Comparative Evaluation of Intraarticular Facet Joint Injection Versus Medial Branch Block in Patients With Low Back...

Area of Science:

• Pain Management
• Interventional Pain Medicine
• Spinal Procedures

Background:

• Lumbar facet joint pain can radiate to the back, buttocks, and legs.
• Facet joint injections, nerve blocks, and neurolytic procedures are common treatments for facet joint pain.

Purpose of the Study:

• To compare the efficacy of lumbar facet joint injection versus nerve block for pain and disability.
• To evaluate repeat injection rates, procedural ease, and side effects.

Main Methods:

• A prospective, randomized study of 60 patients with lumbar facet joint pain.
• Group I received fluoroscope-guided lumbar facet joint injection (n=30).
• Group II received fluoroscope-guided lumbar facet joint nerve block (n=30).

Main Results:

• Both groups showed statistically significant improvement in pain scores (p>0.05).
• Mean pain scores remained low (<2) in both groups throughout the study.
• High patient satisfaction was reported in both treatment groups.

Conclusions:

• Lumbar facet joint injection and nerve block are safe and effective for lower back pain.
• Both techniques provide adequate pain relief and functional improvement.
• These interventions are suitable for managing lumbar facet joint pain.