ASIPP Issues 2026 Updated Guidelines on Facet Joint Interventions for Chronic Spinal Pain

Updated ASIPP guidelines for facet joint interventions in chronic spinal pain: 37 recommendations, 100% panel consensus. Diagnostic/therapeutic interventions got moderate to strong recommendations (evidence level II-III), but there is a paucity of high-quality studies.

• Multidisciplinary panel (39 voting) used modified Delphi, GRADE, and AHRQ methods to formulate 37 consensus recommendations.
• Recommendations cover diagnosis, treatment, sedation, antithrombotic therapy, and special precautions, with evidence levels ranging from II to V.
• Guideline limited by scarcity of high-quality studies for some aspects; not intended as inflexible standard of care.

Automated summary

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