Comparison of clinical outcomes of ultrasonography-guided and blind local injections in facet syndrome: A 6-week randomized controlled trial
| العنوان: | Comparison of clinical outcomes of ultrasonography-guided and blind local injections in facet syndrome: A 6-week randomized controlled trial |
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| المؤلفون: | İbrahim Batmaz, Servet Kerimoğlu, Murat Karkucak, Ahmet Ayar |
| المصدر: | Journal of Back and Musculoskeletal Rehabilitation. 33:431-436 |
| بيانات النشر: | IOS Press, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, 030506 rehabilitation, Facet (geometry), Triamcinolone acetonide, Visual analogue scale, Anti-Inflammatory Agents, Physical Therapy, Sports Therapy and Rehabilitation, Triamcinolone, Zygapophyseal Joint, Injections, Injections, Intra-Articular, law.invention, Facet joint, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, law, Humans, Medicine, Orthopedics and Sports Medicine, Anesthetics, Local, Ultrasonography, Interventional, Pain Measurement, Facet syndrome, business.industry, Rehabilitation, Lidocaine, 030229 sport sciences, Middle Aged, medicine.disease, Low back pain, Oswestry Disability Index, Treatment Outcome, medicine.anatomical_structure, Anesthesia, Female, medicine.symptom, 0305 other medical science, business, Low Back Pain, medicine.drug |
| الوصف: | Background Facet syndrome is defined as pain that arises from any structure of the facet joints, including the fibrous capsule, synovial membrane, hyaline cartilage, and bone. Objectives To compare the effectiveness of US-guided and blind injections on clinical outcome in facet syndrome. Materials and methods Forty-seven patients with the diagnosis of facet syndrome were included. Patients were consecutively randomized into one of the two groups. The patient's history, physical examination and routine laboratory parameters were obtained and diagnose was established based on physical findings. Two injections (mixture of 2 ml of 1% lidocaine hydrochloride and 20 mg of triamcinolone, to a single or maximum two sites depending on the clinical characteristics of the facet joint) were performed with 15 days apart, as blinded or US-guided manner. Clinical outcome assessments were carried out at 0, 2nd and 6th weeks, using Visual Analog Scale (VAS), Oswestry Disability Index (ODI) and State-Trait Anxiety Inventory (STAI). Results The patients' initial VAS and ODI were not significantly different. When the two groups were compared in the 6th week in terms of VAS scores, improvement was more pronounced in the US-guided injection group (US-guided group (n= 23) before 7.6 (2.2) cm, after 3.0 (1.7) cm, P= 0.0001 vs blind group (n= 24) before 7.2 (1.3) cm, after 5.2 (2.0) cm, P= 0.0001). The improvement in initial and 6th week ODI was statistically significant in the US-guided injection group (P= 0.006). Except STAI I for US-group, trait anxiety scale scores were significant in both groups. Conclusion The US-guided local injections offer better clinical outcome in the treatment of facet syndrome. |
| تدمد: | 1878-6324 1053-8127 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3da7f3f56c80820cb8bdbb7bf0851b84 https://doi.org/10.3233/bmr-181447 |
| رقم الأكسشن: | edsair.doi.dedup.....3da7f3f56c80820cb8bdbb7bf0851b84 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18786324 10538127 |
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