Screening of patients suitable for diagnostic cervical facet joint blocks - A role for physiotherapists

Schneider, Geoff M., Jull, Gwendolen, Thomas, Kenneth and Salo, Paul (2012) Screening of patients suitable for diagnostic cervical facet joint blocks - A role for physiotherapists. Manual Therapy, 17 2: 180-183. doi:10.1016/j.math.2011.11.004

Author Schneider, Geoff M.
Jull, Gwendolen
Thomas, Kenneth
Salo, Paul
Title Screening of patients suitable for diagnostic cervical facet joint blocks - A role for physiotherapists
Journal name Manual Therapy   Check publisher's open access policy
ISSN 1356-689X
Publication date 2012-04
Year available 2011
Sub-type Article (original research)
DOI 10.1016/j.math.2011.11.004
Volume 17
Issue 2
Start page 180
End page 183
Total pages 4
Place of publication Kidlington, Oxford, United Kingdom
Publisher Churchill Livingstone
Collection year 2013
Language eng
Abstract The cervical facet joint is a prevalent source of pain in patients with chronic cervical spine pain. Patients with persistent, disabling neck pain, are increasingly being referred for diagnostic facet joint blocks, with the aim of assessing their suitability for interventional procedures such as radiofrequency neurotomy (RFN). A positive response to the block is an indicator of more substantive benefits from RFN. Physiotherapists and medical practitioners are challenged to make appropriate referrals for diagnostic facet joint blocks. This lack of selection contributes to lengthy wait-lists, unnecessary invasive procedures for those who have a negative response and significant costs to the health care system. Physiotherapists use manual examination to identify the facet joint as the primary source of a patient’s pain but its diagnostic accuracy and reliability is variable. It is reasoned that a combination of findings of a physical, manual and psychological assessment may better indicate that a patient will respond positively or negatively to a diagnostic facet joint block. Clinical prediction guides (CPG) allow practitioners to use the results of the patient history, self-report measures and physical examination toward optimal diagnostic and therapeutic decisions. It is proposed that the development and validation of a CPG may aid in the appropriate selection of patients for this diagnostic procedure.
Keyword Cervical spine
Clinical prediction guide
Facet joint
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online 20 December 2011

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Health and Rehabilitation Sciences Publications
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