Ultrasound and facet blocks: A review
November 1, 2009 by admin
Ultrasound and facet blocks: A review
Abstract: Facet or zygapophysial joints are considered to be common sources of chronic spinal pain. In addition to causing localized spinal pain, facet joints may refer pain to adjacent structures. Cervical facet-joint pain may radiate to the head, neck, and shoulders. Thoracic facets may produce paraspinous mid-back pain with neuralgic characteristics; and lumbar facet joints may refer pain to the back, buttocks, and proximal lower extremities. Because the facet joint is innervated by the medial branches arising from the posterior rami of the spinal nerve at the same level and a level above the joint, LA blocks of these nerves have been advocated for diagnostic and prognostic purposes. Intra-articular l–z joint injection with LA has also been proposed as a method for diagnosing facet-jo…
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