[PDF][PDF] Comprehensive evidence-based guidelines for interventional techniques in the management of chronic spinal pain
L Manchikanti, MV Boswell, V Singh… - Pain …, 2009 - painphysicianjournal.com
L Manchikanti, MV Boswell, V Singh, RM Benyamin, B Fellows, S Abdi, RM Buenaventura…
Pain physician, 2009•painphysicianjournal.comBackground: Comprehensive, evidence-based guidelines for interventional techniques in
the management of chronic spinal pain are described here to provide recommendations for
clinicians. Objective: To develop evidence-based clinical practice guidelines for
interventional techniques in the diagnosis and treatment of chronic spinal pain. Design:
Systematic assessment of the literature. Methods: Strength of evidence was assessed by the
US Preventive Services Task Force (USPSTF) criteria utilizing 5 levels of evidence ranging …
the management of chronic spinal pain are described here to provide recommendations for
clinicians. Objective: To develop evidence-based clinical practice guidelines for
interventional techniques in the diagnosis and treatment of chronic spinal pain. Design:
Systematic assessment of the literature. Methods: Strength of evidence was assessed by the
US Preventive Services Task Force (USPSTF) criteria utilizing 5 levels of evidence ranging …
Background: Comprehensive, evidence-based guidelines for interventional techniques in the management of chronic spinal pain are described here to provide recommendations for clinicians.
Objective: To develop evidence-based clinical practice guidelines for interventional techniques in the diagnosis and treatment of chronic spinal pain.
Design: Systematic assessment of the literature.
Methods: Strength of evidence was assessed by the US Preventive Services Task Force (USPSTF) criteria utilizing 5 levels of evidence ranging from Level I to III with 3 subcategories in Level II.
Outcomes: Short-term pain relief was defined as relief lasting at least 6 months and longterm relief was defined as longer than 6 months, except for intradiscal therapies, mechanical disc decompression, spinal cord stimulation and intrathecal infusion systems, wherein up to one year relief was considered as short-term.
Results: The indicated evidence for accuracy of diagnostic facet joint nerve blocks is Level I or II-1 in the diagnosis of lumbar, thoracic, and cervical facet joint pain. The evidence for lumbar and cervical provocation discography and sacroiliac joint injections is Level II-2, whereas it is Level II-3 for thoracic provocation discography.
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