Cervicalgia, Facet Joint Pain, Neck Pain
Conditions
Brief summary
The purpose of this study is to determine if cortisone shots in the neck are helpful in patients with certain MRI findings. Additionally, the investigators hope to learn if cervical facet joint steroid injections are beneficial in the subset of patients with MRI findings consistent with facet joint synovitis.
Interventions
PROCEDUREIntra-articular cervical zygapophyseal joint injection
Fluoroscopically-guided intra-articular cervical zygapophyseal steroid injection
Sponsors
Stanford University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* at least 18 years old * Patient who will be getting a neck cortisone shot for pain that has been there for at least 4 weeks * A specific MRI finding (increased Short Tau Inversion Recovery signal) around 1 or more of the joints in the neck
Exclusion criteria
* Those receiving disability, worker's compensation, or are involved in litigation related to their pain. * Those unable to read English and complete the assessment instruments. * Those unable to attend follow up appointments * The patient is incarcerated. * Grade 2 or greater spondylolisthesis at the involved or adjacent segments. * History of prior posterior cervical surgery. Anterior cervical surgery is not an
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Numeric Pain Rating Scale | Baseline, 2-4 weeks, and 3 months | 0 to 10 scale grading severity of pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Neck Disability Index | Baseline, 2-4 weeks, and 3 months | Measure of neck pain related disability, scored between 0-50 with 0 being no disability and higher numbers being higher levels of disability |
| Work status | Baseline, 2-4 weeks, and 3 months | Yes or No explaining if the patient is working |
| Medication use | Baseline, 2-4 weeks, and 3 months | Yes or No explaining if the patient is taking pain medication |
| Use of other treatments | Baseline, 2-4 weeks, and 3 months | Yes or No explaining if the patient is using other health care resources |
| Global Assessment of Change | 2-4 weeks and 3 months | Question asking if the patient is improved, the same, or worse |
Countries
United States
Outcome results
None listed