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By A Al Physician
Laxmaiah Manchikanti, Salahadin Abdi, Sairam Atluri, Ramsin M Benyamin, Mark V Boswell, Ricardo M Buenaventura, David A Bryce, Patricia A Burks, David L Caraway, Aaron K Calodney, Kimberly A Cash, Paul J Christo, Steven P Cohen, James Colson, Ann Conn, Harold Cordner, Sareta Coubarous, Sukdeb Datta, Timothy R Deer, Sudhir Diwan, Frank J E Falco, Bert Fellows, Stephanie Geffert, Jay S Grider, Sanjeeva Gupta, Haroon Hameed, Mariam Hameed, Hans Hansen, Standiford Helm, Jeffrey W Janata, Rafael Justiz, Alan D Kaye, Marion Lee, Kavita N Manchikanti, Carla D McManus, Obi Onyewu, Allan T Parr, Vikram B Patel, Gabor B Racz, Nalini Sehgal, Manohar Lal Sharma, Thomas T Simopoulos, Vijay Singh, Howard S Smith, Lee T Snook, John R Swicegood, Ricardo Vallejo, Stephen P Ward, Bradley W Wargo, Jie Zhu, Joshua A Hirsch
OBJECTIVE: To develop evidence-based clinical practice guidelines for interventional techniques in the diagnosis and treatment of chronic spinal pain. METHODOLOGY: Systematic assessment of the literature. EVIDENCE: I. Lumbar Spine • The evidence for accuracy of diagnostic selective nerve root blocks is limited; whereas for lumbar provocation discography, it is fair. • The evidence for diagnostic lumbar facet joint nerve blocks and diagnostic sacroiliac intraarticular injections is good with 75% to 100% pain relief as criterion standard with controlled local anesthetic or placebo blocks...
April 2013: Pain Physician
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