Neurology Medical News about Lumbar facet joint pain

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Lumbar facet joint pain
Evidence-Based Spine Surgery, 09/10/09

There is insufficient evidence from four randomized control trials to suggest that radiofrequency rhizotomy improves outcomes in adults with lumbar facet joint pain compared with sham treatment. There was conflicting evidence regarding disability, functional status, patient–reported pain, analgesic use, and clinician–defined success of treatment. There was a short–term (2 month) advantage to the rhizotomy group regarding one disability measure, but the advantage was not sustained past 3 months. Patients receiving the rhizotomy treatment reported greater improvement after treatment and satisfaction with the treatment. Some studies were limited by small sample sizes and inadequate follow–up time to observe any longer term improvement. Additional randomized studies with larger populations, repeated diagnostic blocks, longer follow–up, and standardized common outcomes are necessary to establish the efficacy of radiofrequency rhizotomy.

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Ultrasound and facet blocks: A review
European Journal of Pain, 11/18/09 Relevance Score: 91%

Prospective Pilot Study of Painful Lumbar Facet Joint Arthropathy after Intra-articular Injection of Hylan G-F 20
PM&R, 11/02/09 Relevance Score: 88%

Lumbar Segmental Mobility According to the Grade of the Disc, the Facet Joint, the Muscle, and the Ligament Pathology by Using Kinetic Magnetic Resonance Imaging
Spine, 11/02/09 Relevance Score: 82%

Outcome of percutaneous rupture of lumbar synovial cysts: a case series of 101 patients
The Spine Journal, 10/23/09 Relevance Score: 81%

Reduction of radiation dose during radiofrequency denervation of the lumbar facet joints using the new targeting system SabreSource: a prospective study in 20 patients
Archives of Orthopaedic and Trauma Surgery, 10/28/09 Relevance Score: 80%