Low Back Pain due to Lumbar Facet Joint Arthropathy and its Management
نویسنده
چکیده
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.
منابع مشابه
Pathogenesis, diagnosis, and treatment of lumbar zygapophysial (facet) joint pain.
Lumbar zygapophysial joint arthropathy is a challenging condition affecting up to 15% of patients with chronic low back pain. The onset of lumbar facet joint pain is usually insidious, with predisposing factors including spondylolisthesis, degenerative disc pathology, and old age. Despite previous reports of a "facet syndrome," the existing literature does not support the use of historic or phy...
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The treatment of chronic back pain is a challenging problem. Facet joint infiltration is an established treatment for chronic low back pain caused by arthrosis of the lumbar facet joints. Due to the increasing number of patients with chronic low back pain, this therapy has become more frequent. We treated a 51-year-old male patient, who developed an epidural hematoma 2 months after infiltration...
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BACKGROUND Lumbar facet joints have been implicated as the source of chronic pain in 15% to 45% of patients with chronic low back pain. Various therapeutic techniques including intraarticular injections, medial branch blocks, and radiofrequency neurotomy of lumbar facet joint nerves have been described in the alleviation of chronic low back pain of facet joint origin. OBJECTIVE The study was ...
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BACKGROUND The prevalence of persistent low back pain with the involvement of lumbar facet or zygapophysial joints has been described in controlled studies as varying from 15% to 45% based on the criteria of the International Association for the Study of Pain. Therapeutic interventions utilized in managing chronic low back pain of facet joint origin include intraarticular injections, medial bra...
متن کاملEffect of changing lumbar stiffness by single facet joint dysfunction on the responsiveness of lumbar muscle spindles to vertebral movement.
OBJECTIVE Individuals experiencing low back pain often present clinically with intervertebral joint dysfunction. The purpose of this study was to determine whether relative changes in stiffness at a single spinal joint alters neural responsiveness of lumbar muscle spindles to either vertebral movement or position. METHODS Muscle spindle discharge was recorded in response to 1mm L6 ramp and ho...
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تاریخ انتشار 2016