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Cervical Facet Joint Interventions

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Essentials of Interventional Techniques in Managing Chronic Pain

Abstract

Cervical facet, or zygapophysial, joints have been shown to be a source of pain in the neck and referred pain in the head and upper extremities. Cervical facet joints were recognized as a potential source for neck pain in 1977. Based on controlled diagnostic blocks, the prevalence of persistent neck pain secondary to the involvement of cervical facet joints has been established as varying from 36% to 67%. Cervical facet joint pain has been managed with intra-articular injections, facet joint nerve blocks, and/or radiofrequency neurotomy.

For chronic cervical pain of suspected facet joint origin, the evidence is Level II for diagnostic facet joint nerve blocks; the evidence for intra-articular injections for managing chronic cervical pain is Level IV; and the evidence for managing chronic cervical pain with facet joint nerve blocks and radiofrequency neurotomy is Level II.

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Acknowledgments

This book chapter is modified and updated from a previous book chapter, “Cervical Facet Joint Interventions” by Laxmaiah Manchikanti MD, David M. Schultz, MD, and Frank J.E. Falco, MD, in the Interventional Techniques in Chronic Spinal Pain published by ASIPP Publishing. Permission has been obtained from ASIPP Publishing.

Author information

Authors and Affiliations

  1. ASIPP and SIPMS, Paducah, KY, USA

    Laxmaiah Manchikanti

  2. Pain Management Center of Paducah, Paducah, KY, USA

    Laxmaiah Manchikanti

  3. Anesthesiology and Perioperative Medicine, University of Louisville, Louisville, KY, USA

    Laxmaiah Manchikanti

  4. Medical Advanced Pain Specialists Medical Pain Clinics, Shorewood, MN, USA

    David M. Schultz

  5. Mid Atlantic Spine and Pain Physicians, Newark, DE, USA

    Frank J. E. Falco

  6. Pain Medicine Fellowship Program, Temple University Hospital, Philadelphia, PA, USA

    Frank J. E. Falco

  7. Temple University Medical School, Philadelphia, PA, USA

    Frank J. E. Falco

  8. Spine Pain Diagnostic Associates, Iron Mountain, MI, USA

    Vijay Singh

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  1. Laxmaiah Manchikanti
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  2. David M. Schultz
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  3. Frank J. E. Falco
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  4. Vijay Singh
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Corresponding author

Correspondence to Laxmaiah Manchikanti .

Editor information

Editors and Affiliations

  1. Pain Management Center of Paducah, Paducah, Kentucky

    Laxmaiah Manchikanti

  2. Department of Anesthesia, LSU Health Science Center, New Orleans, Louisiana, USA

    Alan D. Kaye

  3. Mid Atlantic Spine and Pain Physicians, Newark, Delaware

    Frank J.E. Falco

  4. Service Line Chief of Interventional Radiology, Director of Interventional Neuroradiology, Chief of NeuroInterventional Spine Service, Massachusetts General Hospital, Boston, Massachusetts, USA

    Joshua A. Hirsch

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Manchikanti, L., Schultz, D.M., Falco, F.J.E., Singh, V. (2018). Cervical Facet Joint Interventions. In: Manchikanti, L., Kaye, A., Falco, F., Hirsch, J. (eds) Essentials of Interventional Techniques in Managing Chronic Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-60361-2_21

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