patients with chronic low back pain, this therapy has become more frequent. We treated a 51-year-old male patient, who developed an epidural hematoma 2 months after infiltration therapy. Our case shows that even a delayed onset of spinal epidural hematoma is possible and should be kept in mind as a possible cause of acute myelopathy after spinal intervention...
2016: SAGE open medical case reports
https://www.readbyqxmd.com/read/27793242/spinal-injection-of-local-anesthetic-during-cervical-facet-joint-injection
#7
Juan A Ramos
INTRODUCTION: Facet joint pain is a common source of non-radicular back pain worldwide. Non-surgical interventional modalities remain the mainstay in the treatment of facetogenic back pain and comprise the second most commonly performed interventional pain procedures in the USA. CASE: A 36 year-old man with chronic cervical pain secondary to C6-C7 facet arthrosis radiographically, underwent diagnostic local anesthetic bilateral facet joint injection under fluoroscopic guidance...
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27792054/evaluation-and-treatment-of-lumbar-facet-cysts
#8
Barrett S Boody, Jason W Savage
Lumbar facet cysts are a rare but increasingly common cause of symptomatic nerve root compression and can lead to radiculopathy, neurogenic claudication, and cauda equina syndrome. The cysts arise from the zygapophyseal joints of the lumbar spine and commonly demonstrate synovial herniation with mucinous degeneration of the facet joint capsule. Lumbar facet cysts are most common at the L4-L5 level and often are associated with spondylosis and degenerative spondylolisthesis. Advanced imaging studies have increased diagnosis of the cysts; however, optimal treatment of the cysts remains controversial...
December 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27683697/far-lateral-microdiscectomy-a-minimally-invasive-surgical-technique-for-the-treatment-of-far-lateral-lumbar-disc-herniation
#9
Kevin Phan, Alexander E Dunn, Prashanth J Rao, Ralph J Mobbs
Lumbar disc herniation arises when the annulus fibrosus of the vertebral disc fails, thus allowing displacement of the nucleus pulposus and other tissue. The term far lateral is used variably in the literature and usually refers to an extraforaminal displacement in the peridiscal zone peripheral to the sagittal plane of the most lateral part of the pedicle at the same level. Non-surgical treatments of far lateral disc herniation include physical therapy, anti-inflammatory medication, and corticosteroid injections...
March 2016: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/27673143/poster-390-effect-of-atlanto-axial-joint-injection-in-treatment-of-cervical-facet-arthropathy-a-case-report
#10
Katarzyna Iwan, Matthew C Kruppenbacher, Annie G Philip
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27668585/clinical-effects-of-computed-tomography-guided-lumbosacral-facet-joint-transforaminal-epidural-and-translaminar-epidural-injections-of-methylprednisolone-acetate-in-healthy-dogs
#11
Annalisa P Liotta, Maud Girod, Dominique Peeters, Charlotte Sandersen, Thierry Couvreur, Géraldine Bolen
OBJECTIVE To determine clinical effects of CT-guided lumbosacral facet joint, transforaminal epidural, and translaminar epidural injections of methylprednisolone acetate in healthy dogs. ANIMALS 15 healthy Beagles. PROCEDURES Dogs were randomly assigned to 3 groups (5 dogs/group) and received a single CT-guided lumbosacral facet joint, transforaminal epidural, or translaminar epidural injection of methylprednisolone acetate (0.1 mg/kg). Contrast medium was injected prior to injection of methylprednisolone to verify needle placement...
October 2016: American Journal of Veterinary Research
https://www.readbyqxmd.com/read/27648509/evaluation-of-a-robotic-assistance-system-for-percutaneous-computed-tomography-guided-ct-guided-facet-joint-injection-a-phantom-study
#12
Lukas Philipp Beyer, Katharina Michalik, Christoph Niessen, Natascha Platz Batista da Silva, Isabell Wiesinger, Christian Stroszczynski, Philipp Wiggermann
BACKGROUND The aim of this study was to compare robotic assisted and freehand facet joint puncture on a phantom model in regards to time requirements and puncture accuracy. MATERIAL AND METHODS Forty facet joints were punctured, 20 using a robotic guidance system and 20 using a freehand procedure. Side and height of the facet joints were randomized and identical for both groups. Procedural accuracy, defined as axial and sagittal deviation, as well as the number of corrections were assessed. Procedure times for each step were documented and time requirements for pre-positioning, reconstruction, planning, and total intervention were calculated...
September 20, 2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27646014/utilization-of-facet-joint-and-sacroiliac-joint-interventions-in-medicare-population-from-2000-to-2014-explosive-growth-continues
#13
REVIEW
Laxmaiah Manchikanti, Joshua A Hirsch, Vidyasagar Pampati, Mark V Boswell
Increasing utilization of interventional techniques in managing chronic spinal pain, specifically facet joint interventions and sacroiliac joint injections, is a major concern of healthcare policy makers. We analyzed the patterns of utilization of facet and sacroiliac joint interventions in managing chronic spinal pain. The results showed significant increase of facet joint interventions and sacroiliac joint injections from 2000 to 2014 in Medicare FFS service beneficiaries. Overall, the Medicare population increased 35 %, whereas facet joint and sacroiliac joint interventions increased 313...
October 2016: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/27639917/facet-joint-injection-versus-epidural-steroid-injection-for-lumbar-spinal-stenosis-intra-individual-study
#14
E Shim, J W Lee, E Lee, T Im, Y Kang, J M Ahn, H S Kang
AIM: To evaluate the efficacy of facet joint injection (FJI) for patients with lumbar central canal stenosis (LCS) in comparison with epidural steroid injection (ESI) in the same individuals. MATERIAL AND METHODS: Two hundred and fifty-two patients who underwent both FJI and ESI for LCS between January 2014 and December 2014 were considered for enrolment in the study. A radiologist retrospectively conducted a chart review and recorded which injection was chosen as the third injection after sequential injections of FJI and ESI, and why clinicians chose the particular injection method...
October 8, 2016: Clinical Radiology
https://www.readbyqxmd.com/read/27625236/an-algorithmic-approach-for-clinical-management-of-low-back-pain
#15
V V Ramesh Chandra, B C M Prasad, C Krishna Mohan, T C Kalawat, V Satyanarayana, A Y Lakshmi
BACKGROUND: Low back pain is caused by a variety of conditions. When conventional imaging failed, single-photon emission computed tomography (SPECT) was superior to scintigraphy in identifying the pathology. Injection therapies are often helpful in treating the pathology. AIM: To determine the cause of chronic low backache in individuals with normal conventional imaging (radiographs, computed tomography and magnetic resonance imaging), to determine the specific pathology using scintigraphic studies and diagnostic blocks; and, to treat the individuals with various spinal injection techniques and determine their efficacy...
September 2016: Neurology India
https://www.readbyqxmd.com/read/27618781/percutaneous-radiofrequency-facet-capsule-denervation-as-an-alternative-target-in-lumbar-facet-syndrome
#16
Wael Mohamed Mohamed Moussa, Wael Khedr
OBJECTIVES: Percutaneous radiofrequency denervation of the medial dorsal branch is often used in chronic low back pain of intervertebral facet etiology, which is sometimes difficult to perform and recurrence of pain often ensues. We theorized that shifting the target of RF coagulation to the facet joint capsule would provide an easier target and a longer-lived pain relieving response. PATIENTS AND METHODS: A prospective randomized controlled trial where 120 patients diagnosed with CLBP of a confirmed facet origin were randomly divided into three equal groups, the first was submitted to percutaneous radiofrequency coagulation of the facet joint capsule, the second underwent percuataneous denervation of the medial dorsal branch and the third did not receive radiofrequency lesioning...
November 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27592559/ultrasound-guided-spine-anesthesia-feasibility-study-of-a%C3%A2-guidance-system
#17
Alexander Seitel, Samira Sojoudi, Jill Osborn, Abtin Rasoulian, Saman Nouranian, Victoria A Lessoway, Robert N Rohling, Purang Abolmaesumi
Spinal needle injections are guided by fluoroscopy or palpation, resulting in radiation exposure and/or multiple needle re-insertions. Consequently, guiding these procedures with live ultrasound has become more popular, but images are still challenging to interpret. We introduce a guidance system based on augmentation of ultrasound images with a patient-specific 3-D surface model of the lumbar spine. We assessed the feasibility of the system in a study on 12 patients. The system could accurately provide augmentations of the epidural space and the facet joint for all subjects...
December 2016: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/27523428/cervical-facet-joint-imaging-guided-injections-a-comparison-of-outcomes-in-patients-referred-based-on-imaging-findings-vs-palpation-for-pain
#18
Yann Le Clec'h, Cynthia K Peterson, Florian Brunner, Christian W A Pfirrmann
OBJECTIVES: The purpose of this study was to compare outcomes of patients referred for cervical facet joint injections by either a medical doctor (MD) primarily basing the selection of facet levels on structural changes found on imaging vs a doctor of chiropractic (DC) selecting the levels for injection based on palpation for pain. METHODS: This was a prospective cohort outcome study including 121 consecutive patients receiving cervical facet injections with completed outcomes questionnaires...
September 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/27468672/ultrasound-guided-spinal-procedures-for-pain-a-review
#19
REVIEW
Mark-Friedrich B Hurdle
As the population ages, more patients are developing degenerative changes of the spine and associated pain. Although interventional procedures for axial and radicular spine pain have been available for decades, common imaging modalities have relied on ionizing radiation for guidance. Over the past decade, ultrasound has become increasingly popular to image both peripheral musculoskeletal and axial structures. This article reviews the use of ultrasound in the guidance of spine procedures, including cervical and lumbar facet injections and medial branch blocks, third occipital nerve blocks, thoracic facet and costotransverse joint injections, sacroiliac joint injections, and caudal and interlaminar epidural injections...
August 2016: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/27442000/an-investigation-on-the-effect-of-improved-x-rays-guided-radiofrequency-thermocoagulation-denervation-on-lumbar-facet-joint-syndrome
#20
Qin Zhou, Fang Zhou, Long Wang, Kang Liu
OBJECTIVES: This study aims to observe the clinical efficacy and feasibility of improved X-rays-guided radiofrequency thermocoagulation denervation for treating low back pain secondary to lumbar facet joint syndrome (LFJS). PATIENTS AND METHODS: Eighty LFJS patients were randomly assigned into two groups: the denervation group (n=40), treated with percutaneous radiofrequency thermocoagulation denervation on the lumbar facet joint, and the control group (n=40), injected with betamethasone and lidocaine into the lumbar facet joint...
September 2016: Clinical Neurology and Neurosurgery
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