Many patients with back pain and joint disease secondary to descoparía or facet syndrome associated with neck pain are referred to neurosurgery when his pain no clinical improvement with conservative treatments.
The majority of these patients with facet syndrome, either cervical, thoracic or lumbar, they practiced infiltration, acupuncture, ozone therapy and / or radiofrequency rhizotomy.
In our experience, the radiofrequency rhizotomy has better long-term results, either a pulsed heat.
These patients suggest you associate the radiofrequency rhizotomy infiltration of hyaluronic acid in the facet joint.
The hyaluronic acid is a natural part of the synovial fluid in the joints and acts as a lubricant and protective effect against the load on the joint.
It has also proven effective in Facet joint disorders and trauma level in various scientific publications internationally.
It has the ability to increase the viscosity of the synovial fluid of the joint, increasing ownership of synovial fluid to cushion and absorb shock on a dysfunctional joint.
And it has been conceived as intraarticular injection in the symptomatic treatment of mild to moderate osteoarthritis of the knee and hip.
Furthermore, the EU has approved its use for the symptomatic treatment of pain associated with mild and moderate osteoartrititis ankle, shoulder, elbow, wrist, fingers and feet, temporomandibular joints and facet joints of the spine.
Once the radio, and under the control of fluoroscopy, we perform intra-articular injection of hyaluronic acid in the vertebral facet joint.
We use stabilized hyaluronic acid in each joint 1-2ml. This allows, with a single infiltration, the improvement in symptoms can last between six and eight months.
In patients requiring treatment with radiofrequency facet joint syndrome vertebral, the association of hyaluronic acid injections in the spinal joint improves the results of the technique of radiofrequency rhizotomy.