Physical medicine and rehabilitation specialists from the US provide a chapter on the basic principles of fluoroscopically-guided procedures, followed by 17 cases on lumbar disc herniation with radiculopathy, lumbar spinal stenosis, coccygodynia, lumbar facet syndrome
, sacroiliac joint pain, cervical disc herniation with and without radiculopathy, cervical facet syndrome
, hip pain, complex regional pain syndrome, dural puncture headache, adverse reactions to medications, discogenic low back pain/lumbar disc herniation without radiculopathy, thoracic facet pain, and thoracic disc herniation.
18) Conversely, in a recent survey of faculty members of an American chiropractic college, (19) nearly half of the respondents disagreed with the statements "A positive Kemp's test is a strong indicator that facet syndrome
is present" and "A negative Kemp's test is a strong indicator that facet syndrome
is not present".
com)-- Tri-County Chiropractic of Exton is dedicated to offering the latest, state-of-the-art therapies for treating pain in the neck and low back caused by pinched nerves, disc bulges, disc herniations, facet syndrome
, arthritis, sciatica and other degenerative changes that occur in the spine.
Although disc is considered to be the most common pain cause of lumbar spine; depending on the population studied, facet syndrome
is estimated to be responsible for 15-40% of chronic low back pain.
In general, sciatica type pain is most-likely due to nerve root compromise (radiculopathy), while axial back pain is more indicative of a "mechanical origin" such as facet syndrome
, discogenic pain, or muscular pain.
, sacroiliac joint dysfunction, trochanteric bursitis, myofascial pain syndrome, pelvic tumor, endometriosis, and conditions irritating the sciatic nerve should be considered in the differential diagnoses of piriformis syndrome.
The importance of spinal posture is well appreciated: schools perform scoliosis screenings each year for children, a hyperlordotic lumbar spinal curve (swayback) is recognized as a possible cause of facet syndrome
and low back pain, and spinal subluxations (joint dysfunction) are often blamed for pinched nerves.
Efficacy of facet joint block in facet syndrome
has not been evaluated as extensively as its diagnostic performance.
Sacroiliac joint syndrome (SIJS) probably accounts for about 15% of cases of low back pain, making it the third most common cause after discogenic pain and facet syndrome
Sacroiliac joint syndrome (SIJS) probably accounts for around 15% of cases of low back pain, making it the third most common cause after discogenic pain and facet syndrome
We found two retrospective studies of PRF application for facet syndrome