Image-guided injections for facet joint pain: evidence-based Delphi conjoined consensus paper from the European Society of Musculoskeletal Radiology and European Society of Neuroradiology
Question Image-guided injections to treat facet joint pain (FJP) are performed throughout the spine; however, the highest level of evidence exists for the lumbar spine. Findings Regardless of the imaging method used, image-guided injections for facet joint pain treatment are safe, with only minor adverse events in rare cases. Clinical relevance All imaging methods are used for injection guidance to treat FJP, each with advantages and disadvantages. These statements on image-guided injections for FJP provide a concise and up to date overview on the topic, serving as a list of clinical indications.
Authors
- Miraude Adriaensen (ORCID: https://orcid.org/0009-0009-0087-8116)
- Jelena Vucetic (ORCID: https://orcid.org/0000-0002-0006-6558)
- Riccardo Picasso (ORCID: https://orcid.org/0000-0002-7450-6528)
- Nicolas Theumann
- Jan Fritz (ORCID: https://orcid.org/0000-0003-4456-3043)
- Rebeca Mirón Mombiela (ORCID: https://orcid.org/0000-0003-3453-1865)
- Domenico Albano (ORCID: https://orcid.org/0000-0001-7989-9861)
- Andrea Klauser (ORCID: https://orcid.org/0000-0002-1059-9278)
- Carmelo Messina (ORCID: https://orcid.org/0000-0001-7518-5773)
- Francesco Arrigoni (ORCID: https://orcid.org/0000-0001-7793-1872)
- Hannes Gruber (ORCID: https://orcid.org/0000-0003-4436-4546)
- Roberto Luigi Cazzato
- Georgina Allen (ORCID: https://orcid.org/0000-0003-2890-5517)
- Ricardo Moutinho
- Harun Gupta (ORCID: https://orcid.org/0000-0002-8292-9096)
- David John Wilson (ORCID: https://orcid.org/0000-0002-7034-5421)
- Salvatore Marsico (ORCID: https://orcid.org/0000-0001-9252-3623)
- Cyprian Olchowy (ORCID: https://orcid.org/0000-0002-6559-3973)
- Federico Zaottini (ORCID: https://orcid.org/0000-0002-9188-0028)
- Kalliopi Melaki
- Eleni E. Drakonaki (ORCID: https://orcid.org/0000-0002-3629-3277)
- Miguel Castro (ORCID: https://orcid.org/0000-0002-1073-0168)
- Thomas Le Corroller (ORCID: https://orcid.org/0000-0002-3035-7006)
- Alexander Loizides (ORCID: https://orcid.org/0000-0001-5179-2309)
- Alberto Bazzocchi
- Miriam De Dea (ORCID: https://orcid.org/0000-0001-8989-1046)
- Giacomo Aringhieri (ORCID: https://orcid.org/0000-0003-0842-5372)
- Evangelia E. Vassalou (ORCID: https://orcid.org/0000-0001-5509-687X)
- Žiga Snoj (ORCID: https://orcid.org/0000-0001-6864-8880)
- C Zini (ORCID: https://orcid.org/0009-0006-7780-6151)
- Luca Maria Sconfienza (ORCID: https://orcid.org/0000-0003-0759-8431)
- Dimitrios Filippiadis (ORCID: https://orcid.org/0000-0002-1424-7464)
- Salvatore Gitto (ORCID: https://orcid.org/0000-0002-3623-7822)
- Amanda Isaac (ORCID: https://orcid.org/0000-0001-5827-0562)
- Violeta Vasilevska Nikodinovska (ORCID: https://orcid.org/0000-0001-8196-8803)
- Aldo Eros De Vivo (ORCID: https://orcid.org/0000-0001-9874-2800)
- Inês Gil
- Maria Pilar Aparisi Gómez
- Danoob Dalili
- Eugene McNally
- Fernando Castro
- Davide Orlandi
- Mahesh Prakash
- Giovanni Mauri
- Marcello Zappia
Institutions
- University of Pisa (IT)
- Jan Długosz University (PL)
- University of Molise (IT)
- University of Crete (GR)
- Innsbruck Medical University (AT)
- University of Auckland (NZ)
- Institut Barcelona d'Estudis Internacionals (ES)
- King's College London (GB)
- University of Milan (IT)
- National and Kapodistrian University of Athens (GR)
- Aix-Marseille Université (FR)
- University of L'Aquila (IT)
- Leeds Teaching Hospitals NHS Trust (GB)
- Ljubljana University Medical Centre (SI)
- Herlev Hospital (DK)
- St Helier Hospital (GB)
- Epsom and St Helier University Hospitals NHS Trust (GB)
- Gentofte Hospital (DK)
- University of Oxford (GB)
- Klinik Hirslanden (CH)
- University Clinic of Traumatology (AT)
- IRCCS Ospedale Galeazzi - Sant'Ambrogio (IT)
- Istituto Ortopedico Gaetano Pini (IT)
- Auckland District Health Board (NZ)
- Algarve Biomedical Center (PT)
- Tirol Kliniken (AT)
- Istituto Ortopedico Rizzoli (IT)
- Hospital da Luz (PT)
- Hospital Del Mar (ES)
- Zuyderland Medisch Centrum (NL)
- Oxford Applied Research (United Kingdom) (GB)
- University Hospital of Heraklion (GR)
- PHI University Psychiatric Clinic - Skopje (MK)
- Science Oxford (GB)
- Ospedale Policlinico San Martino (IT)
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
- Azienda Usl Toscana Centro (IT)
- Escola Secundária de Loulé (PT)
- Post Graduate Institute of Medical Education and Research (IN)
- Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (IT)
- New York University (US)
- Université de Strasbourg (FR)
- Martin Luther University Halle-Wittenberg (DE)
- University of Algarve (PT)
- Ss. Cyril and Methodius University in Skopje (MK)
- University of Tübingen (DE)
Publication Details
- Journal
- European Radiology
- Published
- 2025-05-08
- DOI
- https://doi.org/10.1007/s00330-025-11651-9
- Citations
- 2
- Primary Topic
- Spine and Intervertebral Disc Pathology
- Type
- article
- Field-Weighted Citation Impact
- 2.94
Funders
- Università degli Studi di Milano