Injections in the Diagnosis and Treatment of Lumbar Facet Syndrome

Launched by COMPLEJO HOSPITALARIO UNIVERSITARIO DE GRANADA · Mar 10, 2019

Keywords

ClinConnect Summary

Facet joint pain is considered as a nonspecific cause of spinal pain with an estimated prevalence of 12-61% of the population. At present, there are no unanimous clinical criteria to achieve and accurate diagnosis and the imaging findings do not show a direct correlation with the clinical symptoms.

Facet syndrome treatment is also controversial and, although most clinical guidelines recommend nerve block as a diagnostic test, followed by neurolysis as therapeutic technique, there are many detractors of this therapeutic sequence.

The confusion is even greater when considering the variabili...

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Eligibility criteria

• Inclusion Criteria:
• • 1- Lumbar facet syndrome diagnosed by the referring specialist: Rehabilitation, Traumatology or Neurosurgery 2 -Mechanical low back pain that increases with rotation and flexion-extension, without radicular irradiation.
• • 3- failure of conservative treatment (pharmacological and physical therapy). 4-Symptoms present more than 3 months
• Exclusion Criteria:
• • 1. Previous back surgery and other ablative treatments.
• • 2. Contraindication for the use of corticosteroid or local anesthetic.
• • 3. Uncontrolled acute or chronic medical illness.
• • 4. Pregnancy or lactation.
• • 5. Presence of inflammatory arthropathy or neuropathy.
• • 6. Wounds or skin lesions in the area.
• • 7. Diabetes mellitus.
• • 8. Psychiatric disorders
• • 9. Refusal to participate in the study.
• • 10. Demonstration by imaging techniques of other causes that could justify the symptomatology.