Prevalence of facet joint pain in chronic spinal pain of cervical, thoracic, and lumbar regions

Manchikanti, Laxmaiah; Boswell, Mark V.; Singh, Vijay; Pampati, Vidyasagar; Damron, Kim S; Beyer, Carla

doi:10.1186/1471-2474-5-15

Cited by 391 publications

(364 citation statements)

References 58 publications

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“…The proportion of people affected by low back pain for whom facet joint pain is a contributing factor is unclear. In an interventional pain management practice study the prevalence of chronic back pain being caused by facet joints was reported to be 31 % [8].…”

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confidence: 99%

Intra-articular facet joint injections for low back pain: a systematic review

et al. 2016

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PurposeEvidence supporting the use of therapeutic intra-articular facet joint injections for patients with suspected facet joint pain is sparse. A systematic review including a narrative synthesis was carried out to determine if intra-articular facet joint injections with active drug are more effective in reducing back pain and back pain-related disability than a sham procedure or a placebo/inactive injection. Secondly, to determine if intra-articular facet joint injections with active drug or placebo/inactive injection are more effective in reducing back pain and back pain-related disability than conservative treatment. Methods Medline, EMBASE, CINAHL, CENTRAL, Index to Chiropractic Literature and the Cochrane Central Register of Controlled Trials were searched from inception through April 2015. Data were screened and single extraction with independent verification and risk of bias assessment was performed. Results A total of 391 records were screened, and six trials were included. The trials included were small (range 18-109 participants) and overall in terms of pain and disability outcomes most were inconclusive. Only two of the trials report any significant between-group differences in pain (mean difference -1.0, 95 % CI -2.0 to -0.1) and (p = 0.032) or disability (mean difference -3.0, 95 % CI -6.2 to 0.2) and (p = 0.013) outcomes. Conclusions The studies found here were clinically diverse and precluded any meta-analysis. A number of methodological issues were identified. The positive results, whilst interpreted with caution, do suggest that there is a need for further high-quality work in this area.

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confidence: 99%

Intra-articular facet joint injections for low back pain: a systematic review

et al. 2016

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“…Disk degeneration leads to abnormal weight transfer and motion in the spine and results in facet joint arthritis [6]. It has been reported that as many as 89% -95% individuals of 65 and older have varying degrees of Facet Joint Arthritis (FJAO) and the L4-5 and L5-S1 are the most commonly affected joints [1,3,4,6].…”

Section: Introductionmentioning

confidence: 99%

“…As any typical synovial joint, facet joints have two articular surfaces formed by inferior articular process (IAP) of the upper vertebra and the superior articular process (SAP) of the lower vertebra [2]. Facet joints are potential source of pain in low back pain (LBP) and its prevalence increases with age [3,4].…”

Section: Introductionmentioning

confidence: 99%

Low Back Pain due to Lumbar Facet Joint Arthropathy and its Management

Jadon¹

2016

Gen Med (Los Angeles)

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Low back pain is a very common problem which brings a patient to orthopedic clinic or pain clinic. It is estimated that it affects about 60-80% of general population in the whole life and facet joints are responsible for back pain in 15%-45% of such cases. Multimodal approach including analgesics and back strengthening exercise are primary treatments. However, sustained relief can be achieved by radiofrequency ablation after proper diagnosis.

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“…Chronic zygapophyseal joint arthropathy is a known cause of neck pain [1,9,10] the common causes being degenerative and post-traumatic. The phenomenon of degenerative facet joint osteoarthritis is considered to be a secondary effect of disc degeneration (cervical spondylosis).…”

Section: Introductionmentioning

confidence: 99%

“…The most commonly involved levels in cervical spondylosis are C5-C6 and C6-C7 [2,8]. One proposed method of treating facet joint pathology secondary to degenerative and post-traumatic cervical disorders non-surgically is facet joint infiltration [1,5,7,[9][10][11]. Radiologists under computer tomography (CT) guidance or physiatrists, pain management specialists and surgeons using fluoroscopy (C-arm) usually perform facet joint injections.…”

Section: Introductionmentioning

confidence: 99%

Technical note: the swimmer’s view for cervical facet joint injections

et al. 2006

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Image intensifier (C-arm) guided facet infiltration of a mixture of long acting local anaesthetic and corticosteroid is a safe and effective office procedure for cervical spondylosis. Visualisation of lower cervical anatomy using C-arm may not always be possible due to the shadow cast by the shoulders. We describe the successful adaptation of swimmer's view in such cases to carry out the injections.

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Prevalence of facet joint pain in chronic spinal pain of cervical, thoracic, and lumbar regions

Cited by 391 publications

References 58 publications

Intra-articular facet joint injections for low back pain: a systematic review

Intra-articular facet joint injections for low back pain: a systematic review

Low Back Pain due to Lumbar Facet Joint Arthropathy and its Management

Technical note: the swimmer’s view for cervical facet joint injections

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