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Doctor insights on: Facet Joint Referred Pain

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I have a bulging disc at c5/c6 with radiating pain left upper arm/forearm could this also cause referred pain to thoracic facet joint area?.

I have a bulging disc at c5/c6 with radiating pain left upper arm/forearm could this also cause referred pain to thoracic facet joint area?.

Dermatome: The c5, c6 and t1 share same motor and sensory dermatome that is responsible for upper extremities hence can have pain in upper extremities and uppermostchest and back. ...Read more

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Dr. Robert Meislin
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Dr. Stratos Christianakis
1,192 doctors shared insights

Joints (Definition)

Joints are parts of the body, formed by the cartilage-covered ends of bones plus the strong, flexible ligaments that attach the bones to one another. Movements at the joints in the body allow the different parts of the body to move in ...Read more


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Facet joint pain or si joint pain? Pain is located in lower left, 2 inches from spine (l5-s1 area). No reffered pain. 2 somewhat positive facet blocks

Facet joint pain or si joint pain? Pain is located in lower left, 2 inches from spine (l5-s1 area). No reffered pain. 2 somewhat positive facet blocks

Can Be both: However if the facet block gave you 70-100% pain relief, then more likely to be your fact joint. If less than 50% relief, then consider the SI joint as a definite source of your pain. Also if not ruled out already, I often find things like spinal stenosis or herniated discs also have this same pattern of pain. ...Read more

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Dr. Robert Meislin
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30 years in practice
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Hey docs, should verced i.V. Always be given for pain during facet joint injection?

Hey docs, should verced i.V. Always be given for pain during facet joint injection?

Depends: Versed can help with anxiety during your procedure but not everyone needs this. So make sure you ask what the sedation or anesthesia will do to you during the procedure. Many times they use other medications as well. I would discuss this with your doctor to have a better understanding of what you might go through. ...Read more

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Can a facet joint injury start out as a sharp stinging pain like something being pulled?

Can a facet joint injury start out as a sharp stinging pain like something being pulled?

It can but....: More commonly symptoms such as that are more consistent with a strain and spasm in the para spinal muscles. ...Read more

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How to relieve pain in lower back due to facet joint problems?

How to relieve pain in lower back due to facet joint problems?

Several ways: We start with anti-inflammatory medications, pain medication, if did not help we move to steroids by mouth or injection under fluoroscopy and the last resort is surgery. ...Read more

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What should you do for facet joint arthritis pain?

What should you do for facet joint arthritis pain?

Facet Treatments: May help depending on your pain issue. Facet injections are helpful and can be long-lasting, however if your get short lived relief you may need to get evaluated for a radiofrequency ablation for longer lasting relief (greater than 1 year of relief is typical). ...Read more

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Dr. Robert Meislin
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Can you tell me about being diagnosed with facet joint pain and had a medial branch block?

Can you tell me about being diagnosed with facet joint pain and had a medial branch block?

Facet Joint Pain: Radiofrequency procedures work well if a previous facet injection or medial branch block was performed with greater than 75-80% relief that was obtained. This is used to determine pain from facet joints. As with anything there are failures, but quite low if the block worked well. Risks are the same as with any spine procedure, no different. Rare that you would be worse off afterwards. ...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)?

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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I had 3 cervical facet joint injection yesterday. Is it normal for my neck to have extreme pain and stiffness? What to do for the pain?

I had 3 cervical facet joint injection yesterday. Is it normal for my neck to have extreme pain and stiffness? What to do for the pain?

Normal: If it does not resolve in a week, call your doctor to see what options you may have regarding this increased pain. Although uncommon, it can happen and usually will go away on its own. You could try taking some Anti-inflammory medications (ibuprofen, naproxen) round the clock for the next few days and even ice the area 20min on and 20 min off. ...Read more

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How effective are facet joint injections at relieving neck pain? I had a different type of injection in my lower back that didn't help.

How effective are facet joint injections at relieving neck pain? I had a different type of injection in my lower back that didn't help.

Hard to say: Depends on your pain issue. Facet injections are helpful and can be long-lasting, however if your get short lived relief you may need to get evaluated for a radiofrequency ablation for longer lasting relief (greater than 1 year of relief is typical). ...Read more

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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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Dr. Robert Meislin
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