Table 3

Studies suggesting facet injury is a cause of WAD

First AuthorYear PublishedTreatment AdministeredStudy DesignSummary of FindingsLevel of Evidence
Lord1994Anesthetic blockDouble-blinded RCTComplete HA relief in 13/55 patients Neck pain relief in 14/55 patientsA2
Barnsley1995Anesthetic blockDouble-blinded RCTNeck pain relief in 27/50 patientsA2
Lord1996Radiofrequency neurotomyDouble-blinded RCT50% pain relief for mean of 263 in treatment group vs 8 days in control groupA2
Lord1996Anesthetic blockPlacebo-controlled RCTNeck pain relief in 31/52 patientsA2
McDonald1999Radiofrequency neurotomyCohortPain relief in 20/28 patientsC
Govind2003Radiofrequency neurotomyCohortComplete pain relief at 90 days F/U in 43/48 patientsC
Barnsley2005Radiofrequency neurotomyCohortAdequate pain relief in 36/45 patients for mean of 36 weeksC
Smith2014Radiofrequency neurotomyCohortPain, disability, psychological distress & pain catastrophising ↓ at 1, 3 mo.C
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