Zygapophyseal Joint
Anatomy of deer spine and its comparison to the human spine. (1/250)
The anatomical parameters of the thoracic and lumbar regions of the deer spine were evaluated and compared with the existing data of the human spine. The objective was to create a database for the anatomical parameters of the deer spine, with a view to establish deer spine as a valid model for human spine biomechanical experiments in vitro. To date, the literature has supported the use of both calf and sheep spines as a suitable model for human spine experiments as the difficulty in procuring the human cadaveric spines is well appreciated. With the advent of Bovine Spongiform Encephalopathy (BSE) and its likely transmission to human in form of new variant Creutzfeld Jakob disease (CJD), there is a slight risk of transmission to humans through food chain if proper precautions for disposal of specimen are not adhered to. There is also a significant risk of transmission through direct inoculation to the researchers (Wells et al. Vet. Rec., 1998:142:103-106), working with infected bovine and sheep spine. The deer spines are readily available and there are no reported cases of deer being carriers of prion diseases (Ministry of Agriculture, Fisheries and Food, 1998). Six complete deer spines were measured to determine 22 dimensions from the vertebral bodies, endplates, disc, pedicles, spinal canal, transverse and spinous processes, articular facets. This was compared with the existing data of the human spine in the literature. The deer and human vertebrae show many similarities in the lower thoracic and upper lumbar spine, although they show substantial differences in certain dimensions. The cervical spine was markedly different in comparison. The deer spine may represent a suitable model for human experiments related to gross anatomy of the thoracic and lumbar spine. A thorough database has been provided for deciding the validity of deer spine as a model for the human spine biomechanical in vitro experiments. (+info)Hangman's fracture: the relationship between asymmetry and instability. (2/250)
There is ambiguity concerning the nomenclature and classification of fractures of the ring of the second cervical vertebra (C2). Disruption of the pars interarticularis which defines true traumatic spondylolisthesis of C2, is often wrongly called a pedicle fracture. Our aim in this study was to assess the influence of asymmetry on the anatomical and functional outcome and to evaluate the criteria of instability established by Roy-Camille et al. We studied the plain radiographs and CT scans of 24 patients: 13 were judged to be asymmetrical, ten were considered unstable and 14 stable. Treatment was with a Minerva jacket in 15 fractures and by operation in nine. Surgery was undertaken in patients with severe C2 to C3 sprains. One patient with an unstable lesion refused operation and was treated conservatively with a poor radiological result. Our study showed that asymmetry of the fracture did not affect the outcomes of treatment and should not therefore influence decisions in treatment. The criteria of Roy-Camille seem to be reliable and useful. We prefer the posterior approach to the cervical spine, which allows both stabilisation of the fracture and correction of a local kyphosis. (+info)The orientation of the articular facets of the zygapophyseal joints at the cervical and upper thoracic region. (3/250)
Knowledge of the orientation of facet joints in the cervical and upper thoracic region is important for understanding the biomechanical properties and clinical conditions relevant to the neck. The study was undertaken on dry macerated bones from 30 adult male human vertebral columns. The orientation of the superior articular facets in relation to their inclination with the sagittal and transverse planes was examined between C3 and T3 vertebrae in each column. The linear dimensions of the superior articular facets and the width/height ratio were also calculated. The results show that all vertebrae at C3 level and 73% at C4 level displayed posteromedially facing superior articular facets. Similarly at T1 level (C7/T1 joint) and below, all columns showed posterolaterally facing superior articular facets. The level of change in orientation, from posteromedial to posterolateral facing superior facets, was not constant and occurred anywhere between C4 (C3/C4 joint) and T1 (C7/T1 joint). The change in orientation followed 2 different patterns, i.e. sudden or gradual. The C6 vertebra (C5/C6 joint) was the most frequent site to show the transition. The shape of the superior articular facets was circular to oval at C3, C4 and C5 levels and gradually changed to a transversely elongated surface at C7 and T1. These findings correlate well with various cervical movements and associated clinical conditions. (+info)An anatomical investigation of the human cervical facet capsule, quantifying muscle insertion area. (4/250)
Facet capsule injury has been hypothesised as a mechanism for neck pain. While qualitative studies have demonstrated the proximity of neck muscles to the cervical facet capsule, the magnitude of their forces remains unknown owing to a lack of quantitative muscle geometry. In this study, histological techniques were employed to quantify muscle insertions on the human cervical facet capsule. Computerised image analysis of slides stained with Masson's trichrome was performed to characterise the geometry of the cervical facet capsule and determine the total insertion area of muscle fibres into the facet capsule for the C4-C5 and C5-C6 joints. Muscle insertions were found to cover 22.4+/-9.6% of the capsule area for these cervical levels, corresponding to a mean muscle insertion area of 47.6+/-21.8 mm2. The magnitude of loading to the cervical facet capsule due to eccentric muscle contraction is estimated to be as high as 51 N. When taken in conjunction with the forces acting on the capsular ligament due to vertebral motions, these forces can be as high as 66 N. In that regard, these anatomical data provide quantitative evidence of substantial muscle insertions into the cervical facet capsular ligament and provide a possible mechanism for injury to this ligament and the facet joint as a whole. (+info)Orientation and tropism of lumbar facet joints in degenerative spondylolisthesis. (5/250)
The orientation and tropism of the lumbar facet joints at L4-5 level was assessed by magnetic resonance imaging (MRI) in 53 patients with degenerative L4-5 spondylolisthesis and 53 age- and sex-matched normal control subjects. The degree of disc degeneration at the L4-5 level and of vertebral slip on lateral radiographs was also evaluated. Patients with degenerative spondylolisthesis had more sagittally orientated facet joints (P < 0.01) and more significant facet joint tropism (P < 0.05) than normal control subjects. For patients with degenerative spondylolisthesis, the facet joint tropism was significantly correlated with the degree of disc degeneration (P < 0.05). The results suggest that morphological abnormalities of the lumbar facet joints are a predisposing factor in the development of degenerative spondylolisthesis. (+info)Comparative and functional anatomy of the mammalian lumbar spine. (6/250)
As an essential organ of both weight bearing and locomotion, the spine is subject to the conflict of providing maximal stability while maintaining crucial mobility, in addition to maintaining the integrity of the neural structures. Comparative morphological adaptation of the lumbar spine of mammals, especially in respect to locomotion, has however received only limited scientific attention. Specialised features of the human lumbar spine, have therefore not been adequately highlighted through comparative anatomy. Mathematical averages were determined of 14 measurements taken on each lumbar vertebrae of ten mammalian species (human, chimpanzee, orang-utan, kangaroo, dolphin, seal, Przewalski's horse, cheetah, lama, ibex). The revealed traits are analysed with respect to the differing spinal loading patterns. All examined mammalian lumbar spines suggest an exact accommodation to specific biomechanical demands. The lumbar spine has reacted to flexion in a predominant plane with narrowing of the vertebral bodies in quadrupeds. Torsion of the lumbar spine is withstood by an increase in the transverse distance between the inferior articular processes in the upper lumbar spine in primates, but lower lumbar spine in humans, quadrupeds and the seal. Sagittal zygapophyseal joint areas resist torsion in the seal and humans. Ventral shear is resisted by frontal zygapophyseal joint areas in humans and primates, and dorsal shear by encompassing joints in the ibex. The human fifth lumbar vertebra is remarkable in possessing the largest endplate surface area and the widest distance between the inferior articular processes, as an indicator of the high degree of axial load and torsion in bipedalism. (+info)Brucellar spondylitis: MRI findings. (7/250)
This study was carried out to identify the distinguishing features of brucellosis on magnetic resonance imaging (MRI). MRI examinations were performed in 14 patients with spinal brucellosis. A 1-T Magnetom (Erlangen, Siemens) was used to obtain T1-weighted (TR/TE 500/30) and T2-weighted (TR/TE 2000/80/20) spin echo sequences, in both sagittal and axial planes. Thirty-three percent of the vertebrae and 18 levels of disc were involved in the 14 brucellar spondylitis cases. Eleven patients (79.8%) with discitis revealed anterior superior vertebral body involvement. Fourteen (77.7%) of the levels with discitis displayed soft tissue swelling without presence of abscess formation. Seven facet joints of five patients with discitis displayed signal increase after contrast enhancement. Vertebral body signal changes without morphologic changes marked signal increase in the intervertebral disc on T2-weighted and contrast-enhanced sequences, and soft tissue involvement without abscess formation can be accepted as specific MRI features of brucellar spondylitis. The facet joint signal changes following contrast enhancement is another MRI sign of spinal brucellosis, which has not been mentioned so far. (+info)Morphometrical study of the joint surface and capsule of the lumbar zygapophysial joint with special reference to their laterality. (8/250)
Using 26 osteoligamentous lumbar vertebral columns (260 facets), we morphometrically investigated the cartilagenous joint surface, inner capsular surface and capsular thickness. We also examined whether the subcapsular pocket was present and, if present, how far it extended along the joint margin. The proportion of the inner capsular area in the total joint surface area in a facet (the capsular-joint surface ratio) was hypothesized to correspond to the potential looseness (or tightness) of the facet. The absolute data themselves seemed to be useful for better understanding of the joint morphology. However, further evaluations of the differences between segments, left/right differences, individual segmental fluctuation patterns and correlations between parameters provided a novel classification of specimens according to the hypothetical progress of joint degeneration. Criteria for the classification existed in 1) the laterality in parameters defined as more than 100% larger or smaller than the contralateral facet and 2) the drastic segmental difference in parameters over 50% larger or smaller than the adjacent segment. Consequently, three types were identified: 1) outside of the criteria in both area and thickness (-/- type, 9 of 26); 2) the criteria did not fit the area parameters but did fit the thickness parameters (-/+ type, 8); the criteria were filled in both categories of parameters (+/+ type, 9). Notably, in the +/+ types, the capsular thickness and capsular-joint surface ratio correlated significantly (p < 0.01), i.e., the hypothetical loose joint had a thick capsule. We speculated that early joint degeneration starts from the -/- type and advances via the -/+ type to the +/+ type. Considerating these results, we recommended using MR imaging for detailed identification of laterality in the capsular thickness for low-back pain patients to discriminate candidates for future severe degenerative changes of the articular cartilage in the lumbar spine. (+info)A zygapophyseal joint, also known as a facet joint, is a type of synovial joint that connects the articulating processes of adjacent vertebrae in the spine. These joints are formed by the superior and inferior articular processes of the vertebral bodies and are covered with hyaline cartilage. They allow for smooth movement between the vertebrae, providing stability and limiting excessive motion while allowing flexibility in the spine. The zygapophyseal joints are supported by a capsule and ligaments that help to maintain their alignment and restrict abnormal movements. These joints can become sources of pain and discomfort when they become inflamed or damaged due to conditions such as arthritis, degenerative disc disease, or injury.
Spinal manipulation is a manual therapy technique often used in the practice of chiropractic, osteopathic medicine, and physical therapy. It involves applying controlled force to the spinal joints, usually through quick and precise thrusting movements. The goal of this technique is to improve mobility and range of motion in the spine, reduce pain and muscle tension, and promote overall function of the nervous system. Spinal manipulation may also be used to treat various conditions such as low back pain, neck pain, headaches, and other musculoskeletal disorders. It is important to note that spinal manipulation should only be performed by licensed healthcare professionals with proper training and expertise in this technique.
A joint is the location at which two or more bones make contact. They are constructed to allow movement and provide support and stability to the body during motion. Joints can be classified in several ways, including structure, function, and the type of tissue that forms them. The three main types of joints based on structure are fibrous (or fixed), cartilaginous, and synovial (or diarthrosis). Fibrous joints do not have a cavity and have limited movement, while cartilaginous joints allow for some movement and are connected by cartilage. Synovial joints, the most common and most movable type, have a space between the articular surfaces containing synovial fluid, which reduces friction and wear. Examples of synovial joints include hinge, pivot, ball-and-socket, saddle, and condyloid joints.
Digital motion X-ray
Pulsed radiofrequency
Posterior ramus syndrome
Gaya Prasad Pal
Dorsal ramus of spinal nerve
Saltoposuchus
Facet joint arthrosis
Interventional radiology
Facet joint
Articular processes
Transforaminal ligaments
Facet (disambiguation)
Forward head posture
List of MeSH codes (A02)
Rounded shoulder posture
Puertasaurus
Glossary of dinosaur anatomy
Cervical Zygapophyseal Joint Injection - Pain Management
Facet (Zygapophyseal) Intraarticular Joint Injections | Clinical Gate
Cervical zygapophyseal joint pain patterns. I: A study in normal volunteers. | Read by QxMD
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Cervical Zygapophyseal
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Connail Mc Crory'School of Medicine - Trinity College Dublin
Keith Bridwell - Research output - Research Profiles at Washington University School of Medicine
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Joint Illnesses and Diseases: Causes and Treatments
Internet Scientific Publications
Biomedical
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School of Health and Social Work - Research output - University of Hertfordshire (Research Profiles)
Treatment of Pain - Neurologic Disorders - Merck Manuals Professional Edition
Everything You Need to Know About Neck Pain | MyHealth1st
Thoracic4
- part B adapted from Dreyfuss P, Tibiletti C, Dreyer SJ: Thoracic zygapophyseal joint pain patterns: a study in normal volunteers, Spine 19:807-811, 1994. (clinicalgate.com)
- Prevalence of facet joint pain in chronic spinal pain of cervical, thoracic, and lumbar regions. (medscape.com)
- Orientation of the zygapophyseal (facet) joints in the A. Cervical B. Thoracic C. Lumbar regions. (osmosis.org)
- Patterns of pain induced by distending the thoracic zygapophyseal joints. (agromape.sk)
Spine15
- The cervical zygapophyseal joints have been shown to be a potential source of pain from the cranium to the midthoracic spine (63). (dieutridau.com)
- The facet joints are a pair of joints in the posterior aspect of the spine. (medscape.com)
- The study has provided new insights into the motion patterns within the individual segments of the lumbar spine, including the facet joints (figure 3 right). (empa.ch)
- Cervical (neck) spondylitis is an incurable condition that can cause the vertebrae to fuse together, limiting flexibility in the spine and leading to pain in the spine, neck and joints. (myhealth1st.com.au)
- A facet joint injection is an injection of local anesthetic (numbing medicine) and corticosteroid into one or more of the small joints located along the side of each vertebra on both sides of the spine in the lower part of the back. (spineandpain.com)
- The zygapophyseal joints on either side of the spine may not be used to being in extension, and in some people this will cause muscle spasm. (gymnasticbodies.com)
- The complex anatomy of the lumbar spine is a remarkable combination of these strong vertebrae, multiple bony elements linked by joint capsules, and flexible ligaments/tendons, large muscles, and highly sensitive nerves. (medscape.com)
- Joints of the vertebral column lie between individual vertebrae that make up the spine. (osmosis.org)
- Facet is a bit easier to pronounce than zygapophyseal , and Chiropractic Spine Sports And Rehabilitation knows 'facet' is a whole lot easier to write out than ' zygaopophyseal' ! (drjoannagarvey.com)
- These joints are well-documented as sources of cervical spine pain for countless adults of all ages. (drjoannagarvey.com)
- Chiropractic Spine Sports And Rehabilitation provides gentle chiropractic spinal manipulation to relieve neck pain like that produced by facet joint innervation. (drjoannagarvey.com)
- Five volunteers stepped up to have their cervical spine facet joints irritated to track where neck pain and arm pain were observed. (drjoannagarvey.com)
- (4) The cervical spine facet joint is innervated by mechanoreceptive (mechanical pressure-inducing) and nociceptive (nervous system related pain-inducing) nerve fibers involving the dorsal root ganglia and end processes of the spinal cord. (drjoannagarvey.com)
- Zygapophyseal joints, or facet joints reside at the posterior of the spine. (milescitymontanachiropractor.com)
- At each level there are two joints, one on each side of the spine. (milescitymontanachiropractor.com)
Ligaments6
- Adhesions in joints, tendons, or ligaments make it harder to move the joint and may cause pain. (uschirodirectory.com)
- The disease is commonly referred as OA or as the wear and tear of the joints although it also involves the cartilage, joint lining, ligaments, and bone. (ukessays.com)
- Each vertebra is separated by a disc and two facet (zygapophyseal) joints, and connected to other vertebrae by ligaments. (myhealth1st.com.au)
- Each vertebral arch is composed of 2 pedicles, 2 laminae, and 7 different bony processes (1 spinous, 4 articular, 2 transverse) (see the following image), joined together by facet joints and ligaments. (medscape.com)
- Posterior view of coronal section showing the ligaments supporting the atlanto-occipital and atlanto-axial joints. (osmosis.org)
- Mechanical back pain is a general term and describes when muscles, ligaments and joints of the low back get injured. (rebalancetoronto.com)
Posterior5
- This joint is also sometimes referred to as the apophyseal joint or the posterior intervertebral joint. (medscape.com)
- This extension is produced by the regional extrinsic muscles such as the Trapezius and Levator scapulae, which produces compression of the posterior structures, i.e. the Zygapophyseal facet joints (see Diagram 3 ). (positivehealth.com)
- 6] Mooney and Robertson also performed provocative hypertonic saline Z-joint injections and recorded pain referral maps with radiation mainly to the buttocks and posterior thigh. (medscape.com)
- However, grade 2 PCO may lead to pseudoarthrosis because it involves complete removal of the bilateral posterior facet joints. (fujita-hu.ac.jp)
- A. Posterior view and B. Anterior view (coronal section) showing craniovertebral joints. (osmosis.org)
Gapping of lumbar1
- Quantification of cavitation and gapping of lumbar zygapophyseal joint s during spinal manipulative therapy. (chiroindex.org)
Vertebrae4
- This chapter focuses on the intraarticular injections of facet joints between vertebrae C2 through S1 for diagnostic and therapeutic purposes. (clinicalgate.com)
- The injection of the atlanto-axial joint (AAJ) between vertebrae C1-C2 is discussed elsewhere. (clinicalgate.com)
- This "bridging of outgrowths" is most easily seen from a lateral view, where the Z-joint bridges adjoin the vertebrae. (medscape.com)
- There are two paired joints on either side of a vertebra that connect the vertebrae above and below. (rebalancetoronto.com)
Injections6
- Serious complications from cervical zygapophyseal joint injections are uncommon when meticulous care is given to ensure proper needle placement before injection. (dieutridau.com)
- Under fluoroscopic control, joints at segments C2-3 to C6-7 were stimulated by distending the joint capsule with injections of contrast medium. (qxmd.com)
- Given that no historical or physical examination maneuver is unique or specific to Z-joint-mediated LBP, fluoroscopically guided medial branch nerve injections are often used for diagnostic purposes to determine whether the Z-joint in question is responsible for LBP. (medscape.com)
- Hirsch et al were later able to reproduce LBP with injections of hypertonic saline solution into the Z-joints, thus affirming the role of the Z-joints as a source of LBP. (medscape.com)
- Multiple injections may be performed, depending upon how many joints are involved. (spineandpain.com)
- Learn more about facet joint injections by watching an educational video. (spineandpain.com)
Osteoarthritic changes1
- [ 10 ] In 1927, Putti illustrated osteoarthritic changes of Z-joints in 75 cadavers of persons older than 40 years. (medscape.com)
Osteoarthritis2
- [ 11 ] In 1933, Ghormley coined the term facet syndrome, suggesting that hypertrophic changes secondary to osteoarthritis of the zygapophyseal processes led to lumbar nerve root entrapment , which caused LBP. (medscape.com)
- Osteoarthritis is a disease in the joints that usually affects middle-age to elderly people. (ukessays.com)
Evaluating the facet1
- However, its success rate has varied in different studies because an objective method for evaluating the facet joint denervation is lacking. (nih.gov)
Spinal4
- 8-cm), 22-gauge spinal needle is advanced superiorly to the inferior margin of the joint. (dieutridau.com)
- Cramer, Henderson, Little, Daley and Grieve (2010), cite previous studies that have shown that adhesions have been found in numerous hypomobile (loss of normal movement) joints and that spinal adjusting separates the articular surfaces of the joint. (uschirodirectory.com)
- The said changes might produce in other structures such as the zygapophyseal (facet) joints and may result to spinal stenosis. (ukessays.com)
- Direct facet joint branches were found that originated from the dorsal root of the spinal nerve. (drjoannagarvey.com)
Dorsal3
- Percutaneous radiofrequency neurotomy of the medial branches of the dorsal rami of the lumbar nerves is a widely accepted treatment for chronic lumbar intervertebral joint pain. (nih.gov)
- Referred pain distribution of the cervical zygapophyseal joints and cervical dorsal rami. (medscape.com)
- Bilateral PPT levels over L5-S1 zygapophyseal joints, L5 dermatome, and first dorsal interossei in the hand and bilateral BEA of low back and neck region were assessed pre- and posttreatment by an assessor blinded to the treatment allocation of the participant. (activator.com)
Sacroiliac5
- Multi ZYTE ® is an instrument set for endoscopic minimally-invasive pain treatment of the facet (zygapophyseal) and sacroiliac joint Syndrome. (joimax.com)
- With TESSYS ® (transforaminal), iLESSYS ® (interlaminar) and CESSYS ® (cervical) for decompression procedures, MultiZYTE ® Facet (e.g. for treatment of facet joints) and MultiZYTE ® Sacroiliac (for treatment of Sacroiliac Joint Syndrome) or with EndoLIF ® and Percusys ® for minimally-invasive endoscopic assisted stabilizations, proven endoscopic systems are provided that, together, cover a variety of indications. (joimax.com)
- The joints of the vertebral column include the joints of the vertebral bodies, the joints of the vertebral arches, the craniovertebral joints , costovertebral joints , and the sacroiliac joints. (osmosis.org)
- Joints of the vertebral column are craniovertebral joints , joints between the vertebral bodies, joints of the vertebral arches (also known as zygapophyseal joints , costovertebral joints , and the sacroiliac joints. (osmosis.org)
- AS is a chronic, progressive, inflammatory rheumatic disease that primarily affects the sacroiliac joints and the axial skeleton. (biomedcentral.com)
Fluoroscopic1
- Lateral and anteroposterior fluoroscopic views are necessary to ensure that the needle is advanced to the joint midpoint. (dieutridau.com)
Hypomobility1
- With hypomobility (less mobility or movement), adhesions occur in a joint (the region where 2 bones connect). (uschirodirectory.com)
Pain35
- As a general rule, the upper facet joints may cause headache, and the lower joints may have pain referred to the shoulder in a nondermatomal distribution. (clinicalgate.com)
- Cervical zygapophyseal joint pain patterns. (qxmd.com)
- The pain patterns evoked by stimulation of normal cervical zygapophyseal joints were determined in five volunteers. (qxmd.com)
- Each joint produced a clinically distinguishable, characteristic pattern of pain, which enabled the construction of pain charts that putatively could be of value in determining the segmental location of symptomatic joints in patients presenting with cervical zygapophyseal pain. (qxmd.com)
- Chronic Cervical Zygapophyseal Joint Pain After Whiplash. (wikipedia.org)
- 21. Bogduk N, Marsland A: The Cervical Zygapophyseal Joints As a Source of Neck Pain. (wikipedia.org)
- Our results suggest that percutaneous radiofrequency facet joint denervation with CMAPs monitoring is a safe, long-lasting, and effective treatment for chronic facet joint pain. (nih.gov)
- As is true of any synovial joint, the Z-joint is a potential source of pain . (medscape.com)
- In fact, the Z-joint is one of the most common sources of low back pain (LBP). (medscape.com)
- The history and presence of Z-joint pain has been well published. (medscape.com)
- However, despite all of these studies, the diagnosis of Z-joint-mediated pain remains a challenge because no history findings or examination maneuver has been found to be unique or specific to this entity. (medscape.com)
- In many cases, Z-joint pain is mistaken for discogenic pain . (medscape.com)
- Thus, many clinicians agree that correlating historical or physical examination findings with pain emanating from the Z-joint is a challenge. (medscape.com)
- The initial treatment plan for acute Z-joint pain is focused on education, relative rest, pain relief, maintenance of positions that provide comfort, exercises, and some modalities. (medscape.com)
- Patients with cervical facet joint syndrome often present with complaints of neck pain, headaches, and limited range of motion (ROM). (medscape.com)
- Clinical features that are often, but not always, associated with cervical facet pain include tenderness to palpation over the facet joints or paraspinal muscles, pain with cervical extension or rotation, and absent neurologic abnormalities. (medscape.com)
- Dwyer A, Aprill C, Bogduk N. Cervical zygapophyseal joint pain patterns. (medscape.com)
- Dreyfuss P, Michaelsen M, Fletcher D. Atlanto-occipital and lateral atlanto-axial joint pain patterns. (medscape.com)
- Aprill C, Bogduk N. The prevalence of cervical zygapophyseal joint pain. (medscape.com)
- Assessment of Prevalence of Cervical Facet Joint Pain with Diagnostic Cervical Medial Branch Blocks: Analysis Based on Chronic Pain Model. (medscape.com)
- Bogduk N, Aprill C. On the nature of neck pain, discography and cervical zygapophysial joint blocks. (medscape.com)
- Barnsley L, Lord SM, Wallis BJ, Bogduk N. The prevalence of chronic cervical zygapophysial joint pain after whiplash. (medscape.com)
- Lord SM, Barnsley L, Wallis BJ, McDonald GJ, Bogduk N. Percutaneous radio-frequency neurotomy for chronic cervical zygapophyseal-joint pain. (medscape.com)
- As well as the aforementioned spondylarthrotic changes in the zygapophyseal facet joints, local pain can be of an ischaemic nature. (positivehealth.com)
- Previous remote efficacy and mechanistic studies of knee joint mobilization used ankle joint and gastrocnemius muscle inflammatory pain models where nociception lasted for hours and weeks [ 20 - 24 ]. (hindawi.com)
- If serial controlled blocks cannot be used, lumbar facet joint pain remains a diagnostic dilemma. (bmj.com)
- A facet joint block may be diagnostic (a test to see if your pain is coming from this area) and/or therapeutic (to relieve your pain). (spineandpain.com)
- Radiofrequency neurotomy (also called radiofrequency ablation or lesioning) is a minimally invasive procedure that can provide lasting relief to those suffering from joint pain. (alimranmed.com)
- Thus, the history and presence of Z-joint pain has been well published. (medscape.com)
- The lumbosacral Z-joint is reported to be the source of pain in 15-40% of patients with chronic LBP. (medscape.com)
- Ray believed that Z-joint-mediated pain is the etiology for most cases of mechanical LBP,[15] whereas other authors have argued that it may contribute to nearly 80% of cases. (medscape.com)
- Novel information from a current-day dissection project added new facts to the role cervical facet joints (aka zygapophyseal joints) play in neck pain and arm pain . (drjoannagarvey.com)
- Clinical observation, examination, and imaging results guide the diagnosis of neck pain due to the complexity of cervical facet joints. (drjoannagarvey.com)
- Facet syndrome , also called facet joint sprain or facet joint syndrome is a common cause of back pain. (milescitymontanachiropractor.com)
- This damages the joint capsule and the result is inflammation, swelling, and pain. (milescitymontanachiropractor.com)
Costovertebral joints1
- The term facet joint is a misnomer because the joint occurs between adjoining zygapophyseal processes, rather than facets, which are the articular cartilage lining small joints in the body (eg, phalanges, costotransverse and costovertebral joints). (medscape.com)
Adhesions1
- Adhesions may form around joints such as the shoulder. (uschirodirectory.com)
Zygapophysial joints1
- also commonly spelled as "zygapophysial joints"), a term derived from the Greek roots zygos , meaning yoke or bridge, and physis , meaning outgrowth. (medscape.com)
Degeneration2
- [ 14 ] determined that the etiology of Z-joint degeneration was secondary to intervertebral disc degeneration . (medscape.com)
- 3] In the 1950s, Harris and Mcnab[4] and McRae[5] determined that the etiology of Z-joint degeneration was secondary to intervertebral disc degeneration. (medscape.com)
Aspiration1
- After negative aspiration, the joint is injected with a 1-mL or less mixture of 6 mg mixture of betamethasone sodium phosphate and betamethasone acetate and local anesthetic (Fig. 67-34). (dieutridau.com)
Neurotomy1
- The aim of this study was to study the effectiveness of percutaneous radiofrequency neurotomy of facet joints by monitoring compound muscle action potentials (CMAPs) of the multifidus muscle group as an objective index of treatment efficacy. (nih.gov)
Synovial1
- They are synovial joints so the capsule contains synovial fluid. (milescitymontanachiropractor.com)
Vertebra2
- Herewith, 80% of the load was applied to the end plate surface, and 20% to the surface of the vertebra in the area of the facet joints. (ispub.com)
- One joint is formed between the 2 vertebral bodies, wherea the other 2 joints, known as the Z-joints, are formed by the articulation of the superior articular processes of one vertebra with the inferior articular processes of the vertebra above. (medscape.com)
Radiographs1
- All measurements were made using plain radiographs and CT images with the exception of facet joint apposition, which was assessed using only CT. (illinois.edu)
Volunteers2
- Translations occurring within the facet joint of healthy volunteers during a functional activity, including spacing within these zygapophyseal joints, along with in vivo intervertebral disc deformations have been mapped for the first time to provide a baseline dataset. (empa.ch)
- Charting of normal volunteers' responses to stimulation of cervical facet joints in the 1990s was groundbreaking. (drjoannagarvey.com)
Atlanto-axial2
- A. Superior view of the median atlanto-axial joint. (osmosis.org)
- B. Superior view of atlanto-axial joint. (osmosis.org)
Lumbar facet joint1
- This study was performed to compare medial branch blocks to simple pericapsular blocks for the selection of patients for lumbar facet joint cryodenervation. (bmj.com)
Injection2
- Injection of contrast media can be used to confirm proper placement in the joint. (dieutridau.com)
- This entry was posted in Joint Injection and tagged Cervical Zygapophyseal , joint injection . (dieutridau.com)
Lateral1
- C. Inferior view of atlas highlighting the articular surfaces of the lateral atlanto-axial joints. (osmosis.org)
Capsule2
- The needle is advanced until contact is made with the articular pillar, either above or below the targeted joint, and then redirected into the joint capsule. (dieutridau.com)
- The facet joints are enclosed in a joint capsule. (milescitymontanachiropractor.com)
Cartilage4
- Cartilage normally protects the joint, allowing for smooth movement. (uschirodirectory.com)
- Cartilage also absorbs shock when pressure is placed on the joint, like when you walk. (uschirodirectory.com)
- The surface of the joints is covered with hyaline cartilage. (milescitymontanachiropractor.com)
- Other joints, such as the ankle, contain this type of cartilage covering. (milescitymontanachiropractor.com)
Syndrome3
- This review may help broaden the clinician's knowledge of this entity and may assist in making the diagnosis of lumbosacral facet joint syndrome. (medscape.com)
- Facet syndrome is the result of an injury to the facet joints. (milescitymontanachiropractor.com)
- Facet syndrome occurs when there is an injury to the facet joints. (milescitymontanachiropractor.com)
Medial Branch Blocks2
- At many institutions, it is not practically feasible to perform a series of controlled or placebo-controlled medial branch blocks on several facet joints in order to select patients for facet joint rhizotomy. (bmj.com)
- Our results suggest that uncontrolled medial branch blocks are superior to pericapsular blocks in selecting patients for facet joint cryodenervation, but both blocks work. (bmj.com)
Vertebral body3
- Participants were asked to measure kyphosis, translation, vertebral body height loss, and facet joint apposition. (illinois.edu)
- Although translation and kyphosis showed satisfactory reproducibility, results for vertebral body height loss and facet joint apposition were unreliable. (illinois.edu)
- Each foramen is bounded superiorly and inferiorly by the pedicle, anteriorly by the intervertebral disc and vertebral body, and posteriorly by facet joints. (medscape.com)
Anatomy1
- Anatomy of the atlanto-axial joints. (osmosis.org)
Commonly1
- You may feel it in any of your joints, but most commonly in your hips, knees or fingers. (uschirodirectory.com)