Facet joints

Facet joints are small joints found between adjacent vertebrae in the spine, crucial for facilitating spinal movement and stability. They enable bending, twisting, and flexion while preventing excessive motion to avoid injury. Dysfunction or degeneration of facet joints can result in pain and stiffness in the affected area, impacting overall spinal function.

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How Does the Body Stabilize the C1-C2 Joint? The Role of the Alar Ligament

Readers: Please excuse this in-depth and very dense discussion of the C1-C2 joint. I am preparing a large case series of PICL patients for publication and began writing this as a paper to be submitted for publication, but I decided that some of the rubber meets the road mechanism of the unique way that the…read more

Injecting the C1-C2 Facet Joint Under Ultrasound: A PA with a Scary Big Needle

I’ve been covering non-physician, mid-level providers performing all sorts of procedures for which, IMHO they lack adequate training. Some of these procedures are less risky than others, but this morning we’ll go over a physician’s assistant wielding a very big needle and sticking it into one of the highest-risk areas of the body. Let’s dig…read more

What’s the Purpose of a Neck Facet Injection?

These past few weeks I’ve had a number of patients with Neck Instability who are confused as to why we perform Neck Facet injections with Orthobiologics. So today I’ll dive into this topic and try to help everyone get on the same page. Let’s dig in. What Is a Neck Facet Joint? Your spine is…read more

What Is a Proper Diagnostic Block Headache Work-up?

There are so many structures in the neck and head that can cause headaches that it’s almost tough to find them all and put them on a big list. However, after having many patients with chronic headaches come into the office and claim that after a simple Occipital Nerve Block that they have had a…read more

Why the C1-C2 Facet Joint Is Inherently Unstable

Your neck has joints about the size of your finger joints that help to control motion. One of them is pretty unique and is responsible for most of your head rotation. It’s also designed in a unique way that makes it inherently unstable and can cause vicious headaches if injured. Let’s explore the C1-C2 facet…read more

Neck Pain And Dizziness: The Inner Ear Is Only Part Of The Picture

Did you know that your neck can make you dizzy? Most patients don’t know that dizziness also known as cervical vertigo and neck pain can be connected, and many physicians miss this diagnosis.[1] Why? Both patients and doctors think inner ear or brain when dizziness occurs. However, when the neck component of our balance system…read more

Your Back Problem May Be Destroying Back Muscles

An issue in your spine could be destroying your back muscles. Keeping the back muscles active, even in the presence of aging and a spinal disorder, may keep the back stronger and, therefore, decrease the risk of muscle loss.

Our New C0–C1 Facet Injection Paper

This past decade, a big change has occurred in neck facet-joint treatment. The art of injecting something into a facet joint has become slowly extinct, while the procedures to perform nerve ablation of painful neck joints have ramped up. This has caused a real problem as newer regenerative-medicine techniques involving stem cells and platelet rich…read more
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