What is it about?

This study tries to identify patients with active inflammation joint and verifies if they have a better response in terms of pain, quality of life, and disability in comparison to patients without inflammation.

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Why is it important?

Facet infiltration is a conventional treatment for low back pain for those who do not respond to traditional therapy; however, the efficacy of the procedure remains controversial. In theory, only those with facet joint inflammation will have the benefit of the steroid injection, considered a potent anti-inflammatory drug with the advantage of local action, not in the whole body.

Perspectives

This procedure may not be useful for all patients but can probably help part of them. If the results confirm this idea, this study will bring clues, rather than definitive evidence, of whom can benefit from the procedure.

Dr João Carlos Rodrigues
Hospital Israelita Albert Einstein

Read the Original

This page is a summary of: Prognostic factors in low back pain individuals undergoing steroid and anaesthetic intra-articular facet joint infiltration: a protocol for a prospective, longitudinal, cohort study, BMJ Open, July 2019, BMJ,
DOI: 10.1136/bmjopen-2018-026903.
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