Regression of Enlarged Lumbar Zygapophyseal Inclusions after Manipulative Therapy

1998 ◽  
Vol 11 (1) ◽  
pp. 113-116
Author(s):  
V. Rucco ◽  
P.-T. Basadonna ◽  
D. Gasparini
Keyword(s):  
Magnetic Resonance ◽  
Magnetic Resonance Image ◽  
Pain Syndrome ◽  
Spontaneous Pain ◽  
Low Back ◽  
Facet Joints ◽  
Manipulative Therapy ◽  
Facet Syndrome ◽  
Lumbar Facet

We describe a case of low back pain (LBP) secondary to a facet syndrome, with a magnetic resonance image of enlarged zygapophyseal inclusions, which both regressed with manipulative therapy. The role of the lumbar zygapophyseal inclusion in the pain syndrome remains uncertain, because there are no studies on these inclusions in the lumbar facet syndrome. The explanation of the role of manual therapy is also uncertain (adjusting joint subluxations, restoring bony alignment, reducing nuclear protrusion, reducing meniscoid entrapment or extrapment, decompressing facet joints, etc). The diagnosis of classical facet syndrome LBP was made by history-taking and physical examination. The diagnosis of intra-articular enlargements was made by magnetic resonance imaging. The manipulative therapy consisted of manipulations in rotation with the spine placed in kyphosis. Before every manipulation session, spontaneous pain, pain with pressure on the zygapophyseal joint and the range of thoracic and lumbar spine motions were evaluated. After the fourth manipulation session, the patient's pain was alleviated and the enlarged zygapophyseal inclusions were no longer visible. The clinical improvement continued at the controls one and two months after the end of the manipulative therapy. This is the first report of facet syndrome LBP with a magnetic resonance image of enlarged zygapophyseal inclusions which both regressed with manipulative therapy. It is interesting to speculate on the possible mechanisms to explain this outcome, but further studies are needed.

scholarly journals Radiofrequency denervation of facet joints in low back pain therapy at lumbar facet syndrome

2017 ◽  
Vol 18 (1) ◽  
pp. 38-42
Author(s):  
Michal Venglarčík ◽  
Juraj Mláka ◽  
Martin Griger ◽  
Róbert Tirpák ◽  
Vlasta Vinklerová ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Therapy ◽  
Low Back ◽  
Facet Joints ◽  
Radiofrequency Denervation ◽  
Facet Syndrome ◽  
Lumbar Facet

The Role of the Lumbar Facet Joints in Spinal Stability

Spine ◽  
1994 ◽  
Vol 19 (23) ◽  
pp. 2667-2670 ◽  
Author(s):  
Thomas R. Haher ◽  
Michael OʼBrien ◽  
Joseph W. Dryer ◽  
Robert Nucci ◽  
Richard Zipnick ◽  
...  
Keyword(s):  
Spinal Stability ◽  
Facet Joints ◽  
Lumbar Facet ◽  
Lumbar Facet Joints

Posterior Branches of Lumbar Spinal Nerves – part II: Lumbar Facet Syndrome – Pathomechanism, Symptomatology and Diagnostic Work-up

2017 ◽  
Vol 19 (2) ◽  
pp. 101-109 ◽  
Author(s):  
Katarzyna Kozera ◽  
Bogdan Ciszek ◽  
Paweł Szaro
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Facet Joint ◽  
Medial Branch ◽  
Low Back ◽  
Spinal Nerves ◽  
Lower Lumbar Spine ◽  
Facet Syndrome ◽  
Lumbar Spinal ◽  
Lumbar Facet

Posterior branches of the lumbar spinal nerves are the anatomic substrate of pain in the lower back, sacrum and the gluteal area. Such pain may be associated with various pathologies which cause pain in the posterior branches of the lumbar spinal nerves due to entrapment, mechanical irritation or inflammatory reaction and/or degeneration. The posterior branches are of significant functional importance, which is related to the function of the structures they supply, including facet joints, which are the basic biomechanical units of the spine. Low back pain caused by facet joint pathology may be triggered e.g. by simple activities, such as body rotations, unnatural positions, lifting heavy weights or excessive bending as well as chronic overloading with spinal hyperextension. Pain usually presents at the level of the lumbosacral junction (L 5 -S 1 ) and in the lower lumbar spine (L 4-5 , L 3-4 ). In the absence of specific diagnostic criteria, it is only possible to conclude that patients display tenderness at the level of the affected facet joint and that the pain is triggered by extension. Differential diagnosis for low back pain is difficult, since the pain may originate from various structures. The most reliable method of identifying Lumbar Facet Syndrome has been found to be a positive response to an analgesic procedure in the form of a block of the medial branch or intraarticular injection. There appear to be good grounds for conducting further studies and developing unequivocal diagnostic tests.

scholarly journals Role of Magnetic Resonance Image in Children with Lumbosacral and Perineal Hemangiomas: Case Reports and Review of the Literature

2019 ◽  
Vol 110 (9) ◽  
pp. 728-733
Author(s):  
D. Subiabre-Ferrer ◽  
A. García-Rabasco ◽  
N. Correa-González ◽  
J.M. Ortiz-Salvador ◽  
M. Barreda-Solana
Keyword(s):  
Magnetic Resonance ◽  
Magnetic Resonance Image ◽  
Case Reports ◽  
Review Of The Literature

Osteoradionecrosis of the hyoid presenting as a cause of intractable neck pain following radiotherapy and the role of magnetic resonance image scanning to aid diagnosis

2003 ◽  
Vol 117 (12) ◽  
pp. 1003-1005 ◽  
Author(s):  
W. K. Smith ◽  
A. G. Pfleiderer ◽  
B. Millet
Keyword(s):  
Magnetic Resonance ◽  
Neck Pain ◽  
Magnetic Resonance Image ◽  
Tongue Base ◽  
Mri Scan ◽  
Image Scanning

Osteoradionecrosis of the hyoid has been reported rarely in the worldwide literature. We present the case of a 56-year-old gentleman who presented with intractable neck pain, following surgery and radiotherapy for a T2N2cM0 tongue base carcinoma, to highlight the need to consider osteoradionecrosis of the hyoid rather than recurrence of the carcinoma as the cause of such symptoms. The previously unreported appearance of osteoradionecrosis of the hyoid on a magnetic resonance image (MRI) scan and the use ofthis investigation to aid diagnosis is discussed.

scholarly journals Facet syndrome. Minimally invasive surgical treatment. (Clinical case with a literature re-view).

2021 ◽  
Author(s):  
Vitaliy E. Potapov ◽  
Vladimir Alekseevich Sorokovikov ◽  
Sergey Nikolaevich Larionov ◽  
Aleksandr Petrovich Zhivotenko
Keyword(s):  
Surgical Treatment ◽  
Facet Joint ◽  
Pain Syndrome ◽  
Intervertebral Discs ◽  
Facet Joints ◽  
Spinal Motion ◽  
Minimally Invasive Surgical ◽  
High Incidence ◽  
Facet Syndrome ◽  
Minimally Invasive Surgical Treatment

The problem of the pathology of the facet joints of the lumbar spine remains significant and is medical and social due to persistent pain syndrome, high incidence of morbidity and frequent disability outcomes. The complex anatomical and topographic relationships of the facet joints, intervertebral discs and radicular nerves force clinicians to pay attention to the pathology of facet syndrome. A pair of facet joints and an intervertebral disc constitute a functional unit - a "three-component complex" and are interconnected with each other. The article examines the anatomical and morphological features and radiological classifications of degenerative changes in the facet joints, which are currently used in clinical practice. Facet joint pathologies are the most common nosological form of degenerative-dystrophic process (spondyloarthrosis) and a potential source of pain with the formation of instability of the spinal motion segment and the formation of chronic pain syndrome. The features of facet syndrome diagnostics are presented on a clinical example of surgical treatment by means of laser dereception of facet joints.

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