Facet Joint Pain, Neck Pain
Conditions
Keywords
cervical branch block, fluoroscopic guidance, ultrasound guidance
Brief summary
The diagnostic cervical branch block for neck pain due to cervical facet joint pain has been traditionally done under fluoroscopic guidance. Its diagnostic value and technique have been well established. However, recently some studies have shown that the diagnostic cervical and lumbar medial branch block can be done under ultrasound guidance.
Interventions
PROCEDUREcervical medial branch blocks using the Quincke spinal needle
#25 gauge 1 and 1/2 inch long needle and #25 gauge 10cm long Quincke spinal needle will be used for placement.
Sponsors
McMaster University
Hamilton Health Sciences Corporation
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* healthy volunteers * patients who have headache, neck pain, and shoulder pain due to possible facet joint disease
Exclusion criteria
* patients/volunteers with BMI \> 35 * patients/volunteers with short thick neck * coagulopathy * allergy to local anesthetic, ultrasound gel * patient unable to fill out post procedure pain diary
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the efficacy of the use of ultrasound for diagnostic cervical medial branch block on pain patients who have developed neck pain, cervicogenic headache, or shoulder pain. | At time of procedure |
Secondary
| Measure | Time frame |
|---|---|
| Interventional pain procedure studies on chronic pain patients | At time of procedure |
Countries
Canada
Outcome results
None listed