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

Abstract

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, TaiwanCorrespondence: Chen-Yu HungDepartment of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei, TaiwanEmail [email protected]: 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

Keywords

• platelet-rich plasma
• ultrasound
• cervical
• intradiscal injection
• discogenic pain