| The Effect of Intra-articular Hyaluronic Acid in Facet Syndrome of the Lumbar Spine. |
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Kim, Hee Sang , Ahn, Kyung Hoi , Lee, Jong Ha , Kim, Dong Hwan , Kim, Min Jung , Kim, Hak Jun , Jeong, Yong Seol |
1Department of Rehabilitation Medicine, Kyung Hee University College of Medicine, Korea. zapdoli@naver.com
2Department of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. |
| 요추 후관절 증후군에서 하이알우론산 관절내 주사치료의 유용성 |
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김희상, 안경회, 이종하, 김동환, 김민정, 김학준, 정용설1 |
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경희대학교 의과대학 재활의학교실, 1연세대학교 의과대학 재활의학교실 |
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| 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. (J Korean Acad Rehab Med 2005; 29: 489-494) |
| Key Words:
Facet syndrome, Hyaluronic acid, Intra-articular injection, Steroid |
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