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42127

Injection in Facet Joint Arthropathy

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Last updated: 03 Jan 2025

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Abstract

Background: Facet syndrome is an articular disorder related to the lumbar facet joints and their innervations, and produces both local and radiating pain. Objective: The purpose of this study was to evaluate the outcome of steroid injection in treatment of facet joint arthropathy. Patient and Methods: This study was held on 23 patients suffered from chronic low back pain due to facet arthropathy at Al-Azhar University and Alharam Specialized Hospitals. There were 11 males and 12 females with mean age 46.27 years (28 to 60 years). History, clinical examination, x-ray, MRIs were done to all patients. Results: Pain was evaluated by VAS. The mean VAS pre injection was 8.1 ± 0.83 ranging from 6:10. Immediately post injection, the mean was decreased to 3.7 ± 0.85 ranging from 2:5. Six weeks after injection the mean was decreased to 3.6 ± 0.98 ranging from 2:5. Twelve weeks after injection the mean was elevated to 5.3 ± 0.91 ranging from 4 to 6. The mean ODI improved from 36.5 ± 6.9 to 21.1 ± 4.2 three months post injection. Conclusion: intra-articular facet joint injection is crucial in the diagnosis and treatment of facet joint syndrome. It is an easy to perform and effective treatment for temporary pain relief. The pain relief is sustained longer in patients with grade G2 and G3 of facet joints

DOI

10.21608/ejhm.2019.42127

Keywords

facet joint, intra-articular injection, facet arthropathy, steroids

Authors

First Name

Eissa

Last Name

Ragheb

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Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University

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Orcid

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First Name

Mohamed

Last Name

Negm

MiddleName

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Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University

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First Name

Abd El Rahman

Last Name

Abdalla

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University

Email

abdo1ortho@gmail.com

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Volume

76

Article Issue

4

Related Issue

6546

Issue Date

2019-07-01

Receive Date

2019-07-24

Publish Date

2019-07-01

Page Start

4,013

Page End

4,016

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_42127.html

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https://ejhm.journals.ekb.eg/service?article_code=42127

Order

26

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Injection in Facet Joint Arthropathy

Details

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Article

Created At

22 Jan 2023