Median atlantoaxial joint

[properexercise]

Is it possible to inject the median atlantoaxial joint (articulation of dens and anterior arch of C1?)

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[lobelsteve]

Try the pain forum. But no.

 

[j4pac]

Is it possible to inject the median atlantoaxial joint (articulation of dens and anterior arch of C1?)

IR may also be able to provide an answer. When there’s a will there a way…but whether it can be done and whether it should be done are two separate topics. The question I have is, why it should be done? At best it has to have a high risk profile with very little science to support efficacy. It’s not a definitive treatment. If the patient comes through the first procedure unscathed, then what? They aren’t cured. At best, the pain is coming back at some point. Are you going to repeat this high risk procedure? Can’t do an RFA. Would you recommend fusion next? Unless I had a clear answer to “what’s next” I wouldn’t do ANY procedure.

 

[properexercise]

IR may also be able to provide an answer. When there’s a will there a way…but whether it can be done and whether it should be done are two separate topics. The question I have is, why it should be done? At best it has to have a high risk profile with very little science to support efficacy. It’s not a definitive treatment. If the patient comes through the first procedure unscathed, then what? They aren’t cured. At best, the pain is coming back at some point. Are you going to repeat this high risk procedure? Can’t do an RFA. Would you recommend fusion next? Unless I had a clear answer to “what’s next” I wouldn’t do ANY procedure.

Bone marrow concentrate and PRP.