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Psychopathology predicts the outcome of medial branch blocks with corticosteroid for chronic axial low back or cervical pain: a prospective cohort study |
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| Authors: | Ajay D Wasan Robert N Jamison Loc Pham Naveen Tipirneni Srdjan S Nedeljkovic Jeffrey N Katz |
| Affiliation: | (1) Department of Anesthesiology, Perioperative and Pain Medicine, Brigham & Women's Hospital and Harvard Medical School, Boston, MA, USA;(2) Department of Psychiatry, Brigham and Women's Hospital and Harvard Medical School, Boston, USA;(3) Millennium Pain Center, Bloomington, IN, USA;(4) Department of Orthopaedic Surgery and Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA |
| Abstract: | BackgroundComorbid psychopathology is an important predictor of poor outcome for many types of treatments for back or neck pain. But it is unknown if this applies to the results of medial branch blocks (MBBs) for chronic low back or neck pain, which involves injecting the medial branch of the dorsal ramus nerves that innervate the facet joints. The objective of this study was to determine whether high levels of psychopathology are predictive of pain relief after MBB injections in the lumbar or cervical spine. |
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