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Only controlled intra-articular zygapophyseal joint (ZJ) injections or medial branch blocks can diagnose ZJ-mediated low back pain.
Radiofrequency neurotomy and thoracic medial branch blocks are normally used to treat facetogenic pain originating in the thoracic spine.
With severe increase in serum potassium, dysrhythmias and atrioventricular and bundle branch blocks can be seen on electrocardiogram.
The current criterion standard for zygapophyseal (facet) joint pain diagnosis is placebo-controlled triple comparative local anesthetic facet joint or medial branch blocks.
3. Verrills P, Mitchell B, Vivian D, Nowesenitz G, Lovell B, Sinclair C. The incidence of intravascular penetration in medial branch blocks: cervical, thoracic, and lumbar spines.
It may present as almost any dysrhythmia including sinus bradycardia, atrioventricular blockade of various degrees, intermittent bundle branch blocks, ventricular tachycardia, and ventricular fibrillation [6].
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Left bundle branch block.
Right bundle branch block.
Right bundle branch block with left anterior hemiblock (bifascicular block).
Fluoroscopic lateral view during cervical medial branch block.
Special patterns, such as bundle branch block and ventricular hypertrophy.
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