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This study recruited only 9 of the planned 60 participants, but it met other feasibility objectives, suggesting that a full trial might be feasible, particularly with stronger collaboration with primary care.

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Saowarat Snidvongs 1,*, Rod S Taylor 2, Alia Ahmad 1, Simon Thomson 3, Manohar Sharma 4, Angela Farr 5, Deborah Fitzsimmons 5, Stephanie Poulton 6, Vivek Mehta 1, Richard Langford 1

1 Pain and Anaesthesia Research Centre, Barts Health NHS Trust, London, UK
2 Institute of Health Research, University of Exeter Medical School, University of Exeter, Exeter, UK
3 Department of Pain Management, Basildon and Thurrock University Hospitals NHS Foundation Trust, Basildon, UK
4 Department of Pain Medicine, The Walton Centre NHS Foundation Trust, Liverpool, UK
5 Swansea Centre for Health Economics, College of Human and Health Sciences, Swansea University, Swansea, UK
6 Locomotor Pain Service, Homerton University Hospital NHS Foundation Trust, London, UK
* Corresponding author Email: saowarat.snidvongs@bartshealth.nhs.uk

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Response by Mr Damien Mearns on 12 December 2017 at 11:23 PM
Damien Mearns
I understand that these Facet joint injections were introduced to Jimmy Cyriax by Dr Harley, who worked with the inventor - a Czech Doctor. Dr Harley moans about two things with modern Facet joint injections: a) The lumbar needles issued by NICE are too small to get to where they need to get to and b) Dr Harley has now moved on to using these injections as a "pre" thing for the "main event" - he now uses a Spinal Mobilisation machine. The results are very effective.

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