CERV. facet syndrome Flashcards
1
Q
CERV. facet syndrome classic presentation
A
- person comes in with pain in extension but feels better with movement
- pain occurs insidiously since starting a new repetitive job (sitting at a desk)
2
Q
similar DDX’S
A
- CERV. disc herniation
- CERV. DJD
- CERV. sprain/strain
3
Q
supporting factors
A
- mild to moderate pain
- pain around C2/3 and C5/6
- pain worse in extension
- repetitive stress
- better with movement
- DULL ACHY PAIN that becomes SHARP WITH EXTENSION
- intermittent timing
- pain over spinous (central)
4
Q
refuting factors
A
- neurological findings or radiation
- severe or constant pain
5
Q
relevant orthos
A
- cerv. distraction
- cerv. foraminal compression
- modified spurlings
- Jackson’s
- cerv. maximum compression
6
Q
physical findings
A
- lean away from involved facet
7
Q
referrals
A
- physiotherapist
- massage fr muscle work
8
Q
contraindications
A
- avoid cerv. extension
- adjust to patient tolerance
9
Q
technique
A
- any adjustment
10
Q
care plan
A
- 2x a week for 3 weeks
11
Q
recommendations
A
- posture advice
- avoid stressful activities that worsen pain
12
Q
prognosis
A
- excellent (improve within 2 weeks)
