Consensus practice guidelines on interventions for cervical spine (facet) joint pain from a multispecialty international working group.
Robert W HurleyMeredith C B AdamsMeredith BaradArun BhaskarAnuj BhatiaAndrea L ChadwickTimothy Ray DeerJennifer HahWilliam Michael HootenNarayan R KissoonDavid Wonhee LeeZachary MccormickJee Youn MoonSamer NarouzeDavid A ProvenzanoByron J SchneiderMaarten van EerdJan Van ZundertMark S WallaceSara M WilsonZirong ZhaoSteven Paul CohenPublished in: Regional anesthesia and pain medicine (2021)
Cervical medial branch radiofrequency ablation may provide benefit to well-selected individuals, with medial branch blocks being more predictive than intra-articular injections. More stringent selection criteria are likely to improve denervation outcomes, but at the expense of false-negatives (ie, lower overall success rate). Clinical trials should be tailored based on objectives, and selection criteria for some may be more stringent than what is ideal in clinical practice.
Keyphrases
- clinical practice
- radiofrequency ablation
- clinical trial
- chronic pain
- primary care
- healthcare
- physical activity
- pain management
- neuropathic pain
- quality improvement
- randomized controlled trial
- smoking cessation
- platelet rich plasma
- ultrasound guided
- type diabetes
- spinal cord injury
- spinal cord
- metabolic syndrome
- adipose tissue
- open label
- insulin resistance
- study protocol
- weight loss