Effect of adding cervical facet joint injections in a multimodal treatment program for long-standing cervical myofascial pain syndrome with referral pain patterns of cervical facet joint syndrome
Journal of Anesthesia, 06/08/2012Park SC et al.
Addition of therapeutic cervical facet joint (CFJ) injections to a multimodal treatment program is a useful therapeutic modality for patients, especially young patients, suffering from long–standing myofascial pain syndrome (MPS) with referral pain of CFJ syndrome.
Four hundred patients presented with long–standing cervical MPS with referral pain patterns of CFJ syndrome over a period of 6 months.
A randomized clinical trial was performed wherein 200 patients (group 1) received therapeutic CFJ injections at bilateral C5/C6 and C6/C7 after diagnostic, controlled double–blind blocks.
The same cointerventions, such as medication and a home exercise program, were simultaneously applied to patients in group 1 and the noninjection group (group N).
Cervical range of motion (CROM), mean reduction of numeric rate scale (NRS) for pain, and comorbid tension–type headache were compared between groups during the 1–year follow–up period.
Treatment duration and symptom–free periods were compared according to age group.
Group 1 showed increased CROM, increased mean NRS pain reduction, and decreased incidence of combined tension–type headache compared with group N during the follow–up.
Younger patients in group 1 required a shorter treatment cycle and experienced a longer symptom–free period.
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