Facet Joints in Spinal Pain

Facet Joint Injection Side Effects

As a synovial joint, the z-joint may be affected by any of the inflammatory processes that involve joints, including rheumatoid arthritis Figure 11.4. Axial computed tomography images depicting the anatomical variation in the articular surface of the facet joints. Joints may have straight or curved articular surfaces, and osteophytic ridging may make joint access difficult for intra-articular injections. A The L2-3 facet joints, which have a nearly straight contour in this patient, are oriented...

Cervical Discography

Neck Pain From

Studies have proven that MR imaging is insensitive in the detection of painful cervical disc annular lesions and internal disc derange-ments.17,18,28 Positive intense, concordant pain cervical discography in symptomatic patients with either normal or mildly abnormal MR stud ies is common. Discography often reveals cervical disc annular lesions that are simply not visible on the highest resolution MR imaging studies. Prior research has demonstrated that discographically normal cervical discs...