scholarly journals Prevalence of Cervical Facet Joint Pain in Chronic Neck Pain

2002 ◽  
Vol 3;5 (7;3) ◽  
pp. 243-249
Author(s):  
Laxmaiah Manchikanti
Keyword(s):  
Neck Pain ◽  
Joint Pain ◽  
Facet Joint ◽  
Chronic Neck Pain ◽  
Facet Joint Pain ◽  
Cervical Facet ◽  
Cervical Facet Joint

scholarly journals An Updated Review of the Diagnostic Utility of Cervical Facet Joint Injections

2012 ◽  
Vol 6;15 (6;12) ◽  
pp. E807-E838
Author(s):  
Sukdeb Datta
Keyword(s):  
Pain Relief ◽  
Neck Pain ◽  
Diagnostic Accuracy ◽  
Joint Pain ◽  
Facet Joint ◽  
Chronic Neck Pain ◽  
Nerve Blocks ◽  
Facet Joint Pain ◽  
Cervical Facet ◽  
Cervical Facet Joint

Background: Chronic persistent neck pain with or without upper extremity pain is common in the general adult population with a prevalence of 48% for women and 38% for men, with persistent complaints in 22% of women and 16% of men. Multiple modalities of treatment are exploding in managing chronic neck pain along with increasing prevalence. However, there is a paucity of evidence for all modalities of treatments in managing chronic neck pain. Controlled studies have supported the existence of cervical facet or zygapophysial joint pain in 36% to 60% in heterogenous population of these patients. However, these studies also have shown false-positive results in 27% to 63% of patients with a single diagnostic block. Study Design: A systematic review of diagnostic cervical facet joint nerve blocks. Objective: To evaluate and update the accuracy of diagnostic facet joint nerve blocks in the diagnosis of facet joint pain. Methods: A methodological quality assessment of included studies was performed using Quality Appraisal of Reliability Studies (QAREL). Only diagnostic accuracy studies meeting at least 50% of the designated inclusion criteria were utilized for analysis. Studies scoring less than 50% are presented descriptively and critically analyzed. The level of evidence was classified as good, fair, and limited or poor based on the quality of evidence developed by the United States Preventive Services Task Force (USPSTF). Data sources included relevant literature identified through searches of PubMed and EMBASE from 1966 to June 2012, and manual searches of the bibliographies of known primary and review articles. Results: Overall, a total of 26 manuscripts were considered for diagnostic accuracy evaluation and 9 manuscripts for studies evaluating various factors influencing the diagnostic validity of facet joint interventions. Based on 9 studies meeting the inclusion criteria utilizing 75% to 100% pain relief as the criterion standard with controlled blocks, the evidence is good for diagnostic accuracy of cervical facet joint pain, with a prevalence of 36% to 60% with a false-positive rate of 27% to 63% with a single block. Based on 2 studies from the same group of authors, the evidence for 75% to 100% pain relief as the criterion standard with a single block is limited. The evidence is limited for a single diagnostic block with 50% to 74% pain relief as the criterion standard, whereas no studies were available assessing the accuracy of 50% to 74% pain relief as the criterion standard with controlled blocks. Limitations: The limitations of this systematic review include a paucity of literature on outcomes, randomized, placebo-controlled trials and a lack of consensus on a gold standard. Conclusions: Diagnostic cervical facet joint nerve blocks are safe, valid, and reliable. The strength of evidence for diagnostic facet joint nerve blocks is good with the utilization of controlled diagnostic blocks with at least 75% pain relief as the criterion standard; however, the evidence is limited for single blocks or dual blocks for relief of 50% to 74% and single blocks with at least 75% pain relief. Key words: Chronic neck pain, cervical facet or zygapophysial joint pain, cervical medial branch blocks, controlled comparative local anesthetic blocks

Transient tetraplegia after cervical facet joint injection for chronic neck pain administered without imaging guidance

2006 ◽  
Vol 108 (7) ◽  
pp. 709-711 ◽  
Author(s):  
Josef G. Heckmann ◽  
Christian Maihöfner ◽  
Stefan Lanz ◽  
Christophe Rauch ◽  
Bernhard Neundörfer
Keyword(s):  
Neck Pain ◽  
Facet Joint ◽  
Chronic Neck Pain ◽  
Joint Injection ◽  
Facet Joint Injection ◽  
Imaging Guidance ◽  
Cervical Facet ◽  
Cervical Facet Joint

scholarly journals Systematic Review of the Therapeutic Effectiveness of Cervical Facet Joint Interventions: An Update

2012 ◽  
Vol 6;15 (6;12) ◽  
pp. E839-E868 ◽  
Author(s):  
Frank J.E. Falco
Keyword(s):  
Systematic Review ◽  
Neck Pain ◽  
Joint Pain ◽  
Observational Studies ◽  
Facet Joint ◽  
Medial Branch ◽  
Radiofrequency Neurotomy ◽  
Facet Joint Interventions ◽  
Cervical Facet ◽  
Cervical Facet Joint

Background: The prevalence of chronic, recurrent neck pain is approximately 15% of the adult general population. Controlled studies have supported the existence of cervical facet or zygapophysial joint pain in 36% to 67% of these patients, when disc herniation, radiculitis, and discogenic are not pathognomic. However, these studies also have shown false-positive results in 27% to 63% of the patients with a single diagnostic block. There is also a paucity of literature investigating therapeutic interventions of cervical facet joint pain. Study Design: Systematic review of therapeutic cervical facet joint interventions. Objective: To determine and update the clinical utility of therapeutic cervical facet joint interventions in the management of chronic neck pain. Methods: The available literature for utility of facet joint interventions in therapeutic management of cervical facet joint pain was reviewed. The quality assessment and clinical relevance criteria utilized were the Cochrane Musculoskeletal Review Group criteria as utilized for interventional techniques for randomized trials and the criteria developed by the Newcastle-Ottawa Scale criteria for observational studies. The level of evidence was classified as good, fair, and limited or poor based on the quality of evidence developed by the U.S. Preventive Services Task Force (USPSTF). Data sources included relevant literature identified through searches of PubMed and EMBASE from 1966 to June 2012, and manual searches of the bibliographies of known primary and review articles. Outcome Measures: The primary outcome measure was pain relief (short-term relief = up to 6 months and long-term > 6 months). Secondary outcome measures were improvement in functional status, psychological status, return to work, and reduction in opioid intake. Results: In this systematic review, 32 manuscripts were considered for inclusion. For final analysis, 4 randomized trials and 6 observational studies met the inclusion criteria and were included in the evidence synthesis. Based on one randomized, sham-controlled, double-blind trial and 5 observational studies, the indicated evidence for cervical radiofrequency neurotomy is fair. Based on one randomized, double-blind, active-controlled trial and one prospective evaluation, the indicated evidence for cervical medial branch blocks is fair. Based on 2 randomized controlled trials, the evidence for cervical intraarticular injections is limited. Limitations: Paucity of the overall published literature and specifically lack of literature for intraarticular cervical facet joint injections. Conclusions: The indicated evidence for cervical radiofrequency neurotomy is fair. The indicated evidence for cervical medial branch blocks is fair. The indicated evidence for cervical intraarticular injections with local anesthetic and steroids is limited. Key words: Chronic neck pain, cervical facet or zygapophysial joint pain, cervical medial branch blocks, cervical radiofrequency neurotomy, cervical intraarticular facet joint injections

P11. Effectiveness of Repeated Radiofrequency Neurotomy for Cervical Facet Joint Pain

2007 ◽  
Vol 7 (5) ◽  
pp. 87S-88S
Author(s):  
Daniel Husted ◽  
Derek Orton ◽  
Jerome Schofferman ◽  
Garrett Kine
Keyword(s):  
Joint Pain ◽  
Facet Joint ◽  
Radiofrequency Neurotomy ◽  
Facet Joint Pain ◽  
Cervical Facet ◽  
Cervical Facet Joint

scholarly journals Derivation of a Clinical Decision Guide in the Diagnosis of Cervical Facet Joint Pain

2014 ◽  
Vol 95 (9) ◽  
pp. 1695-1701 ◽  
Author(s):  
Geoff M. Schneider ◽  
Gwendolen Jull ◽  
Kenneth Thomas ◽  
Ashley Smith ◽  
Carolyn Emery ◽  
...  
Keyword(s):  
Joint Pain ◽  
Facet Joint ◽  
Clinical Decision ◽  
Facet Joint Pain ◽  
Cervical Facet ◽  
Cervical Facet Joint

Cervical Medial Branch Blocks for Chronic Cervical Facet Joint Pain

Spine ◽  
2008 ◽  
Vol 33 (17) ◽  
pp. 1813-1820 ◽  
Author(s):  
Laxmaiah Manchikanti ◽  
Vijay Singh ◽  
Frank J. E. Falco ◽  
Kimberly M. Cash ◽  
Bert Fellows
Keyword(s):  
Joint Pain ◽  
Facet Joint ◽  
Medial Branch ◽  
Facet Joint Pain ◽  
Cervical Facet ◽  
Cervical Facet Joint
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