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Doctor insights on: Cervical Facet Syndrome In Children

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How do you distinguish between occipital neuralgia and cervical facet syndrome?

How do you distinguish between occipital neuralgia and cervical facet syndrome?

Similar Pains: Sometimes the facet joint nerves can connect with the occipital nerve causing both. Sometimes they are separate issues altogether. Generally speaking extending and rotating your neck with cause facet pain syndrome and pressing on the back of your head may cause occipital neuralgia. See a pain specialist to help you determine the difference between the two. ...Read more

Facet (Definition)

Facet joints are places on the spinal bones where two bones actually meet and articulate. Many times arthritis or inflammation can arise ...Read more


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Tcan you have cervical facet joint syndrome and occipital neuralgia

Tcan you have cervical facet joint syndrome and occipital neuralgia

Yes: And Yes. Sometimes the facet joint nerves can connect with the occipital nerve causing both. Sometimes they are separate issues altogether. ...Read more

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Could a cervical facet nerve block take pain away forever?

Could a cervical facet nerve block take pain away forever?

Consider RFA: Facet Nerve Blocks provide temporary pain relief since they are diagnostic injections generally. Radiofrequency Ablation is a procedure that eliminates the nerve to these facet joint and can give you up to 1-2 years of pain relief. ...Read more

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Apart from the obvious location what is the difference between Cervical Facet Injections and ESI? E.g what risks apply and which one is less dangerous

Apart from the obvious location what is the difference between Cervical Facet Injections and ESI? E.g what risks apply and which one is less dangerous

Location: Facet injections place anti-inflammatory steroid into the joint (s) in the spine and the epidural steroid injection places steroid around the spinal cord, nerves and discs.
Joint injection is very localized and usually requires more than one. ESI can have greater spread. Since the epidural space is just outside of the spinal cord, this is more risky. Either injection should be done under XRAY. ...Read more

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How are cervical facet injections performed?

How are cervical facet injections performed?

Under Xray Guidance: A facet injection is a minimally invasive procedure that can temporarily relieve back pain caused by inflamed facet joints. A facet injection includes both a long-lasting corticosteroid and an anesthetic numbing agent. The drugs are delivered to the painful facet joint, either inside the joint capsule or in the tissue surrounding the joint capsule. ...Read more

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What does facet arthropathy cervical mean?

Arthritis: Cervical spine refers to the neck. The facet joints are the joints in the back of the neck. They can develop a degenerative, arthritic change in them the same as you can get degenerative arthritis in the hip or knee. In the neck this can cause neck pain, headaches and crackling and popping with rotation. ...Read more

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Can you tell me what are cervical facet joints?

Can you tell me what are cervical facet joints?

Spine Joints: Facet joints are places on the spinal bones where two bones actually meet and articulate, therefore a facet joint injection is into that place where they meet. Many times arthritis or inflammation can arise here and cause pain. ...Read more

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Can you tell me what is a cervical facet joint?

Can you tell me what is a cervical facet joint?

Neck joints: Most people think of their spine as the vertebrae and discs, but those are the structures in the front. The spinal cord sits in the middle, and is protected by additional bony structures in the back. Where the back bones meet the front bones, there are joints on either side of the midline called facet joints. These joints are tiny, typically capable of holding less than less than 1cc of fluid. ...Read more

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How big is the chance that a cervical facet block injection may go wrong, cause more pain or nerve damage? Worth doing with all the risks?

Cervical injx: Risks are low if doctor uses fluroscopy and contrat to insure needle position he needs to avoid injectate with particulates as well, can lead to a confirmed diagnosis of pain generator and effective treatment it worth doing but go to the cervical experienced and trained. ...Read more

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Help! How effective is cervical facet nerve burning when steroid injection relief only lasts 2 days? I want something long term, w/no more meds!!

Help! How effective is cervical facet nerve burning when steroid injection relief only lasts 2 days? I want something long term, w/no more meds!!

Very successful: Radio frequency ablation is the process that heat the nerve to prevent it from relaying a pain message to the brain. Generally, benefits last up, to a year. BUT you must be certain that the treated nerve is the pain source, or the treatment will fail. Often, there is more than 1 cause for your pain. ...Read more

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Could artificial facet joint replacement technology be used for the cervical spine?

Could artificial facet joint replacement technology be used for the cervical spine?

Good idea.: This may be possible in the future. I do not know of any technology such as this that we have access to currently. Artificial discs are being used in the spine, but so far, no replacement for the actual facet joints. ...Read more

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How is a facet injection done in the neck? And when is it donw? Can a cervical MRI show a root nerve impingement in the neck? Please help

How is a facet injection done in the neck? And when is it donw? Can a cervical MRI show a root nerve impingement in the neck? Please help

X-Ray Flouroscopy: Facet Joint Injection is done under x-ray guidance with special equipment to help guide the needle. Its done for neck pain due to facet joint arthritis or facet syndrome/whiplash. MRI may show nerve root impingement, however the limitation the MRI has is its a static image and unfortunately your spine and discs move so can't see that movement. Consider Weight-bearing MRI for better clarity. ...Read more

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When cervical facet joint has inflammation, can interlaminar cervical epidural block have effect on facrt joint?

Possibly: If there is certainty about the diagnosis of facet mediated pain them the best procedure is a facet block. If that works then a more permanent procedure (rfa) can be done. ...Read more

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Is cervical interlaminar epidural block always better than cervical facet block? If interlaminar was no help, can facet joint block be helpful?

Is cervical interlaminar epidural block always better than cervical facet block? If interlaminar was no help, can facet joint block be helpful?

Depends: On what the reason for either injection is. Typically Epidural injections help with disk herniations, nerve impingement and spinal stenosis of the spine. Facet treatments basically address/help with the facet joint only as the source of the pain. ...Read more

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Pain Management: How long can the positive effects of a cervical facet joint nerve block diagnostic test last before retreatment (been 1 month now)?

Facet block: Most patients report a benefit lasting 1-3 months although some patients report longer benefit. Benefits in the cervical paraspinals are limited compared to lumbar intra-articular facet blocks. ...Read more

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Is there a way to unlock a locked cervical facet joint on the left of my spine that was caused by an excersie? I am looking for a cure not a treatment

Is there a way to unlock a locked cervical facet joint on the left of my spine that was caused by an excersie? I am looking for a cure not a treatment

Osteopathic Eval: Some osteopathic physicians do manipulation to see if a vertebrae is dislocated and he/she can offer treatment by trying to correct the pathology. If this does not help, it could be pathology in your spine that needs to be further evaluation. Recommend seeing a pain/spine specialist. ...Read more

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Pain Management: Had a cervical facet joint nerve block that worked! Dr. now offers me a facet joint denervation that lasts longer. Should I do it?

Discuss pros & cons: Radiofrequency denervation can have longer lasting effects than nerve block injections. Adverse effects are uncommon and include the possibility of an increase in pain or permanent neurological problems (numbness, weakness). Discuss the risks, benefits, and your concerns with a pain management specialist. Http://asipp. Org/documents/Cohenetal2FactorsPredictingSuccessandFaiure. Pdf ...Read more

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What does the cervical facet joints do in your neck? What kind of injection does a doctor give for radiculopathy? Please help and explain

What does the cervical facet joints do in your neck? What kind of injection does a doctor give for radiculopathy? Please help and explain

Spine Joints: Facet joints are places on the spinal bones where two bones actually meet and articulate, therefore a facet joint injection is into that place where they meet. Many times arthritis or inflammation can arise here and cause pain. Epidural injections are also helpful to reduce inflammation into the spinal canal area or around the spinal nerve roots exiting the spine to treat a radiculopathy. ...Read more

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Hit in neck 7wks ago mri-chronic cervical spondylosis c56c67 degenerative bony narrowings left sided associated mild left facet arthropathy. Worried?

Hit in neck 7wks ago mri-chronic cervical spondylosis c56c67 degenerative bony narrowings left sided associated mild left facet arthropathy. Worried?

Common findings: The MRI seems to describe very common degenerative type changes at typical locations in the neck. They are described as chronic, which indicates these are due to wear and tear over time and not likely related to your being hit in the neck. These changes will likely continue to happen over the course of a lifetime and may be a source of pain in your neck and/or arms from time to time. ...Read more

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What are the cervical facet joints in your neck? Are they next to your cervical disk? This burning pain and stiffness is driving me crazy please help

What are the cervical facet joints in your neck? Are they next to your cervical disk? This burning pain and stiffness is driving me crazy please help

Spine Joints: Facet joints are places on the spinal bones where two bones actually meet and articulate and limits extension and rotation of that spinal segment. You have facet joints at every level of your spine from your neck to your low back. Many times arthritis or inflammation can arise here and cause pain. ...Read more

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Which is better and more accurate for cervical facet joint block : when done with sonogram or c-arm guided?

Which is better and more accurate for cervical facet joint block : when done with sonogram or c-arm guided?

Depends on: The doctor doing the procedure. I like using ct scan guidance with ct fluoroscopy. I think ct is most accurate. ...Read more

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Pain Management: Doctor wants to do a denervation at my facet joint area in my cervical neck. Completely severing this nerve will take away pain?

Pain Management: Doctor wants to do a denervation at my facet joint area in my cervical neck. Completely severing this nerve will take away pain?

Hopefully: If this is what is causing your pain it should. Make sure you review all the benefits and complications. All the best and I hope this works for you. ...Read more

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Cervical spine MRI shows Disc osteophyte complex & facet & ligamentous hypertrophy from C5-C7, effacing & narrowing the thecal sac to 8.4mm. Explain..

Cervical spine MRI shows Disc osteophyte complex & facet & ligamentous hypertrophy from C5-C7, effacing & narrowing the thecal sac to 8.4mm. Explain..

Arthritis.: Basically, these findings represent osteoarthritic changes of the cervical spine. These findings need to be interpreted with respect to your medical history. Arthritis elsewhere? Any history of trauma to the neck? Overweight? ...Read more

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Can I do weight training at the gym with bilateral facet joint osteoarthritis throught the cervical spine. Uncovertebral joint osteophytes narrow exi?

Can I do weight training at the gym with bilateral facet joint osteoarthritis throught the cervical spine. Uncovertebral joint osteophytes narrow exi?

I would: NOT do this without a consultation with an EXERCISE PHYSIOLOGIST or PHYSIATRIST...... (the former is a physical therapist trained in exercise the latter a musculo-skeletal specialist M.D.


My opinion only!
Dr Z ...Read more

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29y female. Mri results Lumbar- discogenic disease/protrusion L5-S1. Low Lumbar facet arthropathy. Cervical- bulging c6-7 Can trauma cause this?

The lumbar: Changes are degenerative/arthritic in nature. It is possible that these changes were initiated by a prior traumatic event, but in the vast majority of cases, there is no identifiable inciting factor. The same holds true for the cervical bulge. ...Read more

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With degenerative disc disease, facet arthrosis, nerve compression, buldging discs lumbar and cervical regions, synovial cyst posterior lumbar region in spine, continueum spasms, the need of surgery is the option as of now. I have been through all treatme

With degenerative disc disease, facet arthrosis, nerve compression, buldging discs lumbar and cervical regions, synovial cyst posterior lumbar region in spine, continueum spasms, the need of surgery is the option as of now. I have been through all treatme

Unsure of question: Most surgeons exhaust non-operative care before recommending surgery. Non-operative care can include medications (anti-infammatory arthritis type medicine or pain medications), physical therapy, activity modification, exercise, bracing, chiropractic care, interventional pain management (injections), or alternative medical approaches. ...Read more

Cervical (Definition)

Cervical relates to the first seven vertebra of the spine. It is related it the neck. Also it refers to the muscular opening/exit of ...Read more