Ultrasound Guided Diagnostic Cervical Medial Branch Block

Hamilton Health Sciences Corporation

Overview

The diagnostic cervical branch block for neck pain due to cervical facet joint pain has been traditionally done under fluoroscopic guidance. Its diagnostic value and technique have been well established. However, recently some studies have shown that the diagnostic cervical and lumbar medial branch block can be done under ultrasound guidance.

Study Type

OBSERVATIONAL

Conditions

Facet Joint Pain Neck Pain

Interventions

cervical medial branch blocks using the Quincke spinal needlePROCEDURE

#25 gauge 1 and 1/2 inch long needle and #25 gauge 10cm long Quincke spinal needle will be used for placement.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * healthy volunteers * patients who have headache, neck pain, and shoulder pain due to possible facet joint disease Exclusion Criteria: * patients/volunteers with BMI \> 35 * patients/volunteers with short thick neck * coagulopathy * allergy to local anesthetic, ultrasound gel * patient unable to fill out post procedure pain diary

Locations (1)

Hamilton Health Sciences

Hamilton, Ontario, Canada

Outcomes

Primary Outcomes

To determine the efficacy of the use of ultrasound for diagnostic cervical medial branch block on pain patients who have developed neck pain, cervicogenic headache, or shoulder pain.

Time frame: At time of procedure

Secondary Outcomes

Interventional pain procedure studies on chronic pain patients

Time frame: At time of procedure

Data from ClinicalTrials.gov

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