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https://www.readbyqxmd.com/read/29999203/seeing-the-site-of-treatment-improves-habitual-pain-but-not-cervical-joint-position-sense-immediately-after-manual-therapy-in-chronic-neck-pain-patients
#1
K Beinert, B Lutz, W Zieglgänsberger, M Diers
BACKGROUND: Visual analgesia refers to the phenomena where people report decreased pain intensity when they see the painful or painfully-stimulated body part. Alongside pain, sensorimotor impairment (i.e. disturbed proprioception) is also evident in chronic pain. This study aims to investigate whether real-time visual feedback offers additional pain relief and proprioceptive improvement when used in combination with recommended therapies in neck pain patients who received manual therapy with or without real-time visual feedback...
July 12, 2018: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/29871375/improving-fluoroscopic-visualization-for-lower-cervical-medial-branch-blocks-with-a-modified-swimmer-s-view-a-technical-report
#2
David S Stolzenberg, Ryan Pheifer, Joshua Armstrong, George Young, Jeffrey Gehret, Jeremy Simon, George C Chang-Chien
BACKGROUND: Neural blockade of the cervical medial branches is a validated procedure in the diagnosis and treatment of cervical zygapophyseal joint pain. Fluoroscopic visualization of the lower cervical medial branch target zones (CMBTZs) in lateral view is sometimes challenging or not possible due to the patient's shoulders obscuring the target. Large shoulders and short necks often exacerbate the problem. Clear visualization is critical to accuracy and safety. OBJECTIVE: We aim to describe a method for optimal fluoroscopic visualization of the lower CMBTZs using a modified swimmer's view...
May 2018: Pain Physician
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
#3
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
#4
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
#5
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/29494214/facet-joints-of-the-spine-structure-function-relationships-problems-and-treatments-and-the-potential-for-regeneration
#6
Siobhan A O'Leary, Nikolaos K Paschos, Jarrett M Link, Eric O Klineberg, Jerry C Hu, Kyriacos A Athanasiou
The zygapophysial joint, a diarthrodial joint commonly referred to as the facet joint, plays a pivotal role in back pain, a condition that has been a leading cause of global disability since 1990. Along with the intervertebral disc, the facet joint supports spinal motion and aids in spinal stability. Highly susceptible to early development of osteoarthritis, the facet is responsible for a significant amount of pain in the low-back, mid-back, and neck regions. Current noninvasive treatments cannot offer long-term pain relief, while invasive treatments can relieve pain but fail to preserve joint functionality...
June 4, 2018: Annual Review of Biomedical Engineering
https://www.readbyqxmd.com/read/29261533/intra-articular-triamcinolone-versus-hyaluronate-injections-for-low-back-pain-with-symptoms-suggestive-of-lumbar-zygapophyseal-joint-arthropathy-a-pragmatic-double-blind-randomized-controlled-trial
#7
Thiru M Annaswamy, Corey Armstead, Luke Carlson, Nicholas J Elkins, Denizen Kocak, Samuel M Bierner
OBJECTIVE: The aim of the study was to compare hyaluronate with triamcinolone injections in treating chronic low back pain suggestive of lumbar zygopophyseal joint arthropathy. DESIGN: This was a prospective, double-blind, randomized controlled trial. Thirty subjects were randomly assigned to receive bilateral L3-S1 lumbar zygopophyseal joint injections with triamcinolone (KA) or Synvisc-One (HA). Pain (visual analog scale) and Pain Disability Questionnaire scores at 1, 3, and 6 mos were evaluated...
April 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29231338/-the-third-lumbar-transverse-process-syndrome-treated-with-acupuncture-at-zygapophyseal-joint-and-transverse-process-a-randomized-controlled-trial
#8
RANDOMIZED CONTROLLED TRIAL
Fangling Li, Dingyan Bi
OBJECTIVE: To explore the effects differences for the third lumbar transverse process syndrome between acupuncture mainly at zygapophyseal joint and transverse process and conventional acupuncture. METHODS: Eighty cases were randomly assigned into an observation group and a control group, 40 cases in each one. In the observation group, patients were treated with acupuncture at zygapophyseal joint, transverse process, the superior gluteus nerve into the hip point and Weizhong (BL 40), and those in the control group were treated with acupuncture at Qihaishu (BL 24), Jiaji (EX-B 2) of L2 -L4 , the superior gluteus nerve into the hip point and Weizhong (BL 40)...
August 12, 2017: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
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
#9
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/29181341/odontoideum-bone-revealed-by-c1-c2-dislocation-of-the-cervical-spine-during-a-diving-accident
#10
Lassaad Hassini, Mohamed Ali Khalifa, Zeineb Alaya, Mohamed Laaziz Ben Ayeche, Walid Osman, Mourad Mtaoumi
Introduction: Odontoideum bone or the mobile odontoid process is one of the rarest malformations of the cervico-occipital hinge. It exposes to the atlo-axial instability and to the risk of bulbo-medullary compression threatening then the vital and functional prognosis. We report the case of a 16-year-old patient who was the victim of a raod accident resulting in acervical spine injury. Radiological investigation found an odontoideum bone malformation associated with C1C2 dislocation. Case Report: A 16-year-old patient with no medical history had a road accident...
July 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29121821/morphometric-study-of-the-orientation-of-lumbar-zygapophyseal-joints-in-a-south-indian-population
#11
S P Mohanty, Madhava Pai Kanhangad, Siddarth Kamath, Asha Kamath
PURPOSE: To determine the orientation of lumbar zygapophyseal joints and prevalence of facet tropism (FT) identified by computerized tomographic (CT) scans. METHODS: In a cross-sectional study, 124 CT scans of patients with spinal injuries, seen between 2011and 2015, were retrospectively studied. A total of 566 uninjured motion segments were analysed. The right and left zygapophyseal joint angles (ZJAs) from L1-L2 to L5-S1 were measured on axial sections at uninjured levels...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29025041/trigger-points-pressure-pain-hyperalgesia-and-mechanosensitivity-of-neural-tissue-in-women-with-chronic-pelvic-pain
#12
Pedro Fuentes-Márquez, Marie Carmen Valenza, Irene Cabrera-Martos, Ana Ríos-Sánchez, Olga Ocón-Hernández
Objectives: This study aims to evaluate the presence of myofascial trigger points (TrPs), widespread pressure pain sensitivity, and mechanosensitivity of neural tissue in women with chronic pelvic pain. Design: Case-control study. Setting: Faculty of Health Sciences. Subjects: Forty women with chronic pelvic pain between age 18 and 60 years and 40 matched healthy controls were included in the study. Methods: TrPs were bilaterally explored in gluteus maximus, gluteus medius, gluteus minimus, quadratus lumborum, and adductor magnus muscles...
August 25, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29016874/the-number-of-active-but-not-latent-trigger-points-associated-with-widespread-pressure-pain-hypersensitivity-in-women-with-episodic-migraines
#13
María Palacios-Ceña, Gabriela N Ferracini, Lidiane L Florencio, Marina Ruíz, Ángel L Guerrero, Lars Arendt-Nielsen, César Fernández-de-Las-Peñas
Objective: Previous studies suggest that trigger points (TrPs) contribute to migraine pain, but no data is available on the effects of TrPs on pressure pain sensitivity. Our objective was to investigate the association between the number of TrPs and widespread pressure hypersensitivity in women with episodic migraines. Methods: Ninety-five women with episodic migraines participated. Clinical features of migraines, that is, intensity, duration, frequency, and onset, were collected...
December 1, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/28850208/two-adjacent-levels-dislocation-of-the-cervical-spine-managed-viaan-anterior-only-approach-a-case-report
#14
Anouar Bourghli, Jean-Marc Vital, Louis Boissière, Ibrahim Obeid
We report the rare case of a 52-year-old man who presented an incomplete tetraplegia after a hang gliding accident. Computed tomography revealed a complete bilateral facet fracture-dislocation at the C4C5 level, with a unilateral facet fracture-dislocation on the left side at the C3C4 level; there was also a sagittal fracture of the fifth cervical vertebra extending through the middle of its body with a second fracture through the posterior arch. The patient was taken urgently to the operating room and closed reduction maneuvers were performed under general anesthesia, followed by an anterior prevascular approach for C3 to C5 fusion with two iliac crest grafts and a plate...
July 2016: Le Journal Médical Libanais. the Lebanese Medical Journal
https://www.readbyqxmd.com/read/28797833/percutaneous-rupture-of-zygapophyseal-joint-synovial-cysts-a-prospective-assessment-of-nonsurgical-management
#15
Gregory E Lutz, Michael R Nicoletti, George E Cyril, Julian R Harrison, Christopher Lutz, Jennifer L Solomon, Paul M Cooke, James F Wyss, Richard J Herzog, Peter J Moley
BACKGROUND: Although lumbar zygapophyseal joint synovial cysts are fairly well recognized, they are an uncommon cause of lumbosacral radicular pain. Nonoperative treatments include percutaneous aspiration of the cysts under computed tomography or fluoroscopic guidance with a subsequent corticosteroid injection. However, there are mixed results in terms of long-term outcomes and cyst reoccurrence. This study prospectively evaluates percutaneous ruptures of zygapophyseal joint (Z-joint) synovial cysts for the treatment of lumbosacral radicular pain...
March 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28767595/the-comparison-of-measurement-between-ultrasound-and-computed-tomography-for-abnormal-degenerative-facet-joints-a-strobe-compliant-article
#16
COMPARATIVE STUDY
Wen Shi, Dan Tian, Da Liu, Jing Yin, Ying Huang
Besides the study on examining facet joints of lumbar spine by ultrasound in normal population, there has not been any related report about examining normal facet joints of lumbar spine by ultrasound so far. This study was aimed to explore the feasibility of ultrasound assessment of lumber spine facet joints by comparing ultrasound measure values of normal and degenerative lumber spine facet joints, and by comparing measure values of ultrasound and computed tomography (CT) of degenerative lumber spine facet joints...
August 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28750946/changes-in-the-axial-orientation-of-the-zygapophyseal-joint-in-the-subaxial-cervical-spine-from-childhood-to-middle-age-and-the-biomechanical-implications-of-these-changes
#17
Mao-Yu Chen, Yu-Tse Liu, Wen-Hsing Hsu
The objective of this study was to investigate the effect of age on facet orientation (FO) of the cervical spine during development, maturation, and degeneration. Computed tomography (CT) data of the cervical spine of 131 subjects without pathology of the cervical spine were analyzed. Subjects were categorized as: pediatric (n=36, 8-16years old), young adult (n=33, 18-24years old), and middle-age (n=62, 40-59years old). Serial CT scans were reconstructed by image processing. The FO in the axial plane was measured bilaterally at each vertebral level from C3/4 to C6/7...
October 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28723774/relationship-between-first-dorsal-sacral-foramen-and-lumbar-facet-joint-connecting-line-in-south-korea-populations-retrospective-study
#18
Young Deog Cha, Jae Kyu Choi, Chun Woo Yang, Hyun Kyoung Lim, Gyoung A Heo, Byung-Gun Kim
The first sacral nerve root block (S1 nerve root block) is a practical procedure for patients with radiating lower back pain. In general, S1 nerve root block is performed under x-ray fluoroscopy. It is necessary to adjust the position of the patient and angle of fluoroscopy to properly visualize the first dorsal sacral foramen (dorsal S1 foramen). The purpose of this study was to analyze the location of dorsal S1 foramen and lumbar facet joint in S1 nerve root block.A total of 388 patients undergoing x-ray fluoroscopy-guided S1 nerve root block in the prone position were examined...
July 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28708631/development-of-systemic-inflammatory-polyarthritis-after-zygapophyseal-joint-injection-with-hylan-g-f-20-synvisc-one
#19
Denizen Kocak, Thiru Annaswamy, Sharon Chong, Rashmi Arora
Hylan G-F 20 (Synvisc-One) is a hyaluronic acid derivative used for viscosupplementation of synovial fluid in osteoarthritic joints. Injection of hylan G-F 20 is Federal Drug Administration approved for use in knee osteoarthritis and is generally well tolerated with few reported adverse effects, the most common being local pain or swelling. We present the case of a 72-year-old man with bilateral, diffuse, joint pain and swelling with elevated inflammatory markers suggestive of a systemic inflammatory polyarthropathy that developed acutely 2 days after lumbar zygapophyseal joint injection with hylan G-F 20...
February 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28672319/effect-of-radiofrequency-denervation-on-pain-intensity-among-patients-with-chronic-low-back-pain-the-mint-randomized-clinical-trials
#20
RANDOMIZED CONTROLLED TRIAL
Johan N S Juch, Esther T Maas, Raymond W J G Ostelo, J George Groeneweg, Jan-Willem Kallewaard, Bart W Koes, Arianne P Verhagen, Johanna M van Dongen, Frank J P M Huygen, Maurits W van Tulder
Importance: Radiofrequency denervation is a commonly used treatment for chronic low back pain, but high-quality evidence for its effectiveness is lacking. Objective: To evaluate the effectiveness of radiofrequency denervation added to a standardized exercise program for patients with chronic low back pain. Design, Setting, and Participants: Three pragmatic multicenter, nonblinded randomized clinical trials on the effectiveness of minimal interventional treatments for participants with chronic low back pain (Mint study) were conducted in 16 multidisciplinary pain clinics in the Netherlands...
July 4, 2017: JAMA: the Journal of the American Medical Association
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