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KMID : 0363120080210010001
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Korean Journal of Pain
2008 Volume.21 No. 1 p.1 ~ p.10
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Spinal Joint Pain Syndrome
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Kim Kyung-Hoon
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Abstract
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Spinal joint pain syndrome is composed of atlanto-occipital, atlanto-axial, facet, and sacro-iliac joints pain.
The syndrome is characterized 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. (Korean J Pain 2008;
21: 1?10)
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KEYWORD
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diagnosis, facet joint, pain, spine, treatment
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FullTexts / Linksout information
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