The Effect of Intra-articular Hyaluronic Acid in Facet Syndrome of the Lumbar Spine.
- Author:
Hee Sang KIM
1
;
Kyung Hoi AHN
;
Jong Ha LEE
;
Dong Hwan KIM
;
Min Jung KIM
;
Hak Jun KIM
;
Yong Seol JEONG
Author Information
1. Department of Rehabilitation Medicine, Kyung Hee University College of Medicine, Korea. zapdoli@naver.com
- Publication Type:Original Article
- Keywords:
Facet syndrome;
Hyaluronic acid;
Intra-articular injection;
Steroid
- MeSH:
Humans;
Hyaluronic Acid*;
Injections, Intra-Articular;
Lidocaine;
Surveys and Questionnaires;
Spine*;
Triamcinolone;
Zygapophyseal Joint
- From:Journal of the Korean Academy of Rehabilitation Medicine
2005;29(5):489-494
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To evaluate the efficacy of intra-articular hyaluronic acid injection and to compare this with the efficacy of steroid injection for the treatment of facet syndrome of the lumbar spine. METHOD: Sixty-eight patients with facet syndrome of the lumbar spine were assigned two groups at random to receive an intra-articular injection into the facet joint. One group received a intra-articular injection of the facet joint three times at 1 week apart with a mixture of hyaluronic acid 0.6~0.7 ml and 1% lidocaine 0.2 ml. The other group received a intra-articular injection of the facet joint one time with a mixture of triamcinolone 10 mg and 1% lidocaine 0.5~1 ml. The effectiveness of treatment was assessed with the visual analogue scale (VAS), and the patient's life activities were assessed with the modified Oswestry questionnaire. RESULTS: The VAS and the patient's life activity of the two groups all showed improvement at 1 week, 1 month and 3 months after injection, but there was no significant difference in the VAS scores and the patient's life activity scores between the two groups. CONCLUSION: The intra-articular injection of hyaluronic acid would be a good treatment method for facet syndrome of the lumbar spine.
