How is the diagnosis made? | Facet syndrome in the cervical spine

How is the diagnosis made?

The diagnosis always includes questioning the patient (anamnesis) and a physical examination. Here the doctor can assess possible diagnoses and initiate further diagnostic measures. If a cervical facet syndrome is suspected, an x-ray of the cervical spine in two planes should be arranged.

Computed tomography (CT) or magnetic resonance imaging (MRI) can extend the imaging diagnostic procedures. Also possible is an injection with a local anesthetic to check if the pain subsides after administration. Also possible is an injection with a local anesthetic to check if the pain subsides after administration.

How is facet syndrome treated?

The aim of treatment of cervical facet syndrome is to reduce pain. On the one hand, this can be achieved by drug therapy, especially the group of non-steroidal anti-inflammatory drugs (NSAIDs). On the other hand, regular physiotherapy should be performed to improve mobility.

Regular exercises should also be carried out at home. If the pain does not improve satisfactorily as a result, infiltrations with local anaesthetics or the obliteration of the surrounding nerves can provide relief. In order to stimulate the regeneration of joint cartilage, infiltrations with hyaluronic acid can also be attempted.

In addition to physiotherapy, exercises can also be performed at home. They aim to improve mobility, coordination and basic tension. For this purpose there are some mobilization techniques that loosen the muscles.Suitable exercises for cervical facet syndrome can be found under the following link: Physiotherapy for facet arthrosis of the cervical spine

How long does a facet syndrome of the cervical spine last?

Since the facet syndrome is often caused by the consequences of wear and tear of the cartilage on the joint surfaces of the small vertebral bodies (arthrosis), it persists. The aim is to reduce pain or freedom from pain and improve mobility. The duration depends on how the therapy is applied. As a rule, the pain and mobility will improve significantly after a few weeks.