• Harefuah · May 2004

    [Relief of chronic cervical pain after selective blockade of zygapophyseal joint].

    • Y Folman, A Livshitz, S Shabat, and R Gepstein.
    • Department of Orthopaedic Surgery, Hillel Yaffe Medical Center, Hadera, Israel.
    • Harefuah. 2004 May 1; 143 (5): 339-41, 391.

    AbstractOsteoarthrosis of the zygapophyseal joint (Z-joint) is a potential cause of chronic cervical pain. The diagnosis of thirty patients, with pain of more than 12 months duration and with no history of trauma, was confirmed with intra-articular fluoroscopy-guided infiltration of anesthetic. The patients were subsequently treated with intra-articular corticosteroids (Depo-Medrol 40 mg). Visual Analogue Scale was used for evaluation purposes. The mean time for relapse of 50 percent of the pre-injection level of pain was 12.47 +/- 1.89 weeks, significantly longer than 3 days as reported in patients similarly treated following whiplash neck injury. At this point selective blockade of Z-joints may be offered as an adjunct for diagnostic and therapeutic purposes for patients with chronic neck pain due to facet osteoarthrosis in the ambulatory setup.

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