Comparison of clinical outcomes of ultrasonography-guided and blind local injections in facet syndrome: A 6-week randomized controlled trial

Karkucak, Murat; Batmaz, İbrahim; Kerimoğlu, Servet; Ayar, Ahmet

doi:10.3233/bmr-181447

Cited by 10 publications

(27 citation statements)

References 11 publications

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“…On the other hand, a series of clinical studies compared intraarticular infi ltrations performed by palpation and anatomical landmarks against ultrasound-guided interventions. All authors show that the results are signifi cantly better in the second group of patients [1,[20][21][22]. The only advantage of applications without image guidance is that they do not require additional equipment and are fast to perform.…”

Section: Operative Techniquementioning

confidence: 97%

“…It is possible to add X-ray contrast at the discretion of the operator. The addition of a corticosteroid, among which triamcinolone acetonide and betamethasone are among the most widely used [1,41], has been accepted in medical practice with a proven clinical eff ect.…”

Section: Pharmacological Featuresmentioning

confidence: 99%

“…The facet syndrome is defi ned as pain originating from any structure of the intervertebral joint -the fi brous capsule, the synovial membrane, the hyaline cartilage and the bone [1]. Its frequency varies between 5 and 15% of the population of patients with low back pain, and according to some authors reaches as much as 30% [2][3][4].…”

mentioning

confidence: 99%

“…Contraindications to interventional procedures are anticoagulant therapy, malignant tumors, infection, fractures and hypersensitivity to the drugs used [1]. Relative contraindications are many, but for the application of corticosteroids among them should be noted traumatic fractures, diabetes and advanced osteoporosis.…”

mentioning

confidence: 99%

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Minimally invasive interventional approaches for treatment of facet joint syndrome

Ferdinandov

Yankov

2020

BRJ

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The facet syndrome is a unilateral or bilateral pain originating from the intervertebral joint. Its frequency reaches 30% of the population of patients with low back pain. Inflammation plays a significant role in cartilage degeneration and the development of osteoarthritis, and also significantly contributes to swelling with overstretching of the joint capsule and irritation of nociceptive receptors. Minimally invasive interventional approaches play a significant role in the treatment of facet syndrome. This review systemize the ways to treat the pain through corticosteroid infiltrations and interventional denervations of the intervertebral joint, which may be complementary techniques. The literature is analyzed and our experience is presented.

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Section: Operative Techniquementioning

confidence: 97%

Section: Pharmacological Featuresmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Minimally invasive interventional approaches for treatment of facet joint syndrome

Ferdinandov

Yankov

2020

BRJ

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“…Facet joint syndrome is an arthritis-like syndrome in which the cartilage between the inferior and superior articular processes breaks down and becomes inflamed, causing pain signals to be sent to the innervated medial branch nerve endings [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Mechanical Needling with Sterile Water versus Steroids Injection for Facet Joint Syndrome: A Retrospective Observational Study

Suputtitada

Chen

Pongpirul

2022

Pain Research and Management

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Objective. This present study aimed to explore the clinical effects of ultrasound-guided (USG) mechanical needling with sterile water injection for lumbar facet joint syndrome. Methods. This was a retrospective cohort study that assessed the clinical outcome of ageing patients who received USG mechanical needling with sterile water injection. In addition, the clinical outcome of age- and gender-matched patients randomly selected from patients who received mechanical needling with sterile water was compared to the patients injected with steroids in a 2 : 1 ratio. The data were extracted from the medical records of ageing patients with facet joint syndrome who received USG injection at the lumbosacral spine by the first author. Low back pain or axial pain, and leg pain or radicular pain were assessed by the visual analogue scale (VAS), and gait ability with walking distance was obtained at 6 different time points. Results. A total of 4,276 medical records were examined. Four thousand two hundred twenty-eight ageing patients received needling with sterile water injection and found that the efficacy lasted up to 6 months. Ninety-six patients were compared with 48 patients who received steroid injection. Those who received steroids had less back and leg pain at 1 week after injection; however, pain returned at 3 months and 6 months after injection. Conclusions. USG mechanical needling with sterile water could help relieve axial and radicular pain for at least 6 months. Reduced sensitization and removal of calcification and fibrosis were all possible mechanisms.Keywords: Mechanical needling, Sterile water, Ultrasound guided (USG) injection, Facet joint syndrome, Pain

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"Percutaneous Ultrasound Treatment of Lumbar Facet Syndrome: A Systematic Review."

Acevedo-Gonzalez,

Corpus-Gutierrez,

Angarita-Avendaño

et al. 2024

World Neurosurgery

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Comparison of clinical outcomes of ultrasonography-guided and blind local injections in facet syndrome: A 6-week randomized controlled trial

Cited by 10 publications

References 11 publications

Minimally invasive interventional approaches for treatment of facet joint syndrome

Minimally invasive interventional approaches for treatment of facet joint syndrome

Mechanical Needling with Sterile Water versus Steroids Injection for Facet Joint Syndrome: A Retrospective Observational Study

"Percutaneous Ultrasound Treatment of Lumbar Facet Syndrome: A Systematic Review."

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