Abstract
Cervical injection procedures are commonly used for the nonsurgical management of cervical pain with or without radicular signs. Because the majority of studies investigating the utility of cervical injection procedures have been conducted in the last decade, there has been little time to develop pathways that systematically incorporate these procedures in daily clinical management. We review the literature concerning fluoroscopically guided interventional techniques in the nonsurgical management of cervical spinal disorders such as cervical radiculopathy, cervical radicular pain, cervical facet joint syndrome, and cervical internal disc disruption syndrome. A basic tenet underpinning the use of such techniques is that an accurate diagnosis allows for specific treatment and therefore, better outcomes. We adhere to this principle leading to our use of diagnostic and therapeutic algorithms. We offer a preliminary paradigm that provides the clinician with a mechanism to systematically formulate a differential diagnosis and therapeutic plan. This process necessitates continuous revision as new information is published, thereby implying plasticity to these algorithms.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 283-299 |
| Number of pages | 17 |
| Journal | Critical Reviews in Physical and Rehabilitation Medicine |
| Volume | 13 |
| Issue number | 4 |
| State | Published - Dec 1 2001 |
| Externally published | Yes |
Fingerprint
Keywords
- Cervical
- Facet joint
- Internal disc disruption syndrome
- Radicular
- Selective nerve root block
- Steroid
ASJC Scopus subject areas
- Physical Therapy, Sports Therapy and Rehabilitation
- Rehabilitation
Cite this
An evidence-based algorithmic approach to cervical spinal disorders. / Slipman, Curtis W.; Chow, David W.; Isaac, Zacharia; Ellen, Mark; Lenrow, David A.; Chou, Larry; Vresilovic, Edward J.
In: Critical Reviews in Physical and Rehabilitation Medicine, Vol. 13, No. 4, 01.12.2001, p. 283-299.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - An evidence-based algorithmic approach to cervical spinal disorders
AU - Slipman, Curtis W.
AU - Chow, David W.
AU - Isaac, Zacharia
AU - Ellen, Mark
AU - Lenrow, David A.
AU - Chou, Larry
AU - Vresilovic, Edward J.
PY - 2001/12/1
Y1 - 2001/12/1
N2 - Cervical injection procedures are commonly used for the nonsurgical management of cervical pain with or without radicular signs. Because the majority of studies investigating the utility of cervical injection procedures have been conducted in the last decade, there has been little time to develop pathways that systematically incorporate these procedures in daily clinical management. We review the literature concerning fluoroscopically guided interventional techniques in the nonsurgical management of cervical spinal disorders such as cervical radiculopathy, cervical radicular pain, cervical facet joint syndrome, and cervical internal disc disruption syndrome. A basic tenet underpinning the use of such techniques is that an accurate diagnosis allows for specific treatment and therefore, better outcomes. We adhere to this principle leading to our use of diagnostic and therapeutic algorithms. We offer a preliminary paradigm that provides the clinician with a mechanism to systematically formulate a differential diagnosis and therapeutic plan. This process necessitates continuous revision as new information is published, thereby implying plasticity to these algorithms.
AB - Cervical injection procedures are commonly used for the nonsurgical management of cervical pain with or without radicular signs. Because the majority of studies investigating the utility of cervical injection procedures have been conducted in the last decade, there has been little time to develop pathways that systematically incorporate these procedures in daily clinical management. We review the literature concerning fluoroscopically guided interventional techniques in the nonsurgical management of cervical spinal disorders such as cervical radiculopathy, cervical radicular pain, cervical facet joint syndrome, and cervical internal disc disruption syndrome. A basic tenet underpinning the use of such techniques is that an accurate diagnosis allows for specific treatment and therefore, better outcomes. We adhere to this principle leading to our use of diagnostic and therapeutic algorithms. We offer a preliminary paradigm that provides the clinician with a mechanism to systematically formulate a differential diagnosis and therapeutic plan. This process necessitates continuous revision as new information is published, thereby implying plasticity to these algorithms.
KW - Cervical
KW - Facet joint
KW - Internal disc disruption syndrome
KW - Radicular
KW - Selective nerve root block
KW - Steroid
UR - http://www.scopus.com/inward/record.url?scp=0035739329&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0035739329&partnerID=8YFLogxK
M3 - Review article
AN - SCOPUS:0035739329
VL - 13
SP - 283
EP - 299
JO - Critical Reviews in Physical and Rehabilitation Medicine
JF - Critical Reviews in Physical and Rehabilitation Medicine
SN - 0896-2960
IS - 4
ER -