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Cervical Facet Nerve Block and Radio Frequency Ablation: Fluoroscopy 

Cervical Facet Nerve Block and Radio Frequency Ablation: Fluoroscopy
Chapter:
Cervical Facet Nerve Block and Radio Frequency Ablation: Fluoroscopy
Source:
Multimodality Imaging Guidance in Interventional Pain Management
Author(s):

Maarten van Eerd

, Arno Lataster

, and Maarten van Kleef

DOI:
10.1093/med/9780199908004.003.0007

In the cervical spinal column local anesthetic can be injected intra-articularly or adjacent to the ramus medialis (medial branch) of the ramus dorsalis of the segmental nerve. Nerve blocks of the ramus medialis are preferred to an intra-articular block, because it is sometimes technically difficult to position a needle into the facet joint. These procedures are typically performed under fluoroscopy, but there are increasing numbers of studies that describe these procedures with the help of ultrasound. Reports regarding the effects of intra-articular (steroid) injections are limited. There are no comparative studies between intra-articular steroid injections and radiofrequency (RF) therapy. Based on literature about the efficacy of RF treatment and a long track record of safety of RF treatment, many pain practitioners abandon intra-articular injections in favor of RF treatment.

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