A case of juvenile low back pain with effective intervertebral joint block under sedation

Abstract

A 15-year-old female patient was referred to our department because she had been suffering from low back pain for 2 years and her symptoms did not improve after a thorough examination and treatment at her previous doctor. MRI showed intervertebral joint edema, and her clinical symptoms suggested that her pain was caused by her intervertebral joints. A intervertebral joint block under sedation was performed for diagnostic purposes, and the patient's symptoms temporarily relieved. Intervertebral joint block and posterior medial branch block pulsed radiofrequency under sedation were performed for pain exacerbation. Sedated nerve blocks are not recommended for early detection of complications, but may be an option in younger patients with high anxiety. We experienced a case in which an intervertebral joint block under sedation was effective in a young patient with chronic low back pain.