Cortisone Shots for Neck Pain

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

12 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-07-19

Study Completion Date

2023-11-26

Brief Summary

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The purpose of this study is to determine if cortisone shots in the neck are helpful in patients with certain MRI findings. Additionally, the investigators hope to learn if cervical facet joint steroid injections are beneficial in the subset of patients with MRI findings consistent with facet joint synovitis.

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Detailed Description

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Conditions

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Neck Pain Cervicalgia Facet Joint Pain

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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Intra-articular cervical zygapophyseal joint injection

Fluoroscopically-guided intra-articular cervical zygapophyseal steroid injection

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* at least 18 years old
* Patient who will be getting a neck cortisone shot for pain that has been there for at least 4 weeks
* A specific MRI finding (increased Short Tau Inversion Recovery signal) around 1 or more of the joints in the neck

Exclusion Criteria

* Those receiving disability, worker's compensation, or are involved in litigation related to their pain.
* Those unable to read English and complete the assessment instruments.
* Those unable to attend follow up appointments
* The patient is incarcerated.
* Grade 2 or greater spondylolisthesis at the involved or adjacent segments.
* Progressive motor deficit, and/or clinical signs of myelopathy.
* Prior neck cortisone shots within the past 6 months.
* Possible pregnancy or other reason that precludes the use of fluoroscopy.
* Allergy to contrast media or local anesthetics.
* BMI\>35.
* Systemic inflammatory arthritis (e.g., rheumatoid arthritis, ankylosing spondylitis, lupus).
* Active infection or treatment of infection with antibiotics within the past 7 days.
* Chronic widespread pain or somatoform disorder (e.g. fibromyalgia).
* Addictive behavior, severe clinical depression, or psychotic features.

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No