Diagnosis of Chronic Cervical Facet Pain
by Christopher J. Connelly, DC
Keywords: chronic neck pain, facet joint pain, motion x-ray, whiplash
Volume: AJPM Vol. 15 No. 4 October 2005 pgs 140-151
Abstract:
The
scientific literature clearly indicates that cervical facet joints are
the cause of chronic pain in 54% to 67% of chronic neck pain patients.
Despite the high prevalence of pain, the clinical diagnosis of the
cervical facet joint as a primary source of pain is often overlooked.
Undiagnosed patients typically go through unproductive treatments such
as physical therapy, chiropractic, injections, and other procedures to
relieve their pain. With a proper diagnosis, these patients may benefit
from specific interventions designed to manage cervical facet joint
pain. The purpose of this paper is to lay the ground work for the
diagnosis of cervical facet pain in a clinical setting. A specific
history, physical examination, motion x-ray examination, and diagnostic
facet block are instrumental in the diagnosis of chronic cervical facet
joint dysfunction. With sound clinical judgment, a firm diagnosis can
be made as to the probable level and structure of the generator of the
pain complaint.
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