{"id":14042,"date":"2023-11-10T15:07:22","date_gmt":"2023-11-10T15:07:22","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=14042"},"modified":"2023-11-10T15:07:24","modified_gmt":"2023-11-10T15:07:24","slug":"policy-for-facet-joint-injection-for-non-radicular-back-pain","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/policy-for-facet-joint-injection-for-non-radicular-back-pain\/","title":{"rendered":"Zasady dotycz\u0105ce iniekcji stawu twarzowego w przypadku b\u00f3lu plec\u00f3w niekorzeniowego"},"content":{"rendered":"<p><strong>Kategoria<\/strong><\/p>\n\n\n\n<p>Kryteria progowe<\/p>\n\n\n\n<p>Najcz\u0119stszym objawem klinicznym jest niekorzeniowy (nie promieniuj\u0105cy) b\u00f3l plec\u00f3w. Czasami okre\u015bla si\u0119 go mianem \u201emechanicznego b\u00f3lu plec\u00f3w\u201d. Cz\u0119sto diagnozuje si\u0119 objawy, kt\u00f3re nie s\u0105 spowodowane uszkodzeniem uk\u0142adu nerwowego lub innymi przyczynami istotnymi z medycznego punktu widzenia.<\/p>\n\n\n\n<p>Narodowy Instytut Doskona\u0142o\u015bci Klinicznej (NICE) jasno stwierdza, \u017ce w leczeniu b\u00f3lu pochodz\u0105cego ze staw\u00f3w l\u0119d\u017awiowych nie nale\u017cy stosowa\u0107 \u015br\u00f3dstawowych zastrzyk\u00f3w steroidowych do staw\u00f3w mi\u0119dzywyrostkowych.<\/p>\n\n\n\n<p>Standardy ustalone przez Spinal Intervention Society oraz wsp\u00f3lne standardy British Pain Society i Wydzia\u0142u Medycyny B\u00f3lu stwierdzaj\u0105, \u017ce<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Blok odnogi przy\u015brodkowej jako post\u0119powanie diagnostyczne prowadz\u0105ce do<\/li>\n\n\n\n<li>Odnerwienie o cz\u0119stotliwo\u015bci radiowej oznacza, \u017ce blok odga\u0142\u0119zienia przy\u015brodkowego jest dodatni<\/li>\n<\/ul>\n\n\n\n<p><strong>Uprawnienia<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>LLR ICB sfinansuje blokady odga\u0142\u0119zie\u0144 przy\u015brodkowych w leczeniu b\u00f3lu plec\u00f3w w odcinku szyjnym, piersiowym i l\u0119d\u017awiowym w nast\u0119puj\u0105cych sytuacjach klinicznych<\/strong><br><br>Procedura diagnostyczna prowadz\u0105ca do odnerwienia ga\u0142\u0119zi przy\u015brodkowej za pomoc\u0105 cz\u0119stotliwo\u015bci radiowej, je\u015bli blok diagnostyczny jest pozytywny<br><br><strong>I<\/strong><br><br>Wszystkie konserwatywne opcje zarz\u0105dzania zosta\u0142y wypr\u00f3bowane i zawiod\u0142y<br>  \u2013 fizjoterapia<br>  - \u0107wiczenia<br>  \u2013 farmakoterapia obejmuj\u0105ca analgezj\u0119<br><br><strong>\u00a0I<\/strong><br><br> B\u00f3l ma umiarkowany lub znacz\u0105cy wp\u0142yw na codzienne \u017cycie <br><br><strong>LUB<\/strong><br><br>Je\u015bli pocz\u0105tkowy blok odnogi przy\u015brodkowej przyni\u00f3s\u0142 udowodnion\u0105 korzy\u015b\u0107 terapeutyczn\u0105, ale pacjent nie kwalifikuje si\u0119 do odnerwienia pr\u0105dem o cz\u0119stotliwo\u015bci radiowej lub programu leczenia b\u00f3lu (np. liczne choroby wsp\u00f3\u0142istniej\u0105ce, dysfunkcja serca i uk\u0142adu oddechowego, rozrusznik serca lub inny stymulator nerw\u00f3w, s\u0142aby organizm i osoby starsze)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Przewodnictwo<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><a href=\"https:\/\/www.nice.org.uk\/guidance\/ng59\">https:\/\/www.nice.org.uk\/guidance\/ng59<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Data przegl\u0105du ARP 42: 2026 r<\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"<p>Category Threshold Criteria Non-radicular (non radiating) back pain is the commonest clinical presentation. Sometimes it is referred to as \u201cmechanical back pain\u201d. It is often the diagnosis for symptoms that [&hellip;]<\/p>\n","protected":false},"author":542,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[57],"tags":[69,72,83],"class_list":["post-14042","post","type-post","status-publish","format-standard","hentry","category-policies","tag-orthopaedics","tag-pain","tag-threshold"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Policy for Facet Joint Injection for Non Radicular Back Pain - LLR ICB<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/policy-for-facet-joint-injection-for-non-radicular-back-pain\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Policy for Facet Joint Injection for Non Radicular Back Pain - LLR ICB\" \/>\n<meta property=\"og:description\" content=\"Category Threshold Criteria Non-radicular (non radiating) back pain is the commonest clinical presentation. 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