Korean J Pain.
2008 Apr;21(1):1-10. 10.3344/kjp.2008.21.1.1.
Spinal Joint Pain Syndrome
- Affiliations
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- 1Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Busan, Korea. pain@pusan.ac.kr
- KMID: 1480639
- DOI: http://doi.org/10.3344/kjp.2008.21.1.1
Abstract
- Spinal joint pain syndrome is composed of atlanto-occipital, atlanto-axial, facet, and sacro-iliac joints pain. The syndrome is haracterized as referred pain which is originated from deep somatic tissues, which is quietly different from radicular pain with dermatomal distribution originated from nerve root ganglion. The prevalence of facet joint pain in patients with chronic spinal pain of cervical, thoracic, and lumbar regions has been known 56%, 42%, and 31% as in order. It is generally accepted in clinical practice that diagnostic blocks are the most reliable means for diagnosing spinal joints as pain generators. The sacroiliac joint has been shown to be a source of 10% to 27% of suspected cases with chronic low back pain utilizing controlled comparative local anesthetic blocks. The treatment of spinal joints ideally consists of a multimodal approach comprising conservative therapy, medical management, procedural interventions, and if indicated.
