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| == Examination == | | == Examination == |
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| | <u><span lang="EN-US">Intra-articular injections</span></u><span lang="EN-US"> for the |
| | treatment of lower back pain without a pre-existing <span style="mso-spacerun:yes"> </span>intervention can trace their treatment rationale back to the original paper by Mooney and Robertson in 1976 describ- ing 100 consecutive patients with lower back discomfort treated with intra-articular facet joint injections consisting of depomedrol and local anesthetic. When an analysis of pooled studies on the administration of intra-articular steroids was performed nearly 30 years later, the results showed that slightly less than half of all patients with an initial positive response maintained that response for a time period of 3</span><span lang="EN-US">–</span><span lang="EN-US">6 months. <ref>Stephani Curtis Radio-frequency lesioning to treat chronic lumbar facet joint point, AORN Journal, Oct, 1997</ref></span> |
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| | <u><span lang="EN-US">radiofrequency</span></u><span lang="EN-US">: We can conclude |
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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">
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| == <u><span lang="EN-US" style="font-size:12.0pt;mso-bidi-font-size:9.5pt;font-family:"Times New Roman";
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| mso-bidi-font-family:Times;color:#101010;mso-ansi-language:EN-US;font-weight:
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| normal">Intra-articular injections</span></u><span lang="EN-US" style="font-size:
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| 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"> for the
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| treatment of lower back pain without a pre-existing <span style="mso-spacerun:yes"> </span>intervention can trace their treatment rationale back to the original paper by Mooney and Robertson in 1976 describ- ing 100 consecutive patients with lower back discomfort treated with intra-articular facet joint injections consisting of depomedrol and local anesthetic. When an analysis of pooled studies on the administration of intra-articular steroids was performed nearly 30 years later, the results showed that slightly less than half of all patients with an initial positive response maintained that response for a time period of 3</span><span lang="EN-US" style="font-size:12.0pt;mso-bidi-font-size:9.5pt;font-family:"Times New Roman";
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| mso-bidi-font-family:Helvetica;color:#101010;mso-ansi-language:EN-US;
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| font-weight:normal">–</span><span lang="EN-US" style="font-size:12.0pt;
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| 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">6 months. <ref>Stephani Curtis Radio-frequency lesioning to treat chronic lumbar facet joint point, AORN Journal, Oct, 1997</ref><o:p></o:p></span> ==
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| <u><span lang="EN-US" style="font-size:12.0pt;mso-bidi-font-size:9.5pt;font-family:"Times New Roman";
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| mso-bidi-font-family:Times;color:black;mso-ansi-language:EN-US;font-weight:
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| normal">radiofrequency</span></u><span lang="EN-US" style="font-size:12.0pt;
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| mso-bidi-font-size:9.5pt;font-family:"Times New Roman";mso-bidi-font-family:
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| Times;color:black;mso-ansi-language:EN-US;font-weight:normal">: We can conclude
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| that denervation using pulsed radiofrequency is a valid procedure, well-tolerated | | that denervation using pulsed radiofrequency is a valid procedure, well-tolerated |
| by patients. It gives a period of wellness between 6 months and 1 year, and it | | by patients. It gives a period of wellness between 6 months and 1 year, and it |
| may be repeated with complete safety over time. <ref>Leclaire MD, Fortin L, Lambert R et al (2001) Radiofrequency facet joint denervation in the treatment of low back pain. Spine 26:1411–1417</ref></span><span lang="EN-US" style="font-size:12.0pt; | | may be repeated with complete safety over time. <ref>Leclaire MD, Fortin L, Lambert R et al (2001) Radiofrequency facet joint denervation in the treatment of low back pain. Spine 26:1411–1417</ref></span><span lang="EN-US"></span><span lang="EN-US"></span><br> |
| mso-bidi-font-size:9.5pt;font-family:"Times New Roman";mso-bidi-font-family:
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| Times;color:black;mso-ansi-language:EN-US;font-weight:normal"></span><br>
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| <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:black;mso-ansi-language:EN-US;font-weight:normal"></span><span lang="EN-US" style="font-size:12.0pt;mso-bidi-font-size:9.5pt;font-family:"Times New Roman";
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| mso-bidi-font-family:Times;color:#101010;mso-ansi-language:EN-US;font-weight:
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| normal"><o:p></o:p></span>
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| </div> <!--EndFragment--></meta></meta></meta></meta></meta></meta> | |
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| == Medical Management <br> == | | == Medical Management <br> == |