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A RETROSPECTIVE STUDY ON THE EFFECTIVENESS OF FACET JOINT INJECTIONS IN 302 CHRONIC LOW BACK PAIN PATIENTS WITH A ONE YEAR FOLLOW UP
ESRA Academy. Arora A. Sep 8, 2016; 138480; 0338 Topic: INTERVENTIONAL TECHNIQUES
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Arun Arora
Arun Arora

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Abstract
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Background and Aims:

Low back pain has a reported adult prevalence of over 50%. Lumbar facet joint injections (FJI) are often used to provide pain relief. This study evaluates the effectiveness of FJI in chronic low back pain patients.

Methods:

302 chronic low back pain patients who had received FJI between 2009 and 2012 were followed for a year. Patient demographics; indication for injection; duration of pain relief; number of repeat injections over the next one year; and any other ongoing therapies were recorded. Only patients who had FJI ± sacroiliac joint injections were included. Pain relief was defined as >50% relief. Patients receiving a combination of other injections and those with unrecorded pain relief were excluded.

Results:

In a total of 302 patients, females:males was 63:37; 42% had localised low back pain and 58% had low back pain with radiation; and 70% of patients had pain for >5 years. 77% of patients experienced pain relief from the procedure: 37% had <6 weeks; 26% had 6-12 weeks; 14% had >12 weeks; and 23% had no pain relief. The average number of repeat FJI in a year was 1.  Majority (82%) of patients with no pain relief had no further injections in the following year. 100% of patients were receiving multimodal treatment: medication (100%); TENS machine (85%); physiotherapy (75%); and psychological intervention (23%).

Conclusions:

FJI provides >6 weeks of >50% pain relief in 40% of patients. This may improve patient’s quality of life. Management of chronic low back pain should be multimodal. 

Ethical approval available on request.

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