The facet joint and its role in spine pain. Management with facet joint injections

Spine (Phila Pa 1976). 1984 Oct;9(7):746-50. doi: 10.1097/00007632-198410000-00016.

Abstract

Mechanical derangements of the lumbar spine, causing predominantly back pain with the absence of nerve root irritation or compromise, present a difficult treatment challenge to the average physician. The author suggests that facet joint injections offer a simple, safe, and often dramatically effective means for managing these problems. The historic background and technique are described in detail. The author presents his personal experience with 99 patients receiving a total of 117 facet joint injections in this retrospective, uncontrolled review. Results were classified as excellent in 17%, good in 25%, fair in 9%, mediocre in 4%, and no change in symptoms occurred in 44%. The procedure is recommended for diagnostic and conservative therapy.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anti-Inflammatory Agents / therapeutic use*
  • Back Pain / drug therapy*
  • Back Pain / physiopathology
  • Female
  • Humans
  • Intervertebral Disc / innervation
  • Intervertebral Disc / physiopathology
  • Lidocaine / therapeutic use
  • Lumbar Vertebrae / innervation
  • Lumbar Vertebrae / physiopathology*
  • Male
  • Methylprednisolone / analogs & derivatives*
  • Methylprednisolone / therapeutic use
  • Methylprednisolone Acetate
  • Middle Aged
  • Retrospective Studies
  • Syndrome

Substances

  • Anti-Inflammatory Agents
  • Methylprednisolone Acetate
  • Lidocaine
  • Methylprednisolone