Mechanical back pain and the facet joint syndrome
Mechanical back pain is a common disability often associated with the facet joint syndrome. Treatment is based on early, adequate pain relief with simple techniques of regional analgesia. In a few cases this is not enough and more sophisticated methods, such as radiofrequency denervation, cryo-analg...
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Veröffentlicht in: | Disability and rehabilitation 1994, Vol.16 (1), p.2-12 |
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description | Mechanical back pain is a common disability often associated with the facet joint syndrome. Treatment is based on early, adequate pain relief with simple techniques of regional analgesia. In a few cases this is not enough and more sophisticated methods, such as radiofrequency denervation, cryo-analgesia and possibly intrathecal midazolam, are necessary. However, the main thrust of our approach is to treat the underlying structural disorder with strengthening of the back muscles and correction of postural abnormalities responsible for the mechanical back pain. Our report is based on an analysis of 83 patients who failed to respond to long periods of rest, suitable analgesic and allied drugs and other non-invasive measures. There had been no overriding indication for major surgery. A large number of these patients have been improved by our methods, but further work is in progress to extend the proportion of satisfactory results. |
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A large number of these patients have been improved by our methods, but further work is in progress to extend the proportion of satisfactory results.</description><identifier>ISSN: 0963-8288</identifier><identifier>EISSN: 1464-5165</identifier><identifier>DOI: 10.3109/09638289409166430</identifier><identifier>PMID: 8136505</identifier><language>eng</language><publisher>England: Informa UK Ltd</publisher><subject>Analgesia - methods ; Back Pain - diagnosis ; Back Pain - physiopathology ; Back Pain - therapy ; Bed Rest ; Combined Modality Therapy ; facet joint syndrome ; Humans ; Joint Diseases - physiopathology ; mechanical back pain ; Movement ; Nerve Block - methods ; Patient Care Team ; Physical Therapy Modalities - methods</subject><ispartof>Disability and rehabilitation, 1994, Vol.16 (1), p.2-12</ispartof><rights>1994 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 1994</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c382t-7b7528f4f2254d0b2af6befbab219992dcaf1f3c77e13a2fb3c07560f0aeb8b13</citedby><cites>FETCH-LOGICAL-c382t-7b7528f4f2254d0b2af6befbab219992dcaf1f3c77e13a2fb3c07560f0aeb8b13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.3109/09638289409166430$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.3109/09638289409166430$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>314,780,784,4024,27923,27924,27925,59647,59753,60436,60542,61221,61256,61402,61437</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8136505$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mehta, M.</creatorcontrib><creatorcontrib>Wynn Parry, C. B.</creatorcontrib><title>Mechanical back pain and the facet joint syndrome</title><title>Disability and rehabilitation</title><addtitle>Disabil Rehabil</addtitle><description>Mechanical back pain is a common disability often associated with the facet joint syndrome. Treatment is based on early, adequate pain relief with simple techniques of regional analgesia. In a few cases this is not enough and more sophisticated methods, such as radiofrequency denervation, cryo-analgesia and possibly intrathecal midazolam, are necessary. However, the main thrust of our approach is to treat the underlying structural disorder with strengthening of the back muscles and correction of postural abnormalities responsible for the mechanical back pain. Our report is based on an analysis of 83 patients who failed to respond to long periods of rest, suitable analgesic and allied drugs and other non-invasive measures. There had been no overriding indication for major surgery. A large number of these patients have been improved by our methods, but further work is in progress to extend the proportion of satisfactory results.</description><subject>Analgesia - methods</subject><subject>Back Pain - diagnosis</subject><subject>Back Pain - physiopathology</subject><subject>Back Pain - therapy</subject><subject>Bed Rest</subject><subject>Combined Modality Therapy</subject><subject>facet joint syndrome</subject><subject>Humans</subject><subject>Joint Diseases - physiopathology</subject><subject>mechanical back pain</subject><subject>Movement</subject><subject>Nerve Block - methods</subject><subject>Patient Care Team</subject><subject>Physical Therapy Modalities - methods</subject><issn>0963-8288</issn><issn>1464-5165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLxDAUhYMo4zj6A1wIXbmr5tW0RTcy-IIRN7oON2lCO7bJmLQM8-_tMIMgoqu7OOd8nHsQOif4ihFcXuNSsIIWJcclEYIzfICmhAueZkRkh2i61dPRUByjkxiXGGPCcj5Bk4IwkeFsisiL0TW4RkObKNAfyQoal4Crkr42iQVt-mTpG9cnceOq4Dtzio4stNGc7e8MvT_cv82f0sXr4_P8bpHqsVKf5irPaGG5pTTjFVYUrFDGKlCUlGVJKw2WWKbz3BAG1CqmcZ4JbDEYVSjCZuhyx10F_zmY2Muuidq0LTjjhyhzwfH4NBuNZGfUwccYjJWr0HQQNpJguZ1J_pppzFzs4YPqTPWd2O8y6rc7vXHWhw7WPrSV7GHT-mADON3ELfpv_M2PeG2g7WsNwcilH4Ibd_un3BfFI4cY</recordid><startdate>1994</startdate><enddate>1994</enddate><creator>Mehta, M.</creator><creator>Wynn Parry, C. 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B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c382t-7b7528f4f2254d0b2af6befbab219992dcaf1f3c77e13a2fb3c07560f0aeb8b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Analgesia - methods</topic><topic>Back Pain - diagnosis</topic><topic>Back Pain - physiopathology</topic><topic>Back Pain - therapy</topic><topic>Bed Rest</topic><topic>Combined Modality Therapy</topic><topic>facet joint syndrome</topic><topic>Humans</topic><topic>Joint Diseases - physiopathology</topic><topic>mechanical back pain</topic><topic>Movement</topic><topic>Nerve Block - methods</topic><topic>Patient Care Team</topic><topic>Physical Therapy Modalities - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mehta, M.</creatorcontrib><creatorcontrib>Wynn Parry, C. B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Disability and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mehta, M.</au><au>Wynn Parry, C. B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mechanical back pain and the facet joint syndrome</atitle><jtitle>Disability and rehabilitation</jtitle><addtitle>Disabil Rehabil</addtitle><date>1994</date><risdate>1994</risdate><volume>16</volume><issue>1</issue><spage>2</spage><epage>12</epage><pages>2-12</pages><issn>0963-8288</issn><eissn>1464-5165</eissn><abstract>Mechanical back pain is a common disability often associated with the facet joint syndrome. Treatment is based on early, adequate pain relief with simple techniques of regional analgesia. In a few cases this is not enough and more sophisticated methods, such as radiofrequency denervation, cryo-analgesia and possibly intrathecal midazolam, are necessary. However, the main thrust of our approach is to treat the underlying structural disorder with strengthening of the back muscles and correction of postural abnormalities responsible for the mechanical back pain. Our report is based on an analysis of 83 patients who failed to respond to long periods of rest, suitable analgesic and allied drugs and other non-invasive measures. There had been no overriding indication for major surgery. A large number of these patients have been improved by our methods, but further work is in progress to extend the proportion of satisfactory results.</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>8136505</pmid><doi>10.3109/09638289409166430</doi><tpages>11</tpages></addata></record> |
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source | MEDLINE; Taylor & Francis:Master (3349 titles); Taylor & Francis Medical Library - CRKN |
subjects | Analgesia - methods Back Pain - diagnosis Back Pain - physiopathology Back Pain - therapy Bed Rest Combined Modality Therapy facet joint syndrome Humans Joint Diseases - physiopathology mechanical back pain Movement Nerve Block - methods Patient Care Team Physical Therapy Modalities - methods |
title | Mechanical back pain and the facet joint syndrome |
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