Injection in Facet Joint Arthropathy

Ragheb, Eissa; Negm, Mohamed; Abdalla, Abd El Rahman

doi:10.21608/ejhm.2019.42127

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The Egyptian Journal of Hospital Medicine

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	Injection in Facet Joint Arthropathy
Article 26, Volume 76, Issue 4, July 2019, Page 4013-4016 PDF (468.58 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2019.42127
View on SCiNiTO
Authors
Eissa Ragheb; Mohamed Negm; Abd El Rahman Abdalla
Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University
Abstract
Background: Facet syndrome is an articular disorder related to the lumbar facet joints and their innervations, and produces both local and radiating pain. Objective: The purpose of this study was to evaluate the outcome of steroid injection in treatment of facet joint arthropathy. Patient and Methods: This study was held on 23 patients suffered from chronic low back pain due to facet arthropathy at Al-Azhar University and Alharam Specialized Hospitals. There were 11 males and 12 females with mean age 46.27 years (28 to 60 years). History, clinical examination, x-ray, MRIs were done to all patients. Results: Pain was evaluated by VAS. The mean VAS pre injection was 8.1 ± 0.83 ranging from 6:10. Immediately post injection, the mean was decreased to 3.7 ± 0.85 ranging from 2:5. Six weeks after injection the mean was decreased to 3.6 ± 0.98 ranging from 2:5. Twelve weeks after injection the mean was elevated to 5.3 ± 0.91 ranging from 4 to 6. The mean ODI improved from 36.5 ± 6.9 to 21.1 ± 4.2 three months post injection. Conclusion: intra-articular facet joint injection is crucial in the diagnosis and treatment of facet joint syndrome. It is an easy to perform and effective treatment for temporary pain relief. The pain relief is sustained longer in patients with grade G2 and G3 of facet joints
Keywords
facet joint; intra-articular injection; facet arthropathy; steroids


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