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Cervical Facet Arthropathy clinical trials

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NCT ID: NCT00613340 Completed - Neck Pain Clinical Trials

The Specificity of Cervical Facet Medial Branch Blocks

Start date: January 2008
Phase: N/A
Study type: Interventional

Cervical facet arthropathy is a common cause of chronic neck pain. The "gold standard" for diagnosis is either blocking the facet joints, or more commonly blocking the medial branch nerves that innervate the joints. However, many studies have found a high false-positive rate when the nerves are blocked using 0.5 ml of local anesthetic. We will randomize patients to receive either cervical facet medial branch blocks with 0.25 ml of local anesthetic and contrast, or 0.5 ml. We will then do a CT scan to determine the accuracy and specificity of each block. Our hypothesis is that using the higher volume (0.5 ml) might be responsible for the high false-positive rate.