Cervical Facet Jt. Syndrome

Question 1

CFJS accounts for how much of neck pain pts (and chronic pts)

Answer 1

50% of all neck pain pts.

36-67% of chronic NP pts.

Question 2

what is the typical character of pain in facet jt issues

Answer 2

dull pain (on the other hand, nerve root will be sharper type pains)

Question 3

4 different syndroms assiciated w facet jt

Answer 3

1. facet synovitis
2. facet restricted motion
3. facet mechanical lock
4. facet painful block

Question 4

facet synovitis/hemarthrosis MOI, Presentation, differential bw two

Answer 4

MOI- awkward moveemnt, suddent acute pain, stomach sleep

Presentation- unilateral, localized to one lvl

synovitis- ROM will recover way quicker (1-2days)

Question 5

Tx and course of facet synovitis/hemarthrois

Answer 5

Tx- SMT may prolong intraarticular bleeding

Course- should resolve in 10days to stiff facet

Question 6

Facet restricted motion presentation, tx

Answer 6

pres- subjective hard end feel, may progress

tx-SMT, soft tissue, modalities etc

Question 7

Facet mechanical lock- cause, presentation, tx

Answer 7

cause- Jamming of jt surfaces via motion
pres-pt flexes then cant straighten up , no pain

Tx- SMT w/ distraction component

Question 8

Facet painful block - causes, tx

Answer 8

any attempt to straighten up is painful

cause- entrapment of synovial fold
tx- isometric neck ex,., SMT, traction

Question 9

CFJS symptoms (mc)

Answer 9

-unilat neck pain w/o arm
neck/ upper back stiffness
-sharp local pain
-absence of arm numbness
-sudden onset

Question 10

CFJS txs

Answer 10

• SMT
• Ice
• Electrotherapy
• Acu
• Soft tissue