- Facet joint syndrome, cervical spine
- Sprain of facet joint
- Arthritic changes in facet joint
- S13.8XXA Sprain of joints and ligaments of other parts of
- Neck pain with primary involvement of cervical facet joint
- Upper limb symptoms might be present in a non-dermatomal pattern
as a result of referred pain
- No neurological findings
- Unilateral symptoms
- Diagnosis made by clinical examination
- Reproduction of symptoms when joint in closed-packed position
(combination of extension, side-bending, and rotation toward involved
- Presentation can vary based on anatomical structures and
- C0 to C3 facet joint dysfunction may be associated with cervicogenic
headache or dizziness
- Variable based on specific condition
- Pain in cervical area that can be reproduced mechanically
- Unilateral or bilateral referred pain in upper extremities
possible in a non-radicular pattern
- Active range of motion (AROM) limited in a capsular pattern;
rotation and side-bending limited in same direction
- Cervical segmental hypomobility may be present in capsular
- Can be associated with forward-head posture
- May cause decreased ability to perform ADLs/IADLs
- May impact ability to participate in sports and other recreational
- Occupational factors
- Congenital anomalies
- Physical condition
- Socio-economic factors
- Psychosocial and behavioral factors
- Postural changes including forward-head posture
- Peripheral nerve impairment
- Malignant spinal tumor or metastasis
- Referred pain from visceral structures
- Systematic auto-immune diseases (RA, Reiter's, etc.)
- Not necessary in most cases; only with persistent symptoms
that do not respond to conservative management or presence of red/yellow
- MRI helps visualize compressed or inflamed nerve
root/disc pathology in diagnosis
- X-ray/plain-film radiograph helps assess
alignment, fractures, stability (flexion/extension radiograph)
- CT scan to show herniation compressing the spinal
canal or nerves
- Electrodiagnostic/nerve conduction testing can
help determine a specific impaired nerve function
- Doppler ultrasound to examine vascular function
- For imaging
- For surgical consult if myelopathy suspected (lumbar radiculopathy)
- For imaging and medical consult if disease suspected
- If vascular insufficiency suspected
- Hypomobile cervical spine
- Weakness of deep neck flexors and upper-extremity stabilizers
- Shortening of upper trapezius, levator ...
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