Effect of multiple cervical facet joint intra-articular steroid injection for early mobilization of cervical spine in early cervical predominant ankylosing spondylitis

Authors

  • Mohammad Moniruzzaman Assistant Professor, Department of Physical Medicine & Rehabilitation, Dhaka Medical College, Dhaka
  • Md Shahadat Hossain Associate Professor, Department of Physical Medicine & Rehabilitation, Dhaka Medical College, Dhaka
  • Muhammad Alamgir Mandal Assistant Professor & Head, Department of Physical Medicine & Rehabilitation, Khwaja Yunus Ali Medical College & Hospital, Sirajgonj
  • Md Zakir Hossain Professor & Head, Department of Medicine & Principal of Rangpur Medical College, Rnagpur
  • Md Ahsan Ullah Associate Professor, Department of Physical Medicine & Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Syed Mozaffar Ahmed Professor, Department of Physical Medicine & Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka

DOI:

https://doi.org/10.3329/kyamcj.v9i1.36624

Keywords:

AS, Cervical facet joint, Intra-articular steroid injection

Abstract

Background: Ankylosing spondylitis (AS) have also been described as causes of facet joint pain. Image-guided injection of local anesthetic and steroid into the facet joint aims to break this vicious cycle and stop the inflammatory reaction involving facet joints in AS.

Objectives: Image-guided injection of local anesthetic and steroid into the facet joint aims to break this vicious cycle and stop the inflammatory reaction involving facet joints in AS.

Materials & Methods: Obtaining an informed consent, the procedure was performed with strict aseptic precautions and intra-procedural vital parameters were monitored.

Results: After 7 days of extensive rehabilitation program, the ROM in all direction was dramatically improved with significant improvement of pain. Regarding VAS, during 1st visit it was 8, after 30 min of injection the score became 6 (25% improvement) and after one week, the score became 2 (75% improvement).

Conclusion: Multiple intra-articular cervical facet joint steroid injection is very much effective in acute facet joint synovitis in cervical predominant early AS for starting early rehabilitation program.

KYAMC Journal Vol. 9, No.-1, April 2018, Page 39-40

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Published

2018-05-09

How to Cite

Moniruzzaman, M., Hossain, M. S., Mandal, M. A., Hossain, M. Z., Ullah, M. A., & Ahmed, S. M. (2018). Effect of multiple cervical facet joint intra-articular steroid injection for early mobilization of cervical spine in early cervical predominant ankylosing spondylitis. KYAMC Journal, 9(1), 39–40. https://doi.org/10.3329/kyamcj.v9i1.36624

Issue

Vol. 9 No. 1 (2018)

Section

Case Reports