Imaging- Guided Facet Joint Injection Technique for Lower Back Pain Management

Abdelghany Mohammed Motawea; Mohammed Ramadan El Kholy; Osama Mohamed Ebied; Waleed Abd El Fattah Mousa; Mohamed Shawky Abdullah

doi:doi:10.11648/j.ajhr.20150302.11

Imaging- Guided Facet Joint Injection Technique for Lower Back Pain Management

Abdelghany Mohammed Motawea, Mohammed Ramadan El Kholy, Osama Mohamed Ebied, Waleed Abd El Fattah Mousa, Mohamed Shawky Abdullah

Published in American Journal of Health Research (Volume 3, Issue 2)

Received: 30 September 2014 Accepted: 22 October 2014 Published: 16 February 2015

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Abstract

Objectives: This study aimed to evaluate the role of image-guided lumbar facet joint injection in lower back pain. Background: With the increased lifetime prevalence of spinal pain and the realization by surgeons that not all backache is a ‘disc’ and not all patients with LBP will respond to surgery, there is increasing awareness of the role of percutaneous injection techniques in the nonoperative management of chronic LBP. The use of image-guidance with fluoroscopy or CT scan has increased the precision and safety of these procedures. Methods: Fifty patients with chronic LBP of more than 3 months' duration were selected for facet joint infiltration. Facet joint injections were carried out under fluoroscopic guidance in 38 patients and under CT guidance in 12 cases. Pain relief was assessed using the visual analog scale at 4, 12, and 24 weeks post-procedure. These results were compared to a control group (n=25) which were subjected to medical treatment. Results: A total of 146 facet joints were infiltrated in 50 patients over a 2-year period. There was significant pain relief in 88% after 4 weeks, in 92% after 12 weeks, and in 64% after 24 weeks. No major complications were encountered. The control group which was subjected to medical treatment showed pain relief in 40% after 4 weeks, in 32% after 12 weeks, and in 28% after 24 weeks with less pain relief in comparison to the injected group. Conclusion: With intraarticular facet joint injections, the evidence for short- and medium-term pain relief is successful for lumbar pain in comparison to medical treatment. Facet nerve block was found to be a simple, minimally invasive, and safe procedure. With precise patient selection, we achieved long-term success rates of over 60% after 24 weeks. We conclude that this method represents an important alternative treatment for nonradicular back pain.

Published in	American Journal of Health Research (Volume 3, Issue 2)
DOI	10.11648/j.ajhr.20150302.11
Page(s)	52-56
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Facetal Arthropathy, Facetal Infiltrations, Facetal Block, Low Back Pain

References

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Abdelghany Mohammed Motawea, Mohammed Ramadan El Kholy, Osama Mohamed Ebied, Waleed Abd El Fattah Mousa, Mohamed Shawky Abdullah. (2015). Imaging- Guided Facet Joint Injection Technique for Lower Back Pain Management. American Journal of Health Research, 3(2), 52-56. https://doi.org/10.11648/j.ajhr.20150302.11

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ACS Style

Abdelghany Mohammed Motawea; Mohammed Ramadan El Kholy; Osama Mohamed Ebied; Waleed Abd El Fattah Mousa; Mohamed Shawky Abdullah. Imaging- Guided Facet Joint Injection Technique for Lower Back Pain Management. Am. J. Health Res. 2015, 3(2), 52-56. doi: 10.11648/j.ajhr.20150302.11

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AMA Style

Abdelghany Mohammed Motawea, Mohammed Ramadan El Kholy, Osama Mohamed Ebied, Waleed Abd El Fattah Mousa, Mohamed Shawky Abdullah. Imaging- Guided Facet Joint Injection Technique for Lower Back Pain Management. Am J Health Res. 2015;3(2):52-56. doi: 10.11648/j.ajhr.20150302.11

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@article{10.11648/j.ajhr.20150302.11,
  author = {Abdelghany Mohammed Motawea and Mohammed Ramadan El Kholy and Osama Mohamed Ebied and Waleed Abd El Fattah Mousa and Mohamed Shawky Abdullah},
  title = {Imaging- Guided Facet Joint Injection Technique for Lower Back Pain Management},
  journal = {American Journal of Health Research},
  volume = {3},
  number = {2},
  pages = {52-56},
  doi = {10.11648/j.ajhr.20150302.11},
  url = {https://doi.org/10.11648/j.ajhr.20150302.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20150302.11},
  abstract = {Objectives: This study aimed to evaluate the role of image-guided lumbar facet joint injection in lower back pain. Background: With the increased lifetime prevalence of spinal pain and the realization by surgeons that not all backache is a ‘disc’ and not all patients with LBP will respond to surgery, there is increasing awareness of the role of percutaneous injection techniques in the nonoperative management of chronic LBP. The use of image-guidance with fluoroscopy or CT scan has increased the precision and safety of these procedures. Methods: Fifty patients with chronic LBP of more than 3 months' duration were selected for facet joint infiltration. Facet joint injections were carried out under fluoroscopic guidance in 38 patients and under CT guidance in 12 cases. Pain relief was assessed using the visual analog scale at 4, 12, and 24 weeks post-procedure. These results were compared to a control group (n=25) which were subjected to medical treatment. Results: A total of 146 facet joints were infiltrated in 50 patients over a 2-year period. There was significant pain relief in 88% after 4 weeks, in 92% after 12 weeks, and in 64% after 24 weeks. No major complications were encountered. The control group which was subjected to medical treatment showed pain relief in 40% after 4 weeks, in 32% after 12 weeks, and in 28% after 24 weeks with less pain relief in comparison to the injected group. Conclusion: With intraarticular facet joint injections, the evidence for short- and medium-term pain relief is successful for lumbar pain in comparison to medical treatment. Facet nerve block was found to be a simple, minimally invasive, and safe procedure. With precise patient selection, we achieved long-term success rates of over 60% after 24 weeks. We conclude that this method represents an important alternative treatment for nonradicular back pain.},
 year = {2015}
}

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TY - JOUR
T1 - Imaging- Guided Facet Joint Injection Technique for Lower Back Pain Management
AU - Abdelghany Mohammed Motawea
AU - Mohammed Ramadan El Kholy
AU - Osama Mohamed Ebied
AU - Waleed Abd El Fattah Mousa
AU - Mohamed Shawky Abdullah
Y1 - 2015/02/16
PY - 2015
N1 - https://doi.org/10.11648/j.ajhr.20150302.11
DO - 10.11648/j.ajhr.20150302.11
T2 - American Journal of Health Research
JF - American Journal of Health Research
JO - American Journal of Health Research
SP - 52
EP - 56
PB - Science Publishing Group
SN - 2330-8796
UR - https://doi.org/10.11648/j.ajhr.20150302.11
AB - Objectives: This study aimed to evaluate the role of image-guided lumbar facet joint injection in lower back pain. Background: With the increased lifetime prevalence of spinal pain and the realization by surgeons that not all backache is a ‘disc’ and not all patients with LBP will respond to surgery, there is increasing awareness of the role of percutaneous injection techniques in the nonoperative management of chronic LBP. The use of image-guidance with fluoroscopy or CT scan has increased the precision and safety of these procedures. Methods: Fifty patients with chronic LBP of more than 3 months' duration were selected for facet joint infiltration. Facet joint injections were carried out under fluoroscopic guidance in 38 patients and under CT guidance in 12 cases. Pain relief was assessed using the visual analog scale at 4, 12, and 24 weeks post-procedure. These results were compared to a control group (n=25) which were subjected to medical treatment. Results: A total of 146 facet joints were infiltrated in 50 patients over a 2-year period. There was significant pain relief in 88% after 4 weeks, in 92% after 12 weeks, and in 64% after 24 weeks. No major complications were encountered. The control group which was subjected to medical treatment showed pain relief in 40% after 4 weeks, in 32% after 12 weeks, and in 28% after 24 weeks with less pain relief in comparison to the injected group. Conclusion: With intraarticular facet joint injections, the evidence for short- and medium-term pain relief is successful for lumbar pain in comparison to medical treatment. Facet nerve block was found to be a simple, minimally invasive, and safe procedure. With precise patient selection, we achieved long-term success rates of over 60% after 24 weeks. We conclude that this method represents an important alternative treatment for nonradicular back pain.
VL - 3
IS - 2
ER -

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Author Information

Abdelghany Mohammed Motawea

Radiodiagnosis Department, Faculty of Medicine, Menoufia University, Shebin El Kom, Egypt
Mohammed Ramadan El Kholy

Radiodiagnosis Department, Faculty of Medicine, Menoufia University, Shebin El Kom, Egypt
Osama Mohamed Ebied

Radiodiagnosis Department, Faculty of Medicine, Menoufia University, Shebin El Kom, Egypt
Waleed Abd El Fattah Mousa

Radiodiagnosis Department, Faculty of Medicine, Menoufia University, Shebin El Kom, Egypt
Mohamed Shawky Abdullah

Radiodiagnosis Department, Faculty of Medicine, Menoufia University, Shebin El Kom, Egypt

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APA Style

Abdelghany Mohammed Motawea, Mohammed Ramadan El Kholy, Osama Mohamed Ebied, Waleed Abd El Fattah Mousa, Mohamed Shawky Abdullah. (2015). Imaging- Guided Facet Joint Injection Technique for Lower Back Pain Management. American Journal of Health Research, 3(2), 52-56. https://doi.org/10.11648/j.ajhr.20150302.11

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ACS Style

Abdelghany Mohammed Motawea; Mohammed Ramadan El Kholy; Osama Mohamed Ebied; Waleed Abd El Fattah Mousa; Mohamed Shawky Abdullah. Imaging- Guided Facet Joint Injection Technique for Lower Back Pain Management. Am. J. Health Res. 2015, 3(2), 52-56. doi: 10.11648/j.ajhr.20150302.11

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AMA Style

Abdelghany Mohammed Motawea, Mohammed Ramadan El Kholy, Osama Mohamed Ebied, Waleed Abd El Fattah Mousa, Mohamed Shawky Abdullah. Imaging- Guided Facet Joint Injection Technique for Lower Back Pain Management. Am J Health Res. 2015;3(2):52-56. doi: 10.11648/j.ajhr.20150302.11

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@article{10.11648/j.ajhr.20150302.11,
  author = {Abdelghany Mohammed Motawea and Mohammed Ramadan El Kholy and Osama Mohamed Ebied and Waleed Abd El Fattah Mousa and Mohamed Shawky Abdullah},
  title = {Imaging- Guided Facet Joint Injection Technique for Lower Back Pain Management},
  journal = {American Journal of Health Research},
  volume = {3},
  number = {2},
  pages = {52-56},
  doi = {10.11648/j.ajhr.20150302.11},
  url = {https://doi.org/10.11648/j.ajhr.20150302.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20150302.11},
  abstract = {Objectives: This study aimed to evaluate the role of image-guided lumbar facet joint injection in lower back pain. Background: With the increased lifetime prevalence of spinal pain and the realization by surgeons that not all backache is a ‘disc’ and not all patients with LBP will respond to surgery, there is increasing awareness of the role of percutaneous injection techniques in the nonoperative management of chronic LBP. The use of image-guidance with fluoroscopy or CT scan has increased the precision and safety of these procedures. Methods: Fifty patients with chronic LBP of more than 3 months' duration were selected for facet joint infiltration. Facet joint injections were carried out under fluoroscopic guidance in 38 patients and under CT guidance in 12 cases. Pain relief was assessed using the visual analog scale at 4, 12, and 24 weeks post-procedure. These results were compared to a control group (n=25) which were subjected to medical treatment. Results: A total of 146 facet joints were infiltrated in 50 patients over a 2-year period. There was significant pain relief in 88% after 4 weeks, in 92% after 12 weeks, and in 64% after 24 weeks. No major complications were encountered. The control group which was subjected to medical treatment showed pain relief in 40% after 4 weeks, in 32% after 12 weeks, and in 28% after 24 weeks with less pain relief in comparison to the injected group. Conclusion: With intraarticular facet joint injections, the evidence for short- and medium-term pain relief is successful for lumbar pain in comparison to medical treatment. Facet nerve block was found to be a simple, minimally invasive, and safe procedure. With precise patient selection, we achieved long-term success rates of over 60% after 24 weeks. We conclude that this method represents an important alternative treatment for nonradicular back pain.},
 year = {2015}
}

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