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Cervical facet joint dysfunction: a review

OBJECTIVE: To review the relevant literature on cervical facet joint dysfunction and determine findings regarding its anatomy, etiology, prevalence, clinical features, diagnosis, and treatment. DATA SOURCES: A computer-aided search of several databases was performed, including Medline (1966 to present), Ovid (1966 to present), and the Cochrane database (1993 to present). STUDY SELECTION: Selected articles had the following criteria: (1) all articles analyzed cervical facet joint pain-anatomy, prevalence, etiology, diagnosis, treatment; (2) only full, published articles were studied, not abstracts; and (3) all articles were published in English. DATA EXTRACTION: All articles were critically evaluated and included the following categories: randomized controlled trials, meta-analyses, uncontrolled clinical trials, uncontrolled comparison studies, nonquantitative systematic reviews, and literature-based reviews. DATA SYNTHESIS: We examined 45 references that consisted of 44 journal articles and relevant sections from 1 textbook. Cervical facet joints have been well established in the literature as a common nociceptive pain generator, with an estimated prevalence that ranges from 25% to 66% of chronic axial neck pain. No studies have reported clinical examination findings that are diagnostic for cervical facet mediated pain. CONCLUSIONS: Overall the literature provides very limited information regarding the treatment of this condition, with only radiofrequency neurotomy showing evidence of effectively reducing pain from cervical facet joint dysfunction

Keywords : Analgesics,Anti-Inflammatory Agents,Anti-Inflammatory Agents,Non-Steroidal,Arthralgia,diagnosis,etiology,Female,Humans,Injections,Intra-Articular,Male,Meta-Analysis as Topic,Neck,Neck Pain,Pain,Pain Measurement,Physical Therapy Modalities,physiology,physiopathology,Prevalence,Prognosis,Randomized Controlled Trials as Topic,Range of Motion,Articular,Recovery of Function,rehabilitation,Risk Assessment,Severity of Illness Index,therapeutic use,Transcutaneous Electric Nerve Stimulation,Treatment Outcome,Zygapophyseal Joint,, Facet,Joint,Dysfunction,Review, neurontin appetite loss

Date of Publication : 2008 Apr

Authors : Kirpalani D;Mitra R;

Organisation : Division of Physical Medicine and Rehabilitation, Stanford University Medical Center, Palo Alto, CA 94305, USA. rmitra@stanford.edu

Journal of Publication : Arch Phys Med Rehabil

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/18374011

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