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Cervical Facet Joint Injections in the Neck and Shoulder Pain

The effects from cervical facet joint injections in those patients who have been complaining cervical zygapophyseal joint pain were compared. The patients were diagnosed originally as myofascial pain syndrome (MPS), cervical herniated nucleus pulposus (HNP), and whiplash-associated disorders (WAD)....

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Autores principales: Kim, Kyung-Hoon, Choi, Sung-Hwan, Kim, Tae-Kyun, Shin, Sang-Wook, Kim, Cheul-Hong, Kim, Jeung-Il
Formato: Texto
Lenguaje:English
Publicado: The Korean Academy of Medical Sciences 2005
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2782165/
https://www.ncbi.nlm.nih.gov/pubmed/16100461
http://dx.doi.org/10.3346/jkms.2005.20.4.659
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author Kim, Kyung-Hoon
Choi, Sung-Hwan
Kim, Tae-Kyun
Shin, Sang-Wook
Kim, Cheul-Hong
Kim, Jeung-Il
author_facet Kim, Kyung-Hoon
Choi, Sung-Hwan
Kim, Tae-Kyun
Shin, Sang-Wook
Kim, Cheul-Hong
Kim, Jeung-Il
author_sort Kim, Kyung-Hoon
collection PubMed
description The effects from cervical facet joint injections in those patients who have been complaining cervical zygapophyseal joint pain were compared. The patients were diagnosed originally as myofascial pain syndrome (MPS), cervical herniated nucleus pulposus (HNP), and whiplash-associated disorders (WAD). Patients with the zygapophyseal joints pain of C5-6 and C6-7 were classified by their pain origin as MPS, HNP, and WAD. All patients had been undergone cervical zygapophyseal joints injections with the mixture of lidocaine and triamcinolone unilaterally or bilaterally through the posterior approach under C-arm imaging guide. The therapeutic effects were compared with reduction of numeric rating scale (NRS) of pain before and immediately after blockade and symptom-free periods in each group after 12 months. Symptom durations before injections were 16.1±9.6, 4.6±1.9 and 4.1±1.1 months in each MPS, HNP, and WAD groups. The reductions of NRS immediately after the blockade among the three groups were not different. However, the symptom-free duration after blockade lasted longer in the HNP group than the other two groups. In patients with cervical zygapophyseal pain syndromes, the analgesic effect from cervical facet joint blocks lasted longer in cervical HNP than MPS or WAD.
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spelling pubmed-27821652009-11-25 Cervical Facet Joint Injections in the Neck and Shoulder Pain Kim, Kyung-Hoon Choi, Sung-Hwan Kim, Tae-Kyun Shin, Sang-Wook Kim, Cheul-Hong Kim, Jeung-Il J Korean Med Sci Original Article The effects from cervical facet joint injections in those patients who have been complaining cervical zygapophyseal joint pain were compared. The patients were diagnosed originally as myofascial pain syndrome (MPS), cervical herniated nucleus pulposus (HNP), and whiplash-associated disorders (WAD). Patients with the zygapophyseal joints pain of C5-6 and C6-7 were classified by their pain origin as MPS, HNP, and WAD. All patients had been undergone cervical zygapophyseal joints injections with the mixture of lidocaine and triamcinolone unilaterally or bilaterally through the posterior approach under C-arm imaging guide. The therapeutic effects were compared with reduction of numeric rating scale (NRS) of pain before and immediately after blockade and symptom-free periods in each group after 12 months. Symptom durations before injections were 16.1±9.6, 4.6±1.9 and 4.1±1.1 months in each MPS, HNP, and WAD groups. The reductions of NRS immediately after the blockade among the three groups were not different. However, the symptom-free duration after blockade lasted longer in the HNP group than the other two groups. In patients with cervical zygapophyseal pain syndromes, the analgesic effect from cervical facet joint blocks lasted longer in cervical HNP than MPS or WAD. The Korean Academy of Medical Sciences 2005-08 2005-08-31 /pmc/articles/PMC2782165/ /pubmed/16100461 http://dx.doi.org/10.3346/jkms.2005.20.4.659 Text en Copyright © 2005 The Korean Academy of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kim, Kyung-Hoon
Choi, Sung-Hwan
Kim, Tae-Kyun
Shin, Sang-Wook
Kim, Cheul-Hong
Kim, Jeung-Il
Cervical Facet Joint Injections in the Neck and Shoulder Pain
title Cervical Facet Joint Injections in the Neck and Shoulder Pain
title_full Cervical Facet Joint Injections in the Neck and Shoulder Pain
title_fullStr Cervical Facet Joint Injections in the Neck and Shoulder Pain
title_full_unstemmed Cervical Facet Joint Injections in the Neck and Shoulder Pain
title_short Cervical Facet Joint Injections in the Neck and Shoulder Pain
title_sort cervical facet joint injections in the neck and shoulder pain
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2782165/
https://www.ncbi.nlm.nih.gov/pubmed/16100461
http://dx.doi.org/10.3346/jkms.2005.20.4.659
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