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Ultrasound-Guided Cervical Intradiscal Injection with Platelet-Rich Plasma with Fluoroscopic Validation for the Treatment of Cervical Discogenic Pain: A Case Presentation and Technical Illustration

Authors Lam KHS, Hung CY, Wu TJ

Received 30 May 2020

Accepted for publication 27 July 2020

Published 20 August 2020 Volume 2020:13 Pages 2125—2129

DOI https://doi.org/10.2147/JPR.S264033

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Robert B. Raffa


Supplementary video of "US-guided cervical intradiscal injection with fluoroscopy approval" [ID 264033].

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King Hei Stanley Lam,1 Chen-Yu Hung,2 Tsung-Ju Wu3,4

1Department of Family Medicine, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong; 2Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan; 3Graduate Institute of Basic Medical Science, China Medical University, Taichung, Taiwan; 4Department of Physical Medicine and Rehabilitation, Yuanlin Christian Hospital, Changhua, Taiwan

Correspondence: Chen-Yu Hung
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan
Email chenyu810@gmail.com

Abstract: Chronic neck pain has a high incidence and prevalence in urban society. Cervical disc-related chronic neck pain with its referred pain is one of the most common causes. Traditionally, pain caused by a cervical disc is diagnosed by fluoroscopy-guided provocative discography. In this report, we presented a patient with chronic neck and shoulder pain and a technique of using ultrasound to guide the needle entry to the cervical discs which were suspected to be the cause of the patient’s chronic neck and shoulder pain. The needle placement was then validated by contrast fluoroscopy. The patient’s symptoms significantly improved three weeks after the procedure. In conclusion, US can serve as a good imaging guiding tool for cervical intradiscal injections.

Keywords: platelet-rich plasma, ultrasound, cervical, intradiscal injection, discogenic pain

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