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Neck Pain and Lower Back Pain complexities? Neck Pain and Lower Back Pain are the 2 most common forms of pain in the human anatomy, yet the cause of either can be complex at times due to so many different causes. One of those is often very difficult to diagnose, frequently overlooked, and is therefore labeled as a secret or hidden cause. That hidden cause or secret source of Neck Pain or Lower Back Pain is known as Facet Joint Pain or Facet Syndrome. Facet Joint Pain or Facet Syndrome, is a chronic pain syndrome or condition directly related to pain in the facet joints.
What is a Facet Joint and what is Articulation? A Facet Joint is a posterior spinal joint that interfaces two adjacent upper and lower vertebrae together. Also known as a Zygapophyseal Joint, the Facet Joint provides for motion known as Articulation within defined ranges of motion. The articulation of a Facet Joint includes bending forward: flexion, bending backward: extension, and twisting: Cervical or Thoracolumbar rotation. The joint is stretched and unloaded during flexion and compressed or loaded upon extension. Facet Joints are also joint range limiters to prevent damage to spinal discs from excessive range of motion movements.
Do Facet Joints have the characteristics of Synovial Joints? The most common joints in the human body are Synovial Joints, and Facet Joints are most definitely Synovial Joints. Synovial Joint and Facet Joint characteristics include having Synovial fluid within a joint capsule that lubricates the inside of the joint. The outside of the Facet Joint has cartilage between the upper joint surface of each vertebra and the lower joint surface of each vertebra that enables smooth gliding movements when flexing, extending, or twisting.
What are the causes and characteristics of Facet Arthritis? Degenerative Arthritis, a form of facet joint inflammation, is also known as Facet Arthritis or Facet Arthropathy, and is one of the syndromes of Facet Joint Pain. This Chronic Pain condition can be caused by wear and tear, degeneration of the cartilage surfaces, joint capsule.
How is Joint Movement affected? When the articulation of the Facet Joint is in some way restricted, then Facet Joint Pain is often the result. When the joint becomes stuck or fixated in the open or closed position or in the partially open or partially closed position, then Facet Joint Pain is often the result. Either the muscles surrounding the joint could be the source of the problem, or the dysfunction of the joint itself could be the problem. The muscles surrounding the joint could become hypertonic-extremely tight causing compression and loading and restricted articulation resulting in pain, or the joint could have a problem binding, or becoming stuck open or closed, resulting in Facet Joint Pain, which in turn causes a problem with the muscles surrounding the joint.
What are some Facet Joint Pain causes? Some causes of Facet joint pain are: Wear and tear, Degeneration of Cartilage surfaces, Joint Capsule or associated Vertebral Discs, Injury or Trauma, Incorrect posture, Excessive forward head posture, Forward Pelvic Rotation, Abnormal spinal curvature, Hyperlordosis-excessive arch in the lower back, Scoliosis-Lateral Lumbar spinal curvature.
What are the Lower Back Facet Syndrome Symptoms? Lower back facet joint pain symptoms include lower back pain or tenderness, increased pain upon side bending or twisting or arching the lower back or torso, deep dull aching pain that moves to the buttocks or the back of the thighs, and/or stiffness or difficulty with certain movements, such as standing up straight or getting up out of a chair. The initial onset of pain might be related to a rotational spinal injury or a spinal injury involving hyperextension of the spine.
What are the Neck-Cervical Facet Syndrome Symptoms? Facet Join pain neck symptoms include Neck Pain, Headaches, Shoulder Pain, and/or difficulty side bending or rotating the head. Ensure that the Facet Joint Pain Assessment clearly indicates the pain scale for the associated problems. Find out if there is a history of whiplash or any other kind of neck injury.
Are there any restrictions in Articulation of the Facet Joints? There is a special test known as the spring test which can test for basic joint movement, and that will answer one of the most important questions we have about the Facet Joints.
What Exercises will help to relieve my Facet Joint Pain? If excessive lower back curvature ” Lumbar Lordosis, and hypertonic hip flexors and hypertonic lower back musculature is causing compression of the lumbar facet joints, stretching and strengthening exercises to reduce joint compression and help prevent joint fixation will be required to reverse the postural distortion that has occurred. If the cervical (neck) spine is affected by excessive forward head posture and hypertonic neck musculature, there are strengthening and stretching exercises for postural correction and hypertonicity reduction as well. As mentioned above, the experienced Clinical Massage Therapist will be able to formulate an effective exercise treatment plan.