Diagnostic nerve blocks in the management of low back pain secondary to facet joint syndrome

Low back pain is currently one of the main public health problems. Among the multiple causes, pain in the zygapophysial joints, also called facets or posterior vertebral joints, are an important cause, usually secondary to osteoarthritis. The source of low back pain is often difficult to find, makin...

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Bibliographic Details
Published in:Revista española de anestesiología y reanimación 2019-04, Vol.66 (4), p.213-221
Main Authors: de Andrés Ares, J, Gilsanz, F
Format: Article
Language:eng ; spa
Subjects:
Humans
Joint Diseases - complications
Joint Diseases - diagnosis
Low Back Pain - diagnostic imaging
Low Back Pain - etiology
Nerve Block - methods
Syndrome
Ultrasonography, Interventional
Zygapophyseal Joint - diagnostic imaging
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Summary:Low back pain is currently one of the main public health problems. Among the multiple causes, pain in the zygapophysial joints, also called facets or posterior vertebral joints, are an important cause, usually secondary to osteoarthritis. The source of low back pain is often difficult to find, making the therapeutic approach to the patient sub-optimal. Diagnostic blocks are a very important tool in establishing an adequate treatment for patients with low back pain, as long as they are performed accurately, with an adequate local anaesthetic volume, with a suitable image and fluoroscopic projection and its result are precisely interpreted. In this article a review is presented on the importance of diagnostic blocks, as well as how they should be performed in order to obtain the maximum information and the greatest therapeutic benefit.
ISSN:2340-3284
2341-1929
DOI:10.1016/j.redar.2018.11.008