Atlanto-occipital joint pain. A report of three cases and description of an intraarticular joint block technique.
OBJECTIVE
The atlanto-occipital (AO) joint is a true, innervated synovial joint with the potential to cause pain.


METHODS
A detailed description of an AO joint injection technique is provided, as none was found on review of the literature.


RESULTS
Using this technique, three illustrative cases provide preliminary evidence that intraarticular injection of the AO joint may have both diagnostic and therapeutic value for the treatment of upper cervical pain and headaches.


CONCLUSIONS
Although AO joint injections may prove to be an effective adjunct to more traditional forms of conservative treatment, additional prospective studies are needed to better define the role of intraarticular AO joint injections in the diagnosis and treatment of head and neck pain.
Neuro-Skeletal Center, Tyler, Texas.
P
P
Dreyfuss
J
J
Rogers
S
S
Dreyer
D
D
Fletcher
D000328:Adult; D000779:Anesthetics, Local / Q000008:administration & dosage; D001269:Atlanto-Occipital Joint / Q000187:drug effects / Q000294:innervation*; D004333:Drug Administration Routes; D005260:Female; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000379:methods*; D010146:Pain / Q000188:drug therapy* / Q000209:etiology
D000779:Anesthetics, Local