Evidence map›Paper›PMID 40177461›Full record

ArticleCureus2025

Therapeutic Effectiveness of Lumbar Medial Branch Block and Lumbar Intra-Articular Facet Injections: A Propensity-Matched Cohort Study.

Ian S Ackers, Jacquelyn A Witzke, Arvin Saremi, Tyler K Farley, Nicolas R Thompson, Yadi Li, Brian D Foresi, Kush K Goyal

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ian S AckersPhysical Medicine and Rehabilitation, Michigan State University, East Lansing, USA.
Jacquelyn A WitzkePhysical Medicine and Rehabilitation, Mary Free Bed Rehabilitation Hospital, Grand Rapids, USA.
Arvin SaremiRadiology, University of Massachusetts Chan Medical School, Worcester, USA.
Tyler K FarleyPhysical Medicine and Rehabilitation, Charleston Area Medical Center, Charleston, USA.
Nicolas R ThompsonQuantitative Health Sciences, Cleveland Clinic Foundation, Cleveland, USA.
Yadi LiQuantitative Health Sciences, Cleveland Clinic Foundation, Cleveland, USA.
Brian D ForesiGeneral Surgery, OhioHealth Riverside Methodist Hospital, Columbus, USA.
Kush K GoyalCenter for Spine Health, Cleveland Clinic Foundation, Cleveland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic low back pain is a prevalent condition that is treated commonly with radiofrequency neurotomy (RFN) after diagnostic targeting with medial branch blocks (MBB) or intra-articular (IA) injection. PURPOSE: We evaluated the long-term therapeutic value of MBB and IA injection of steroids for relief from chronic low back pain beyond the current diagnostic utility. METHODS AND OUTCOME MEASURES: This was a retrospective propensity-matched cohort study from a single physician injection census at a tertiary care hospital. A total of 460 patients receiving MBB (n=383) or IA injection (n=77) in 2013-2020 were included. Primary outcome measures were patient-reported outcomes (PROs) at the time of injection, and follow-up at three and six months with the Numerical Rating Scale (NRS), PRO Measurement Information System (PROMIS)-Mental Health (MH), PROMIS-Physical Health (PH), and the Patient Health Questionnaire (PHQ)-9 scores. The same PROs at the one-year follow-up were the secondary outcome measures. Propensity weighting was performed to balance MBB and IA injection groups over several demographic and clinical categories.

resultsSignificant improvements in NRS (p=<0.001) were reported at the three-month, six-month, and one-year follow-ups, while significant improvements in PROMIS-PH scores (p=0.015) were identified at three and six months post injection.

conclusionsOur results suggest that MBB and IA injection have potential therapeutic benefits for chronic low back pain for at least six months post injection. These results suggest that there is value in these diagnostic modalities therapeutically beyond the acute time frame. These results lay the groundwork for additional investigations into treatment options for patients affected by chronic low back pain.

Indexed as

chronic low back painfacet injectionintra-articular facet joint injectionlow back painmedial branch block

Identifiers

PMID40177461
PMCPMC11964122

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.