Neck Pain Syndromes
Cervical Facet Syndrome

Man with neck pain holding his shoulder

What is Cervical Facet Syndrome?

Cervical Facet Syndrome is a constellation of symptoms consisting of neck, head, shoulder, and proximal upper extremity pain that radiates in a nondermatomal pattern.

Signs and Symptoms:

Diagnosis:

Cervical Facet Syndrome is a diagnosis of exclusion that is supported by a combination of clinical history, physical examination, radiography, and MRI and by intra-articular injection of the suspected facet joints.

Treatments:

Cervical Radiculopathy

What is Cervical Radiculopathy?

Cervical radiculopathy is a constellation of symptoms consisting of neurogenic neck and upper extremity pain emanating from the cervical nerve roots.

Man with neck pain holding his shoulderCauses of Cervical Radiculopathy:

Signs and Symptoms:

Testing:

Diagnosis:

Cervical radiculopathy is diagnosed by an extensive clinical history, physical examination, radiography and MRI.

Treatment:

Cervical (Neck) HNP:

A Herniated Disc, known as a Herniated Nucleus Pulposus (HNP), occurs when the outer layer of the disc (the annulus fibrosus) tears or ruptures due to stress from the surrounding vertebrae. These tears can cause the disc’s soft central core (the nucleus pulposus) to bulge out or even detach completely, putting pressure on the nearby nerves or spinal cord.

The symptoms of a cervical Herniated Nucleus Pulposus (HNP) often resemble other disorders such as carpal tunnel syndrome.

Man with neck pain holding his shoulderMany factors increase the risk for disc herniation:

Signs and Symptoms:


Testing:

  • Physical exam
  • MRI
  • X-Ray
  • CT or CAT scan
  • Discography
  • Myelograms
  • EMG
  • Ultrasound imaging

Diagnosis:

A comprehensive medical history along obtaining a vocational history is important because many skilled laborers or assembly line workers perform the same offending motion at work. Proper testing clinician can determine diagnosis as well as what type of herniation is involved.

Treatment:

  • Drug therapy
  • Physical therapy
  • Spinal Nerve Root Block
  • Epidural Steroid Injection
  • Facet Joint Nerve Rhizotomy
  • Spinal Cord Stimulator
  • Neurosurgical procedures
Pinched spinal nerve root

A Pinched nerve is the term for pain or impaired function of a nerve that is under pressure. It happens to nerves that control muscle movements or relay sensations to the brain.

Radiculopathy is usually due to the nerve root being "Pinched" or compressed. Radiculopathy usually occurs in the neck (cervical spine) or the lower back (lumbar spine). Even though the injury or irritation to the nerve root occurs at the spine, the symptoms of Radiculopathy are experienced at a distant site. This is known as referred pain.

Cervical Radiculopathy symptoms are felt in the shoulders, arms, and/or hands. Lumbar Radiculopathy symptoms are felt in the buttocks, leg, and/or feet.

Man with neck pain holding his shoulderSigns and Symptoms:

Testing:

Diagnosis:

A comprehensive medical history along obtaining a vocational history is very important because many skilled laborers or assembly line workers perform the same offending motion at work.

Treatment:

Failed Neck Surgery Syndrome

What is failed neck surgery?

Failed neck surgery syndrome refers to patients who have chronic pain following a surgical procedure on the neck.

Commonly patients experience failed neck surgery syndrome when: (1) the original problem recurs following surgery, (2) scarring or other complications exacerbate existing conditions, (3) implanted surgical devices have failed, (4) bone and tissue do not heal properly.

Man with neck pain holding his shoulderSigns and Symptoms:

Diagnosis:

A targeted history and physical examination combined with appropriate testing should help the clinician identify and properly treat this condition.

Treatment:

Since failed neck surgery syndrome is a highly variable condition, treating the syndrome typically requires a multitude of approaches. These approaches may include, non-invasive, minimally invasive and support therapies.

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