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August 2014; 4 (4) Drugs and Devices

Diagnostic and therapeutic spinal interventions

Facet joint interventions

J.D. Bartleson, Timothy P. Maus
First published June 18, 2014, DOI: https://doi.org/10.1212/CPJ.0000000000000044
J.D. Bartleson
Departments of Neurology (JDB) and Radiology (TPM), Mayo Clinic, Rochester, MN.
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Timothy P. Maus
Departments of Neurology (JDB) and Radiology (TPM), Mayo Clinic, Rochester, MN.
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Diagnostic and therapeutic spinal interventions
Facet joint interventions
J.D. Bartleson, Timothy P. Maus
Neurol Clin Pract Aug 2014, 4 (4) 342-346; DOI: 10.1212/CPJ.0000000000000044

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Summary

Axial spine pain is a common condition that is due to facet joint disease in some patients. Local anesthetic blocks of the medial branches of the dorsal rami of the spinal nerves that innervate facet joints are used to identify painful facet joints. Subsequent radiofrequency neurotomy of the medial branches serving symptomatic facet joints may provide prolonged albeit impermanent pain relief. The diagnostic blocks and radiofrequency treatments are best validated in the cervical spine. Neurologists should be aware that patients with axial spine pain who are referred to a pain clinic or pain management facility are likely to be considered for diagnostic and therapeutic interventions directed at facet joints and their sensory nerve supply.

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  • Funding information and disclosures are provided at the end of the article. Full disclosure form information provided by the authors is available with the full text of this article at Neurology.org/cp.

  • © 2014 American Academy of Neurology
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