What to Know About Cervical Facet Joint Pain Skip to main content

What to Know About Cervical Facet Joint Pain


Cervical facet joint syndrome, or cervical facet osteoarthritis, is a degenerative condition marked by stiffness and pain in the cervical region (neck) of the spine. Individuals can gain relief from various types of treatment, including chiropractic care.

Facet joint problems are among the most common sources of lower back and neck pain. They can cause debilitating, chronic problems with the neck and back and can lead to other more severe conditions and symptoms that can be disabling.

What is Cervical Facet Joint Pain?

The spine, comprised of a chain of bones known as vertebrae. Each one has two facet joints on the back side and a large disc on the front side, allowing the vertebrae to stack neatly, one on top of the other, providing stabilization for the entire body.

The facet joints are synovial joints, like other joints in the body and sometimes they can become inflamed or injured, causing pain and stiffness. Cervical facet joint pain is, quite literally, a pain in the neck. It means that the joints in the neck area have become injured or inflamed. Suffering from this condition can make it difficult for the patient to turn their head from side to side, or to move it up and down.

The cervical facet joints are almost always working. They undergo repetitive, constant motion and over time they can become torn or worn down. Problems within the joint can cause movement to be restricted, or it can have too much, both of which can cause pain.

Injury, such as whiplash, to the area, can also cause problems. If not treated appropriately the condition can be degenerative, and the patient can lose both flexibility and mobility, as well as suffer from chronic pain.

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Symptoms of Cervical Facet Joint Pain

The symptoms of cervical facet joint pain tend to vary from patient to patient. A patient may experience one or several of these symptoms:
  • Tingling, weakness, or pain in the hand and arm
  • Neck pain
  • Upper back pain that can affect the shoulders
  • Pain between the shoulder blades
  • Headaches, typically located in the back of the head
  • Swelling and tenderness at the site of the inflamed facet joint
  • Decreased range of motion and flexibility in the neck

Treatment for Cervical Facet Joint Pain

When a patient diagnosed with cervical facet joint pain, the procedure is usually fairly conservative. Their doctor may recommend soft tissue massage, physical therapy, and posture correction. Combined with medications such as an anti-inflammatory like ibuprofen, or muscle relaxers to ease muscle spasms in the muscles that surround the affected joint.

If those methods do not give the patient relief, the doctor may take a more aggressive approach, prescribing facet joint injections that use steroid medications injected into the affected joint. This approach is intended to keep the pain localized while reducing it. The procedure can be performed in an outpatient setting and has a good record of being useful, but the results are temporary.

Chiropractic for Cervical Facet Joint Pain

Chiropractors have had much success in treating cervical facet joint pain. They can manipulate the areas that are affected, restoring painful, restricted facet joints to a point where they can move much more natural and without pain. Over time, with regular chiropractic treatments, they can help to reestablish range of motion in the neck area for their patients. This is all done without any medications or injections. It is a natural, gentle, effective method for relieving the pain and helping the patient enjoy a better quality of life.

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