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| == Diagnostic Procedures == | | == Diagnostic Procedures == |
| | | <div style="mso-element:para-border-div;border:none;border-bottom:solid #CCCCCC 1.0pt; mso-border-bottom-alt:solid #CCCCCC .75pt;padding:0cm 0cm 0cm 0cm"> |
| <meta name="Title" content=""><meta name="Keywords" content=""><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><meta name="ProgId" content="Word.Document"><meta name="Generator" content="Microsoft Word 14"><meta name="Originator" content="Microsoft Word 14"><link rel="File-List" href="file://localhost/Users/jonas/Library/Caches/TemporaryItems/msoclip/0/clip_filelist.xml"></link> <!--[if gte mso 9]><xml>
| | <span lang="EN-US">In fact, lumbar |
| <o:OfficeDocumentSettings>
| |
| <o:AllowPNG/>
| |
| </o:OfficeDocumentSettings>
| |
| </xml><![endif]--> <link rel="themeData" href="file://localhost/Users/jonas/Library/Caches/TemporaryItems/msoclip/0/clip_themedata.xml"></link> <!--[if gte mso 9]><xml>
| |
| <w:WordDocument>
| |
| <w:View>Normal</w:View>
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| <w:Zoom>0</w:Zoom>
| |
| <w:TrackMoves/>
| |
| <w:TrackFormatting/>
| |
| <w:PunctuationKerning/>
| |
| <w:ValidateAgainstSchemas/>
| |
| <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
| |
| <w:IgnoreMixedContent>false</w:IgnoreMixedContent>
| |
| <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
| |
| <w:DoNotPromoteQF/>
| |
| <w:LidThemeOther>NL</w:LidThemeOther>
| |
| <w:LidThemeAsian>JA</w:LidThemeAsian>
| |
| <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
| |
| <w:Compatibility>
| |
| <w:BreakWrappedTables/>
| |
| <w:SnapToGridInCell/>
| |
| <w:WrapTextWithPunct/>
| |
| <w:UseAsianBreakRules/>
| |
| <w:DontGrowAutofit/>
| |
| <w:SplitPgBreakAndParaMark/>
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| <w:EnableOpenTypeKerning/>
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| <w:DontFlipMirrorIndents/>
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| <w:OverrideTableStyleHps/>
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| </w:Compatibility>
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| <m:mathPr>
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| <m:mathFont m:val="Cambria Math"/>
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| <m:brkBin m:val="before"/>
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| <m:brkBinSub m:val="--"/>
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| <m:smallFrac m:val="off"/>
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| <m:dispDef/>
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| <m:lMargin m:val="0"/>
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| <m:rMargin m:val="0"/>
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| <m:defJc m:val="centerGroup"/>
| |
| <m:wrapIndent m:val="1440"/>
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| <m:intLim m:val="subSup"/>
| |
| <m:naryLim m:val="undOvr"/>
| |
| </m:mathPr></w:WordDocument>
| |
| </xml><![endif]--><!--[if gte mso 9]><xml>
| |
| <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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| <w:LsdException Locked="false" Priority="29" SemiHidden="false"
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| UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
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| <w:LsdException Locked="false" Priority="66" SemiHidden="false"
| |
| UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
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| <w:LsdException Locked="false" Priority="67" SemiHidden="false"
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| UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
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| <w:LsdException Locked="false" Priority="68" SemiHidden="false"
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| <w:LsdException Locked="false" Priority="69" SemiHidden="false"
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| <w:LsdException Locked="false" Priority="72" SemiHidden="false"
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| UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
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| <![endif]--> <!--StartFragment--> <div style="mso-element:para-border-div;border:none;border-bottom:solid #CCCCCC 1.0pt;
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| mso-border-bottom-alt:solid #CCCCCC .75pt;padding:0cm 0cm 0cm 0cm"> | |
| == <span lang="EN-US" style="font-size:
| |
| 12.0pt;mso-bidi-font-size:9.5pt;font-family:"Times New Roman";mso-bidi-font-family:
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| Times;color:#101010;mso-ansi-language:EN-US;font-weight:normal">In fact, lumbar
| |
| facet joint pain may be accompanied by hamstring tightness that limits | | facet joint pain may be accompanied by hamstring tightness that limits |
| straight-leg raising, further confusing the diagnosis with sciatica. After | | straight-leg raising, further confusing the diagnosis with sciatica. After |
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| and nerve root impingement, unilateral or bilateral symptoms radiating to one | | and nerve root impingement, unilateral or bilateral symptoms radiating to one |
| or both buttocks, groins, and thighs and stopping above the knee may be | | or both buttocks, groins, and thighs and stopping above the knee may be |
| presumed pain of facet origin. <ref>Kalichman L, Hunter DJ. Lumbar facet joint osteoarthritis: a review. Semin Arthritis Rheum. 2007;37:69–80.</ref><o:p></o:p></span> == | | presumed pain of facet origin. <ref>Kalichman L, Hunter DJ. Lumbar facet joint osteoarthritis: a review. Semin Arthritis Rheum. 2007;37:69–80.</ref></span> |
|
| |
|
| == <span lang="EN-US" style="font-size:
| | <span lang="EN-US">Exacerbating |
| 12.0pt;mso-bidi-font-size:9.5pt;font-family:"Times New Roman";mso-bidi-font-family:
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| Times;color:#101010;mso-ansi-language:EN-US;font-weight:normal">Exacerbating
| |
| factors are many and may include psychoso- cial stress, increased physical | | factors are many and may include psychoso- cial stress, increased physical |
| activity or inactivity, lumbar extension with or without rotation, and | | activity or inactivity, lumbar extension with or without rotation, and |
| prolonged standing or sitting. <ref>Helbig T, Lee CK. The lumbar facet syndrome. Spine. 1988;13:61–4.</ref><o:p></o:p></span> == | | prolonged standing or sitting. <ref>Helbig T, Lee CK. The lumbar facet syndrome. Spine. 1988;13:61–4.</ref></span> |
|
| |
|
| == <span lang="EN-US" style="font-size:
| | <span lang="EN-US">Although CT is |
| 12.0pt;mso-bidi-font-size:9.5pt;font-family:"Times New Roman";mso-bidi-font-family:
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| Times;color:#101010;mso-ansi-language:EN-US;font-weight:normal">Although CT is
| |
| the established imaging modality for the radiological diagnosis of lumbar facet | | the established imaging modality for the radiological diagnosis of lumbar facet |
| joint osteoarthritis, its ability to accurately identify pain originating from | | joint osteoarthritis, its ability to accurately identify pain originating from |
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| demonstrated a relationship between the degenerative changes seen on CT and | | demonstrated a relationship between the degenerative changes seen on CT and |
| facet- mediated pain by using controlled anesthetic blocks of the lumbar | | facet- mediated pain by using controlled anesthetic blocks of the lumbar |
| zygapophyseal joints. <ref>Carrera GF. Lumbar facet joint injection in low back pain and sciatica: preliminary results. Radiology. 1980;137:665–7.8. Carrera GF, Williams AL. Current concepts in evaluation of the lumbar facet joints. CRC Crit Rev Diagn Imag. 1984;21:85– 104.</ref><o:p></o:p></span> == | | zygapophyseal joints. <ref>Carrera GF. Lumbar facet joint injection in low back pain and sciatica: preliminary results. Radiology. 1980;137:665–7.8. Carrera GF, Williams AL. Current concepts in evaluation of the lumbar facet joints. CRC Crit Rev Diagn Imag. 1984;21:85– 104.</ref></span> |
| </div> <!--EndFragment--></meta></meta></meta></meta></meta></meta> | | </div> |
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| == Outcome Measures == | | == Outcome Measures == |