Cervical Facet Pain
Cervical Facet Pain1

Overview

Cervical facet pain, also known as cervical facet syndrome, is a common source of neck pain originating from the facet joints in the cervical spine. These small joints connect the vertebrae and allow for movement and flexibility in the neck. When these joints become irritated or inflamed, they can cause significant pain and discomfort.

Causes

Degenerative Changes
Age-related wear and tear, such as osteoarthritis, leading to degeneration of the facet joints.
Injury

Trauma or whiplash from accidents can damage the facet joints.

Poor Posture
Prolonged poor posture, such as slouching or hunching over a computer, can strain the facet joints.
Repetitive Stress
Repetitive movements or heavy lifting can lead to facet joint stress and inflammation.
Spondylosis
A form of arthritis affecting the spine that can cause facet joint pain.
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Symptoms

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Neck Pain:Localized pain in the neck, which may be dull or sharp.

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Referred Pain:Pain radiating to the shoulders, upper back, or head.

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Stiffness: Limited range of motion and stiffness in the neck, particularly in the morning or after periods of inactivity.

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Tenderness: Sensitivity to touch over the affected facet joints.

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Headaches: Pain may extend to the back of the head and cause headaches.

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Increased Pain with Movement: Pain that worsens with neck movements, such as looking up or turning the head.

Diagnosis of Cervical Facet Pain

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Medical History and Physical Examination: Evaluation of symptoms and physical tests to determine pain location and range of motion.

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Imaging Tests: X-rays, CT scans, or MRI to visualize the spine and identify abnormalities in the facet joints.

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Facet Joint Injections: Diagnostic injections of anesthetic into the facet joints to confirm the source of pain. If pain relief is achieved, it indicates the facet joints are the pain source.

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When to See a Doctor

Consult a doctor if you have:

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When your neck pain is severe

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Persistent by significant weakness

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Persistent by significant numbness

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Loss of bladder or bowel control.

Treatment Options

Conservative Treatments:
  • Rest: Short periods of rest to reduce acute pain and inflammation.
  • Medications: NSAIDs, muscle relaxants, and pain relievers to manage symptoms.
  • Physical Therapy: Exercises to strengthen neck muscles, improve flexibility, and enhance posture.
  • Heat and Cold Therapy: Application of heat or cold packs to reduce pain and inflammation.
  • Lifestyle Modifications: Ergonomic adjustments and posture improvement to reduce stress on the neck.
Surgical Treatments:
  • Rarely Required: Surgery is rarely needed for cervical facet pain but may be considered in severe cases not responsive to other treatments.

Pain Interventions

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Facet Joint Injections: Injections of corticosteroids and anesthetics to reduce inflammation and pain.

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Radiofrequency Ablation: A procedure that uses heat to destroy nerve fibers carrying pain signals from the facet joints.

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Regenerative treatments : Platelet-rich plasma(PRP)/ Prolotherapy help in natural healing of the facet joints with minimal side effects.

Cervical Epidural intervention Prolotherapy neck pain

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Prevention

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Ergonomics: Maintaining good posture and proper ergonomics at work and during daily activities.

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Exercise: Regular physical activity to strengthen neck and upper back muscles.

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Avoiding Neck Strain: Using proper techniques when lifting and avoiding repetitive neck movements.

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Healthy Lifestyle: Maintaining a healthy weight and avoiding smoking, which can contribute to spinal degeneration.

Conclusion

Cervical facet pain is a common and often debilitating condition that can significantly impact daily life. With accurate diagnosis and appropriate treatment, most individuals can manage their symptoms effectively. Conservative treatments are typically the first line of defense, with interventional procedures and surgery reserved for more severe or persistent cases. Good posture, regular exercise, and ergonomic adjustments are key to preventing and managing cervical facet pain.

Conditions We Treat

Effective Pain Treatments

At ALGOS, we specialize in treating a wide range of chronic pain conditions without the need for surgery to help you achieve lasting relief and regain your mobility.

Located centrally on Cunningham Road, Bengaluru, opposite Indian Express, our clinic is easily accessible from all parts of the city, ensuring high-quality pain management services are available to everyone.

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