The Hidden Cause of Neck Pain and Lower Back Pain

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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.

What is a Synovial Joint? Facet joints are Synovial Joints- the most common joint in the human body. A Synovial Joint is characterized by having a joint capsule, joint capsule fluid-synovial fluid to lubricate the inside of the joint, and cartilage on the outside of the joint between the upper and lower adjacent surfaces of each vertebra to allow a smooth gliding movement.

What could cause Facet Arthritis or Facet Arthropathy? Facet Arthropathy or Facet Arthropathy is a Chronic Pain condition that can be caused by wear and tear, degeneration of the cartilage surfaces, joint capsule. Facet Arthritis or Facet Arthropathy represents a form of facet joint inflammation and is one of the syndromes of Facet Joint Pain.

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 else can cause Facet Joint Pain? Some causes of Facet joint pain are: Abnormal spinal curvature, Hyperlordosis-excessive arch in the lower back, Scoliosis-Lateral Lumbar spinal curvature, Injury or Trauma, Incorrect Neck Posture or incorrect Lower Back Posture or Forward Pelvic Rotation.

What are some common Symptoms of Facet Syndrome for the Lower Back? The initial onset of pain might be related to a rotational spinal injury or a spinal injury involving hyperextension of the spine. Lower back facet joint pain symptoms include increased pain upon side bending or twisting or arching the lower back or torso, lower back pain or tenderness, 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.

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.

Is the Facet Joint moving freely, or is movement restricted and if so, how? That is one of the most important questions that needs to be answered. There is a special test known as the spring test which can test for basic joint movement.

Can Facet Joint Pain be relieved with Special Exercises? Yes, an experienced Medical Massage Therapist will be able to formulate an effective exercise treatment plan to relieve Facet Joint Pain. 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 that will definitely reduce facet joint pain. Lumbar facet joint compression can be caused by Lumbar Lordosis and hypertonic hip flexors and hypertonic lower back musculature. Stretching and strengthening exercises to reduce joint compression and help prevent joint fixation can help to reverse the postural distortion that has occurred and will reduce facet joint pain.

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