Physical Therapy Nest

Facet joint pain is usually diagnosed through:

• A physical exam checking for tenderness, stiffness, and restricted neck movement.

• Pain pattern assessment, since facet joint pain is often localized and worsens with certain movements.

• Diagnostic injections (facet joint blocks) that confirm whether the joint is the source of pain.

• Imaging tests like X-rays, CT scans, or MRIs may be used to rule out other causes such as herniated discs.

Physical therapy can significantly reduce facet joint pain and restore mobility. Treatment may include:

• Manual therapy: Gentle mobilization and soft tissue release to decrease joint stiffness.

• Therapeutic exercises: To strengthen supporting muscles and improve joint stability.

• Postural training: To correct forward head posture and reduce joint stress.

• Stretching routines: Targeting the neck and upper back for better flexibility.

• Pain management techniques: Heat, ice, or electrical stimulation.
  In persistent cases, physicians may recommend facet joint injections or other medical interventions.

Common symptoms of cervical facet joint pain include:

• Localized neck pain, often described as sharp or stabbing

• Stiffness, especially in the morning or after inactivity

• Pain that worsens when looking up, turning the head, or bending the neck backward

• Headaches starting at the base of the skull (cervicogenic headaches)

• Pain that does not usually radiate far into the arms (unlike nerve compression)

To lower the risk of facet joint irritation and recurring neck pain:

• Maintain good posture while sitting, standing, and working at a desk.

• Take regular breaks from long periods of screen time.

• Strengthen the neck, shoulders, and upper back muscles.

• Avoid sudden or jerky movements that strain the neck.

• Use ergonomic pillows and proper sleep positioning to support the spine.

• Address minor neck pain early before it becomes chronic.