Back Pain: Facet Syndrome

Rana, Paragi H

doi:10.1007/978-3-030-92042-5_5

Clinical Guide to Musculoskeletal Medicine 2022

DOI: 10.1007/978-3-030-92042-5_5

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Back Pain: Facet Syndrome

Paragi H Rana

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2022

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“…7 Intra-articular FJ injection is frequently used as being proven beneficial in previous studies for facetogenic pain. 8 Intra-articular steroid injections have shown various adverse effects including steroidinduced hyperglycemia, hypertension, gastrointestinal symptoms, exacerbation of heart failure, vertigo and urticaria. 9 Therefore, identifying novel injectable drugs that are safe and efficacious for the treatment of lumbar FJ disease seems meaningful.…”

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confidence: 99%

The role of intra-articular injection of autologous platelet-rich plasma versus corticosteroids in the treatment of synovitis in lumbar facet joint disease

Kotb

Sherif

Saleh

et al. 2022

SMJ

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Objectives: To compare the efficacy between platelet-rich plasma (PRP) and corticosteroids (CS) in improving magnetic resonance imaging (MRI)-detected synovitis in correlation with clinical complaints among patients with lumbar facet joint (FJ) disease.Methods: This study was carried out at Eldemerdash Hospital, Cairo, Egypt between September 2019 and January 2021. A prospective, randomized, comparative, single blinded study included 30 patients with lumbar Original ArticleFJ disease, divided into 2 equal groups, received PRP and CS injections. Patients were comparatively assessed before and after the intervention according to number of tender lumbar FJs, maximum active lumbar extension range of motion, LBP visual analogue score, LBP functional disability questionnaires and MRI lumbar FJ detected synovitis and their grading.Results: Both groups showed a significant improvement in all mentioned parameters at follow-up after 3 months. However, PRP injections promoted better performance in terms of MRI synovitis grade in all lumbar FJ levels compared to CS injections. Conclusion:Both PRP and CS injections were effective in improving MRI-detected FJ synovitis while concurrently improving all examined parameters at follow-up after 3 months. However, PRP promoted better improvement in MRI-detected synovitis grade, suggesting that it may be a better treatment option for longer duration efficacy.

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confidence: 99%

The role of intra-articular injection of autologous platelet-rich plasma versus corticosteroids in the treatment of synovitis in lumbar facet joint disease

Kotb

Sherif

Saleh

et al. 2022

SMJ

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Back Pain: Facet Syndrome

Cited by 1 publication

References 21 publications

The role of intra-articular injection of autologous platelet-rich plasma versus corticosteroids in the treatment of synovitis in lumbar facet joint disease

The role of intra-articular injection of autologous platelet-rich plasma versus corticosteroids in the treatment of synovitis in lumbar facet joint disease

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