Cervical spine pain related to the facet joints

2015 ◽  
Vol 19 (3-4) ◽  
pp. 109-118 ◽  
Author(s):  
Kenneth D. Candido ◽  
Bryant England
Keyword(s):  
Cervical Spine ◽  
Facet Joints ◽  
Spine Pain

scholarly journals Tropism of Sub-Axial Cervical Facet Joints Is Not Related to Segmental Movement during Active Movement or Therapist-Perceived Symptomatic Locations

Symmetry ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 739
Author(s):  
Neil Tuttle ◽  
Kerrie Evans ◽  
Clarice Sperotto dos Santos Rocha
Keyword(s):  
Cervical Spine ◽  
Neck Pain ◽  
Active Movement ◽  
Facet Joints ◽  
Segmental Mobility ◽  
Limited Mobility ◽  
Translational Movement ◽  
The Difference ◽  
Cervical Facet ◽  
The Relationship

Tropism, or asymmetry, of facet joints in the cervical spine has been found to be related to degenerative changes of the joints and discs. Clinicians often assume that differences in segmental mobility are related to tropism. The aims of this study were to determine the relationship between asymmetry of facet joints in the sub-axial cervical spine and (1) segmental mobility and (2) spinal levels perceived by therapists to have limited mobility. Eighteen participants with idiopathic neck pain had MRIs of their cervical spine in neutral and at the end of active rotation. Angular movement and translational movement of each motion segment was calculated from 3D segmentations of the vertebrae. A plane was fitted to the facet on each side. Tropism was considered to be the difference in the orientation of the facet planes and ranged from 1 to 30° with a median of 7.7°. No relationships were found between the extent of tropism and either segmental movement or locations deemed to be symptomatic. Tropism in the sub-axial cervical spine does not appear to be related to segmental mobility in rotation or to levels deemed to be symptomatic.

scholarly journals Muscle Dysfunction in Cervical Spine Pain: Implications for Assessment and Management

2009 ◽  
Vol 39 (5) ◽  
pp. 324-333 ◽  
Author(s):  
Shaun O'Leary ◽  
Deborah Falla ◽  
James M. Elliott ◽  
Gwendolen Jull
Keyword(s):  
Cervical Spine ◽  
Muscle Dysfunction ◽  
Spine Pain

scholarly journals The relationship between chronic type III acromioclavicular joint dislocation and cervical spine pain

2009 ◽  
Vol 10 (1) ◽  
Author(s):  
Stefano Gumina ◽  
Stefano Carbone ◽  
Valerio Arceri ◽  
Alessandro Rita ◽  
Anna R Vestri ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Acromioclavicular Joint ◽  
Acromioclavicular Joint Dislocation ◽  
Chronic Type ◽  
Joint Dislocation ◽  
Type Iii ◽  
Spine Pain ◽  
The Relationship

Imaging Occult Lesions in the Cervical Spine Facet Joints

2009 ◽  
Vol 30 (2) ◽  
pp. 142-147 ◽  
Author(s):  
Lars Uhrenholt ◽  
Edith Nielsen ◽  
Annie Vesterby Charles ◽  
Ellen Hauge ◽  
Markil Gregersen
Keyword(s):  
Cervical Spine ◽  
Facet Joints

Cervical Spine

2018 ◽  
Author(s):  
Siddarth Thakur ◽  
Salahadin Abdi
Keyword(s):  
Cervical Spine ◽  
Neck Pain ◽  
Single Source ◽  
Management Options ◽  
Therapeutic Challenge ◽  
Treatment Regimens ◽  
Spine Pain ◽  
Complex Anatomy ◽  
Multiple Structures

Pain emanating from the cervical spine represents a significant diagnostic and therapeutic challenge for clinicians. The precise etiology of the pain may be difficult to identify because there are many potential pain-generating structures in the cervical spine and surrounding region. It is helpful to delineate the patient’s symptoms as axial- or radicular-predominant in order to guide the investigation prior to initiating treatment. The evidence for many commonly used treatment regimens is variable, and therefore an individualized plan is often necessary. Although it is conceptually accommodating to compartmentalize the etiology of cervical spine pain from a single source, the reality is that multiple structures are often involved, given the complex anatomy of the cervical spine. This chapter discusses cervical spine anatomy and biomechanics, as well as the etiology, pathophysiology, and management options for axial and radicular neck pain.

Analysis of the uncinate processes of the cervical spine: an anatomical study

2012 ◽  
Vol 16 (4) ◽  
pp. 402-407 ◽  
Author(s):  
R. Shane Tubbs ◽  
Olivia J. Rompala ◽  
Ketan Verma ◽  
Martin M. Mortazavi ◽  
Brion Benninger ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Anatomical Study ◽  
Axial Rotation ◽  
Intervertebral Discs ◽  
Uncinate Process ◽  
Surgical Approaches ◽  
Intervertebral Foramen ◽  
Facet Joints ◽  
Vertebral Level ◽  
Arthritic Changes

Object Although the uncovertebral region is neurosurgically relevant, relatively little is reported in the literature, specifically the neurosurgical literature, regarding its anatomy. Therefore, the present study aimed at further elucidation of this region's morphological features. Methods Morphometry was performed on the uncinate processes of 40 adult human skeletons. Additionally, range of motion testing was performed, with special attention given to the uncinate processes. Finally, these excrescences were classified based on their encroachment on the adjacent intervertebral foramen. Results The height of these processes was on average 4.8 mm, and there was an inverse relationship between height of the uncinate process and the size of the intervertebral foramen. Degeneration of the vertebral body (VB) did not correlate with whether the uncinate process effaced the intervertebral foramen. The taller uncinate processes tended to be located below C-3 vertebral levels, and their average anteroposterior length was 8 mm. The average thickness was found to be 4.9 mm for the base and 1.8 mm for the apex. There were no significant differences found between vertebral level and thickness of the uncinate process. Arthritic changes of the cervical VBs did not necessarily deform the uncinate processes. With axial rotation, the intervertebral discs were noted to be driven into the ipsilateral uncinate process. With lateral flexion, the ipsilateral uncinate processes aided the ipsilateral facet joints in maintaining the integrity of the ipsilateral intervertebral foramen. Conclusions A good appreciation for the anatomy of the uncinate processes is important to the neurosurgeon who operates on the spine. It is hoped that the data presented herein will decrease complications during surgical approaches to the cervical spine.

scholarly journals Development of differentiated surgical technique for treating patients with multilevel degenerative diseases of cervical spine

2019 ◽  
pp. 47-54
Author(s):  
V. A. Byvaltsev ◽  
A. A. Kalinin ◽  
M. A. Aliyev ◽  
V. V. Shepelev ◽  
B. R. Yusupov ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Disease Duration ◽  
Intervertebral Discs ◽  
Adverse Outcomes ◽  
Neurological Symptoms ◽  
Cervical Region ◽  
Degenerative Diseases ◽  
Facet Joints ◽  
On Line ◽  
Surgical Tactics

Background. Currently, there is no uniform tactics for the differentiated use of dorsal decompressive-stabilizing techniques for multilevel degenerative diseases of the cervical spine, and the results of these technologies application are largely controversial.Aim. Analysis of the unsatisfactory outcomes of dorsal decompressive-stabilizing interventions in the treatment of patients with multilevel degenerative diseases of the cervical spine and development of a clinicalinstrumental algorithm for differentiated surgical tactics.Material and methods. A retrospective study included 112 patients with degenerative diseases of the cervical spine at two levels or more due to hernias of intervertebral discs, yellow ligament hypertrophy and arthrosis of facet joints, which in 2007-2014 underwent dorsal decompressive-stabilizing interventions in the volume of laminotomy with laminoplasty (LP) and laminectomy with fixation for lateral masses (LF). A correlation analysis of clinical parameters with anamnestic data, instrumental parameters, a feature of accepted surgical tactics and postoperative adverse effects.Results. In the analysis, it was established that «satisfactory» postoperative outcomes of LP are associated with a neutral or lordotic configuration of the cervical spine, the preservation of segmental movements without clinical and instrumental signs of instability; In addition, the use of LF is possible with mobile kyphotization of the cervical spine and the presence of translational instability of the cervical segments. The «unsatisfactory» postoperative results of the LP and LF are in direct correlation with the duration of the disease, the presence of myelopathic focus and rigid kyphosis of the cervical region.Conclusion. Differential use of dorsal decompressive-stabilizing techniques based on a comprehensive assessment of disease duration, configuration of the cervical spine, spinal cord condition and volume of segmental movements allows to reduce neurological symptoms, improve the level of pain and improve the functional status of patients, as well as significantly reduce the number of adverse outcomes associated with the progression of kyphotic deformity, deterioration of neurological symptoms and revision on-line decompressive-stabilizing interventions. 

scholarly journals The effectiveness of therapeutic massage in lumbar and cervical spine pain syndrome – case study

2015 ◽  
Vol 9 (2) ◽  
pp. 24-27
Author(s):  
Iwona Wilk
Keyword(s):  
Cervical Spine ◽  
Lower Limb ◽  
Pain Syndrome ◽  
Lymphatic Drainage ◽  
Lower Limbs ◽  
Substantial Part ◽  
Therapeutic Massage ◽  
Spine Pain ◽  
Patient Reported ◽  
Pain Symptoms

Background: The spine pain syndrome is a common problem in a substantial part of the population which currently affects younger and younger people. The underlying risk factors include the character of work, sedentary lifestyle and lack of physical activity. Except for complex physiotherapy which should be applied during treatment, a lifestyle prophylaxis also seems to be a key factor. Aim of the study: The aim of this study was to present the possibility to use the classical and therapeutic massage of the back, and a lymphatic drainage of lower limbs in case of the lumbar and cervical spine pain syndrome accompaniedby the lower limb swelling. Material and methods: A young woman with the lumbar and cervical spine pain syndrome received a 55-minute lymphatic drainage (four sessions), a 30-minute classical massage (four sessions) and a 45-minute therapeutic massage (two sessions). All the procedures were performed every two days. Results: After the application of all kinds of the massage, selected individually to current symptoms and needs of the patient, the pain in the area of the spine was relieved. After the therapy the pressure pain in the back muscles such as: latissimus dorsi (lats), trapezius (traps) and spinal erectors was also decreased. The swelling in the area of the lower limb was reduced and the patient reported general decrease of pain. Conclusions: A massage may constitute an effective anti-pain therapy in case of the lumbar and cervical spine pain syndrome. Combined with educating patients about proper motor habits might prevent similar pain symptoms in the future.

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