Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
Local Anesthetics: Differential Sensitivity of Nerve Fibers01:24

Local Anesthetics: Differential Sensitivity of Nerve Fibers

Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Supervised versus self-managed rehabilitation for patients with an acute first-time or recurrent patellar dislocation: the Physiotherapy Rehabilitation Post Patellar Dislocation (PRePPeD) external pilot randomized controlled trial and embedded qualitative study.

The bone & joint journal·2026
Same author

Future research priorities for soft-tissue knee injuries.

The bone & joint journal·2024
Same author

Environmental persistence of Listeria monocytogenes and its implications in dairy processing plants.

Comprehensive reviews in food science and food safety·2023
Same author

Development and Control of Biofilms: Novel Strategies Using Natural Antimicrobials.

Membranes·2023
Same author

Development of Value-Added Butter by Incorporating Whey Protein Hydrolysate-Encapsulated Probiotics.

Microorganisms·2023
Same author

A review of oleogels applications in dairy foods.

Critical reviews in food science and nutrition·2023

Related Experiment Video

Updated: Jul 14, 2026

Fu's Subcutaneous Needling for Knee Osteoarthritis Pain
07:19

Fu's Subcutaneous Needling for Knee Osteoarthritis Pain

Published on: March 24, 2023

Patients' response to facet joint injection.

Sanjeev Anand1, Muhammad S M Butt

  • 1Department of Orthopaedics, Dudley group of Hospitals NHS Trust, Russells Hall Hospital, Dudley DY1 2HQ, United Kingdom. s.anand@doctors.org.uk

Acta Orthopaedica Belgica
|May 23, 2007
PubMed
Summary

Facet joint injections for lumbar back pain showed significant improvement over time, but the Helbig and Lee score did not predict patient outcomes. Predicting who benefits remains challenging.

Area of Science:

  • Pain Management
  • Spinal Interventions
  • Musculoskeletal Disorders

Background:

  • Lumbar facet joint pain is a common cause of chronic low back pain.
  • Predictive scoring systems aim to identify patients likely to benefit from interventions.
  • Facet joint injections are a common treatment for lumbar back pain.

Purpose of the Study:

  • To prospectively assess patient response to lumbar facet joint injections.
  • To evaluate the predictive accuracy of the Helbig and Lee scoring system for these injections.
  • To determine if patient outcomes correlate with predicted responses.

Main Methods:

  • Prospective follow-up of 57 patients undergoing facet joint injections for lumbar back pain.
  • Assessment of patient-reported pain relief (complete, partial, none, worse) at 8 weeks and 6 months.

More Related Videos

A Standardized Acupotomy Protocol For The Treatment of Tenosynovitis of Hand Flexor Tendons In Human Patients
07:05

A Standardized Acupotomy Protocol For The Treatment of Tenosynovitis of Hand Flexor Tendons In Human Patients

Published on: May 26, 2026

Related Experiment Videos

Last Updated: Jul 14, 2026

Fu's Subcutaneous Needling for Knee Osteoarthritis Pain
07:19

Fu's Subcutaneous Needling for Knee Osteoarthritis Pain

Published on: March 24, 2023

A Standardized Acupotomy Protocol For The Treatment of Tenosynovitis of Hand Flexor Tendons In Human Patients
07:05

A Standardized Acupotomy Protocol For The Treatment of Tenosynovitis of Hand Flexor Tendons In Human Patients

Published on: May 26, 2026

  • Comparison of actual patient response with predictions from the Helbig and Lee scoring system.

    • Main Results:

    • At 8 weeks, 53% reported relief; at 6 months, 68% reported improvement.
    • No significant correlation was found between Helbig and Lee scores and patient-reported outcomes.
    • Patients with both low and high scores showed similar improvement rates.

    Conclusions:

    • Lumbar facet joint injections can provide significant pain relief, with improvement potentially increasing over 6 months.
    • The Helbig and Lee scoring system is not a reliable predictor of response to facet joint injections.
    • Spontaneous improvement and the natural history of back pain may influence long-term outcomes, complicating prediction of treatment success.