Evaluation of the effect of sedation as a confounding factor in the diagnostic validity of lumbar facet join pain: A prospective, randomized, double-blind, placebo-controlled evaluation

Pain Physician

Volumn 7, Issue 4, 2004, Pages 411-417

  Manchikanti, Laxmaiah ^a,d   Damron, Kim S ^b   Rivera, Jose ^c   McManus, Carla D ^b   Jackson, Sheila D ^d   Barnhill, Renee C ^b   Martin, Jennifer C ^b  

^a University of Louisville School of Medicine   (United States)

^b Ambulatory Surgery Center   (United States)

^c PAIN MANAGEMENT CENTER OF PADUCAH   (United States)

^d NONE   (United States)

Author keywords

Analgesia; Chronic low back pain; Confounding factors; Controlled comparative local anesthetic blocks; False positives; Lumbar facet joint pain

Indexed keywords

FENTANYL; LOCAL ANESTHETIC AGENT; MIDAZOLAM; PLACEBO; SODIUM CHLORIDE;

ADULT; AGED; ANALGESIA; ARTHRALGIA; ARTICLE; CHRONIC DISEASE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC PROCEDURE; DIAGNOSTIC VALUE; DOUBLE BLIND PROCEDURE; DRUG MECHANISM; EVALUATION; FEMALE; FUNCTIONAL ASSESSMENT; HUMAN; INTERMETHOD COMPARISON; LOCAL ANESTHESIA; LOW BACK PAIN; MALE; OUTCOMES RESEARCH; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; RATING SCALE; SEDATION; SIDE EFFECT; VALIDATION PROCESS; ZYGAPOPHYSEAL JOINT;

EID: 9444245081     PISSN: 15333159     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (28)

1. Hellsing AL, Bryngelsson IL. Predictors of musculoskeletal pain in men: A twenty-year follow-up from examination at enlistment. Spine 2000; 25:3080-3086.
2. Deyo RA, Weinstein JN. Low back pain. N Engl J Med 2001,344:363-370.
3. Deyo RA, Rainville J, Kent DL. What can the history and physical examination tell us about low back pain? JAMA 1992, 268: 760-765.
4. Bogduk N, McGuirk B. Causes and sources of chronic low back pain. In Bogduk N, McGuirk B (eds.) Medical Management of Acute and Chronic Low Back pain. An Evidence-Based Approach: Pain Research and Clinical Management, Vol 13. Elsevier Science BV; Amsterdam, 2002, pp 115-126.
5. Bogduk N, McGuirk B. An algorithm for precision diagnosis. In Bogduk N, McGuirk B (eds.) Medical Management of Acute and Chronic Low Back pain. An Evidence-Based Approach: Pain Research and Clinical Management, Vol. 13. Elsevier Science BV; Amsterdam, 2002, pp 177-186.
6. Bogduk N. Low back pain. In Bogduk N (ed.) Clinical Anatomy of the Lumbar Spine and Sacrum, 3rd edition. Churchill Livingstone; New York, 1997, pp 187-214.
7. Bogduk N. International Spinal Injection Society guidelines for the performance of spinal injection procedures. Part 1: Zygapophyseal joint blocks. Clin J Pain 1997; 13:285-302.
8. Merskey H, Bogduk N. Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes And Definitions Of Pain Terms. 2nd ed. IASP Press, Seattle, 1994, pp 180-181.
9. Schwarzer AC, Aprill CN, Derby R et al. Clinical features of patients with pain stemming from the lumbar zygapophysial joints. Is the lumbar facet syndrome a clinical entity? Spine 1994, 19:1132-1137.
10. Schwarzer AC, Wang SC, Bogduk N et al. Prevalence and clinical features of lumbar zygapophysial joint pain: A study in an Australian population with chronic low back pain. Am Rheum Dis 1995, 54:100-106.
11. Manchikanti L, Boswell MV, Singh V et al. Prevalence of facet joint pain in chronic spinal pain of cervical, thoracic, and lumbar regions. BMC Musculoskelet Disord 2004; 5:15.
12. Manchikanti L, Pampati V, Fellows B et al. The inability of the clinical picture to characterize pain from facet joints. Pain Physician 2000, 3:158-166.
13. Manchikanti L, Pampati V, Fellows B et al. The diagnostic validity and therapeutic value of medial branch blocks with or without adjuvants. Curr Rev Pain 2000, 4: 337-344.
14. Manchikanti L, Singh V, Pampati V et al. Evaluation of the relative contributions of various structures in chronic low back pain. Pain Physician 2001, 4:308-316.
15. Manchikanti L, Hirsch JA, Pampati V. Chronic low back pain of facet (zygapophysial) joint origin: Is there a difference based on involvement of single or multiple spinal regions? Pain Physician 2003, 6:399-405.
16. Manchikanti L, Singh V, Pampati V et al. Is there correlation of facet joint pain in lumbar and cervical spine? Pain Physician 2002, 5:365-371.
17. Manchikanti L, Staats PS, Singh V et al. Evidence-based practice guidelines for interventional techniques in the management of chronic spinal pain. Pain Physician 2003; 6:3-80.
18. Boswell MV, Singh V, Staats PS et al. Accuracy of precision diagnostic blocks in the diagnosis of chronic spinal pain of facet or zygapophysial joint origin. Pain Physician 2003; 6:449-456.
19. Dreyfuss P, Schwarzer AC, Lau P et al. Specificity of lumbar medial branch and L5 dorsal ramus blocks: A computed tomography study. Spine 1997; 22:895-902.
20. Kaplan M, Dreyfuss P, Halbrook B et al. The ability of lumbar medial branch blocks to anesthetize zygapophysial joint. Spine 1998; 23:1847-1852.
21. Schwarzer AC, Aprill CN, Derby R et al. The false-positive rate of uncontrolled diagnostic blocks of the lumbar zygapophysial joints. Pain 1994; 58:195-200.
22. Manchikanti L, Singh V, Pampati V. Are diagnostic lumbar medial branch blocks valid? Results of 2-year follow up. Pain Physician 2003; 6:147-153.
23. Saal JS. General principles of diagnostic testing as related to painful lumbar spine disorders. Spine 2002; 27:2538-2545.
24. Carragee E, Tanner C, Khurana S et al. The rates of false-positive lumbar discography in select patients without low back symptoms. Spine 2000; 25:1373-1381.
25. Carragee EJ, Alamin TF, Miller J et al. Provocative discography in volunteer subjects with mild persistent low back pain. Spine J 2002; 2:25-34.
26. Manchikanti L, Singh V, Pampati V et al. Provocative discography in low back pain patients with or without somatization disorder: A randomized prospective evaluation. Pain Physician 2001; 4:227-239.
27. Manchikanti L, Pampati V, Fellows B et al. Influence of psychological factors on the ability of diagnose chronic low back pain of facet joint origin. Pain Physician 2001; 4:349-357.
28. Schwarzer AC, Derby R, Aprill CN et al. The value of the provocation response in lumbar zygapophysial joint injections. Clin J Pain 1994, 10:309-313.