results three hundred patients were eligible for the study. after 1 month, 62% of patients (186 patients) reported good pain relief [95% confidence interval (ci) 0.53, 0.7]; 8.6% (26 patients) reported excellent pain relief (95% ci 0.07-0.09); 20. 4% (61 patients) reported poor pain relief (95% ci 0.18-0.22), and 9% (27 patients) reported no pain relief (95% ci 0.08-0.099). the average pain num...

conclusion lumbar medial branch nerve block under ultrasound guidance was associated with high rates of treatment success and excellent treatment outcomes for facet joint pain. it is also feasible and administers no radiation. thus, ultrasound-guided procedures can be used instead of conventional methods. results the success rate was 98% (87/89 blocks), which was due to our use of ultrasound gu...

BACKGROUND Lumbar facet joint pain is diagnosed by controlled diagnostic blocks. The accuracy of controlled diagnostic blocks has been demonstrated in multiple studies and confirmed in systematic reviews. Controlled diagnostic studies have shown an overall prevalence of lumbar facet joint pain in 31% of the patients with chronic low back pain without disc displacement or radiculitis, with an ov...

BACKGROUND Therapeutic lumbar facet joint interventions are implemented to provide long-term pain relief after the facet joint has been identified as the basis for low back pain. The therapeutic lumbar facet joint interventions generally used for the treatment of low back pain of facet joint origin are intraarticular facet joint injections, lumbar facet joint nerve blocks, and radiofrequency ne...

Radiofrequency facet ablation (RFA) has been performed using the same technique for over 50 years. Except for variations in electrode size, tip shape, and change in radiofrequency (RF) stimulation parameters, using standard, pulsed, and cooled RF wavelengths, the target points have remained absolutely unchanged from the original work describing RFA for lumbar pain control. Degenerative changes ...

conclusions a new approach to treat lumbar facet joint pain with prf is simple to perform and without serious complications. in view of the good long-lasting results obtained with the two reported cases, randomized control trials are necessary to validate this new approach. case presentation a 71-year-old patient presented because of persisting pain in the left gluteal region radiating to the l...

This case report describes a patient with chronic pain due to piriformis myofascial pain syndrome related to lumbar facet joint lesion. The purpose is to demonstrate the elimination of the underlying etiological lesion by lumbar facet joint injection with steroid suspension for a complete and effective treatment of piriformis myofascial pain syndrome in order to obtain a permanent pain relief. ...

BACKGROUND CONTEXT Lumbar facet joint synovial cysts are benign degenerative abnormalities of the lumbar spine. Previous reports have supported operative and nonoperative management. Facet joint steroid injection with cyst rupture is occasionally performed, but there has been no systematic evaluation of this treatment option. PURPOSE To profile the role of facet joint steroid injections with ...

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...