Facet vs discogenic pain
[PDF File]Clinical Diagnosis of Lumbar Discogenic Pain
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• Only patients with proven discogenic pain centralize • No cases of Zjoint (facet joint pain) centralized • No cases of intra-articular SIJ pain centralized • CP is a discogenic phenomenon but… • Not all painful discs centralise ‘Mechanical’ discogenic pain Cecil M • Male, age 39, Horse groomer, non-smoker. • 9yrs pain worsening. Fell 2 metres. • Left shift. Worse ...
[PDF File]Approach to Back Pain
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pain have a discogenic etiology. Disc herniation presents most commonly in those who are 30-40 years old. The onset of pain occurs over hours to days, lasts weeks to months, and is worse on flexion. The pain is predominantly distributed in the lower part of the lower extremity and never solely in the back. The pain is a sharp, lancinating quality often described as “shooting” and “shock ...
[PDF File]updates in interventional management of low back pain
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–Discogenic pain Disc Annular Tears (+/-radiculitis) –Spondylolysis / -listhesis –Sacroiliac Joint Dysfunction –Ligament Sprains and Laxity –Trigger Points –Whiplash & Facet pain –Stingers & Burners –Peripheral Nerve Injuries –Rib contusion / Intercostal Neuralgia - Strain • The Aging Athlete –Degenerative Disc Disease –Radiculitis & Piriformis Syndrome –Facet ...
[PDF File]Lumbar Degenerative Disc Disease
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Degenerative disc disease: discogenic pain, disk herniation, degenerative scoliosis 3. Developmental: spondylolisthesis, idiopathic scoliosis 4. Congenital: scoliosis 5. Traumatic 6. Infectious 7. Inflammatory 8. Neoplastic 9. Metabolic 10. Referred. Natural History • Most non- specific LBP resolve within a week no need for formal anatomic diagnosis - Unless red flags present • If symptoms ...
Discogenic Back Pain: Literature Review of Definition ...
discogenic LBP, radicular back pain, facet joint osteoarthritis back pain, muscle and fascia-induced back pain, and spontane-ous occurring LBP.(20) Discogenic pain can be categorized as a distinct category of back pain, mainly consisting of nociceptive and neuropathic pain (Fig. 1), although the speciļ¬c causes of discogenic back pain are commonly multifactorial and can be challenging to ...
[PDF File]Martin Merkle, Beat Wälchli, Norbert Boos
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Current concept of discogenic facet joint pain Proinflammatory cytokines, nitric oxide, metabolic debris, low pH or high lactate levels may diffuse out of the disc and cause nociception at the outer annular fibers.) tumor necrosis factor (TNF)- [) interleukin (IL)-1 q) interleukin (IL)-6 ) prostaglandins (PG)-E 2 Discogenic back pain may be caused by proinflamma-tory cytokines A current ...
[PDF File]Facet Syndrome and stenosis vs. Lumbar Disc Herniation
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Pain patterns Unlike disc injuries, which are most painful in the morning after the disc has rehydrated, IVF and canal stenosis tend to be more painful towards the end of the day as the disc becomes less hydrated and the space available for exiting nerves decreases. Facet syndrome also becomes more painful toward the end of the day as tired joints have had increased pressure on them throughout ...
[PDF File]FIRESCAN USE IN LOCALIZATION OF BACK PAIN
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•Facet pain (15-40%) ... •Diagnosis of discogenic pain Schwartzer et al Spine ’95:20(17) •Diagnosis of facetogenic pain Dreyer and Dreyfuss Arch PM&R ’96:77(3) Jackson Spine ‘88 •Diagnosis of SI joint pain Fortin et al Spine ’94:19(13) Maigne et al Spine ’96:21(16) FACET JOINT PAIN REFERRAL PATTERNS ARE NOT DIAGNOSTIC. Mooney 1976 . IMAGING OPTIONS •X-rays: low predictive ...
[PDF File]Discogenic Pain Relief by Reestablishing Fluid Exchange ...
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Discogenic Pain Relief by Re-Establishing Fluid Exchange between Disc and Circulation Jeff Yeung1*, ... Facet pain is common after age 55, inflicting pain in 15-40% back pain patients [26,27,29,30]. Origins of pain seem to be sequential with progressive disc degeneration; from discogenic to facet pain [28-33]. Continual disc flattening and facet erosion lead to spinal instability and/or ...
[PDF File]Research Paper Analysis of Efficacy Differences between ...
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Lumbar Axial Discogenic Pain: Local Anesthetic Alone vs. Local Combined with Steroids ... litis, facet joint pain, or sacroiliac joint pain in patients over 18 years of age with at least 6 months of func-tion-limiting low back pain. The facet joint pain and sacroiliac joint pain were ruled out by controlled comparative local anesthetic blocks -35, 39-42], [4, 33 whereas disc herniation was ...
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