Facet Joint Pain

  • Facet joint discomfort affects 55% of chronic cervical spine pain sufferers, 42% of thoracic spine pain sufferers, and 31% of lumbar spine pain sufferers.
  • Patients who have been first diagnosed with myofascial pain syndrome (MPS), herniated nucleus pulposus (HNP), and whiplash-associated diseases frequently suffer from a variety of pain syndromes that cause deep, excruciating pain on the C5-6 and C6-7 facet joints (WAD).

Cervical Anatomy

Locating the Brachial Plexus (Interscalene)

  • Start in the anterior midline at the level of the thyroid gland and move laterally, identifying the carotid, internal jugular and then the anterior scalene and middle scalene, triangulating against the sternocleidomastoid muscle in the scan
  • Alternatively you can start from the supraclavicular space and run the probe upwards 

Identify the C6 Nerve

Avoiding the vertebral artery

Cervical Facets

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and Interesting Articles

  • Kim KH, Choi SH, Kim TK, Shin SW, Kim CH, Kim JI. Cervical facet joint injections in the neck and shoulder pain. J Korean Med Sci. 2005 Aug;20(4):659-62. doi: 10.3346/jkms.2005.20.4.659. PMID: 16100461; PMCID: PMC2782165.
  • Manchikanti L, Boswell MV, Singh V, Pampati V, Damron KS, Beyer CD. Prevalence of facet joint pain in chronic spinal pain of cervical, thoracic, and lumbar regions. BMC Musculoskelet Disord. 2004 May 28;5:15. doi: 10.1186/1471-2474-5-15. PMID: 15169547; PMCID: PMC441387.
  • Bogduk N. International Spinal Injection Society guidelines for the performance of spinal injection procedures. Part 1: Zygapophysial joint blocks. Clin J Pain. 1997 Dec;13(4):285-302. doi: 10.1097/00002508-199712000-00003. PMID: 9430809.


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