Lumbar Zygapophyseal (Facet) Joint Pain

K Saravanakumar, A Harvey

Research output: Contribution to journalArticle

Abstract

Lumbar zygapophyseal joints act as primary pain generators in at least 10-15% of patients with chronic low back pain.Diagnostic nerve blocks are the most reliable way to diagnose lumbar zygapophyseal joint pain.IASP recommends either controlled or comparative blocks for diagnosis of zygapophyseal joint pain as there is a significant incidence of false positives with single blocks.Management should be multimodal comprising education, exercises, analgesics and procedural interventions to achieve functional restoration.There is a need for further RCTs with standardised diagnostic criteria and outcome measures as well as long-term data to determine the efficacy of radiofrequency denervation.

Original languageEnglish
Pages (from-to)8-13
Number of pages6
JournalMolecular Pain
Volume2
Issue number1
DOIs
Publication statusPublished - Sep 2008

Fingerprint

Zygapophyseal Joint
Arthralgia
Nerve Block
Denervation
Low Back Pain
Analgesics
Outcome Assessment (Health Care)
Exercise
Education
Pain
Incidence

Cite this

Lumbar Zygapophyseal (Facet) Joint Pain. / Saravanakumar, K; Harvey, A.

In: Molecular Pain, Vol. 2, No. 1, 09.2008, p. 8-13.

Research output: Contribution to journalArticle

Saravanakumar, K ; Harvey, A. / Lumbar Zygapophyseal (Facet) Joint Pain. In: Molecular Pain. 2008 ; Vol. 2, No. 1. pp. 8-13.
@article{2f349feb7af54967bc4041fb28f3afa0,
title = "Lumbar Zygapophyseal (Facet) Joint Pain",
abstract = "Lumbar zygapophyseal joints act as primary pain generators in at least 10-15{\%} of patients with chronic low back pain.Diagnostic nerve blocks are the most reliable way to diagnose lumbar zygapophyseal joint pain.IASP recommends either controlled or comparative blocks for diagnosis of zygapophyseal joint pain as there is a significant incidence of false positives with single blocks.Management should be multimodal comprising education, exercises, analgesics and procedural interventions to achieve functional restoration.There is a need for further RCTs with standardised diagnostic criteria and outcome measures as well as long-term data to determine the efficacy of radiofrequency denervation.",
author = "K Saravanakumar and A Harvey",
year = "2008",
month = "9",
doi = "10.1177/204946370800200103",
language = "English",
volume = "2",
pages = "8--13",
journal = "Molecular Pain",
issn = "1744-8069",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Lumbar Zygapophyseal (Facet) Joint Pain

AU - Saravanakumar, K

AU - Harvey, A

PY - 2008/9

Y1 - 2008/9

N2 - Lumbar zygapophyseal joints act as primary pain generators in at least 10-15% of patients with chronic low back pain.Diagnostic nerve blocks are the most reliable way to diagnose lumbar zygapophyseal joint pain.IASP recommends either controlled or comparative blocks for diagnosis of zygapophyseal joint pain as there is a significant incidence of false positives with single blocks.Management should be multimodal comprising education, exercises, analgesics and procedural interventions to achieve functional restoration.There is a need for further RCTs with standardised diagnostic criteria and outcome measures as well as long-term data to determine the efficacy of radiofrequency denervation.

AB - Lumbar zygapophyseal joints act as primary pain generators in at least 10-15% of patients with chronic low back pain.Diagnostic nerve blocks are the most reliable way to diagnose lumbar zygapophyseal joint pain.IASP recommends either controlled or comparative blocks for diagnosis of zygapophyseal joint pain as there is a significant incidence of false positives with single blocks.Management should be multimodal comprising education, exercises, analgesics and procedural interventions to achieve functional restoration.There is a need for further RCTs with standardised diagnostic criteria and outcome measures as well as long-term data to determine the efficacy of radiofrequency denervation.

U2 - 10.1177/204946370800200103

DO - 10.1177/204946370800200103

M3 - Article

VL - 2

SP - 8

EP - 13

JO - Molecular Pain

JF - Molecular Pain

SN - 1744-8069

IS - 1

ER -