دورية أكاديمية
أعرض في EDS

Does Thoracic Manipulation Cause Extravasation at Joint Following Facet Injections?

التفاصيل البيبلوغرافية
العنوان: Does Thoracic Manipulation Cause Extravasation at Joint Following Facet Injections?
المؤلفون: McCoy RC; Physical Therapy, Mayo Clinic, Jacksonville, USA., Clifton W; Neurological Surgery, Mayo Clinic, Jacksonville, USA., Accurso JM; Radiology, Mayo Clinic, Jacksonville, USA., Hurdle MF; Pain Management, Mayo Clinic, Jacksonville, USA.
المصدر: Cureus [Cureus] 2020 Nov 05; Vol. 12 (11), pp. e11340. Date of Electronic Publication: 2020 Nov 05.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: Electronic Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Facet injections and other pain management interventions are commonly performed in combination with conservative therapy to address spinal pain. Joint mobilizations are a highly utilized intervention for manual practitioners to treat patients with spinal pain. Clinical reasoning and decision making models have not been well described in the literature assessing if and when joint mobilizations are appropriate interventions immediately or shortly following facet injection procedures. It has not been well studied if joint mobilizations immediately following facet injections negatively impact the injected solution at the respective joint and thus influence therapeutic effect. More specifically, there is a paucity of evidence assessing this at the thoracic spine. The purpose of this study was to assess if thoracic joint high-velocity low amplitude thrust manipulations caused extravasation of injected radiolucent material at respective thoracic facet joints on a cadaver. This study included an expert physician performing ultrasound-guided facet injections, an experienced manual physical therapist performing joint mobilization techniques, and fluoroscopic assessment of radiolucent material pre- and post-manipulation by a board-certified radiologist with experience in this field of study. Imaging interpretation confirmed that extravasation at respective joints did not occur following manipulation. This basic research can help guide clinical reasoning for practitioners considering implementing manual therapy techniques following facet injections and help guide further research.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2020, McCoy et al.)
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فهرسة مساهمة: Keywords: facet injection; pain management; thoracic manipulation; ultrasound guided injection
تواريخ الأحداث: Date Created: 20201211 Latest Revision: 20201212
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC7719474
DOI: 10.7759/cureus.11340
PMID: 33304676
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.11340