3 Common Facet Joint Diseases Include:
Facet Joint Arthritis:
One of the common aspect joint disease is the inflammation of the facet joint causing severe pain , which is pass around over middle of the back and paravertebral dermatome . The common grounds of facet jointarthritisin elderly patient isOsteoarthritisandRheumatoid Arthritis . The cause of facet joint arthritis in untested and middle aged patient is traumatic wound of facet joint following sports or motorcar injury . Facet joint arthritis is also observed in patients suffer withPsoriatic arthritis .
The painful sensation radiates one to 3 segments above and below the horizontal surface of unnatural or morbid facet joint . pain in the neck is increase with inflection , university extension and rotation movements of the vertebral editorial . painful sensation cause by facet joint disease in neck opening often glow to shoulder articulation .
Similarly facetjoint paincaused by lumbar facet articulation radiates to can , back of the thigh and upper dermatome of knee join .
Facet Joint Dislocation
Facet joint disruption is a rarefied type of Facet Joint Disease and most often find out following neck opening wound . Cervical or neck opening aspect joint subluxation ( fond dislocation ) is more common than mid or crushed back facet joint dislocation . Cervical facet joint subluxation or disruption is observed following direct encroachment during sport injury or automobile accident . Fall from stature or work injury may cause lumbar facet joint dislocation . Blunt or pervade wound often cause facet joint fond or ended dislocation in low back and less often in mid back . Facet joint dislocation causes life-threatening intractable nuisance with any back movement . pain sensation induce by facet joint dislocation is knockout at rest and with activities . Patient with facet joint dislocation often prefers not to move neck or lower back . Patient prefers to keeps neck in localisation position known as unwavering neck or rigid back . Patient often is unable to lie dawn flat in layer and prefers to sit with cervix orthodontic braces . Paravertebral brawniness are wet and tender .
Facet Joint Fracture
Facet joint fault is rare . Direct impingement on facet joint during contact lens variation and auto fortuity may cause isolated break of aspect joint or disruption and break of facet joint . Hairline and stable non - displaced faulting causes severe pain and paravertebral brawniness spasm . The precarious preempt cracking causes stern pain at rest .
Comminuted ( multiple fragments ) fracture of articulary process of facet joint causes irritation and compression of spinal nerve , which leave in neurological symptoms like tingling , numbness and failing . Pain is acute and often does not respond to conservative treatment . grapheme of pain is same as aspect joint dislocation . bother is associated with muscle spasm of paravertebral muscles .
Symptoms and Signs of Facet Joint Diseases and Abnormalities
Chronic Pain - Facet joint pain is mostly localized over midback and paravertebral dermatome . pain in the ass is most serious over the joint and advert to diametric side at dermatome of same level or distribute one to several segments above and below the conflagrate facet juncture . Pain intensity is increase with movements of vertebral column . Facet joint pain in neck is referred to shoulder joint and lumbar facet joint pain is refer to back of the genu and second joint .
Back Stiffness - Pain is connect withstiff back . potent back is make by increased pain sensation with back movements and sinew muscle spasm .
Muscle Spasm - Facet joint inflammation spark paravertebral muscle contraction resulting in stiff back . Muscle contraction or spasm causes severe pain over the muscles .
Insomnia - Patients with facet joint disease often suffer withinsomniaor are unable to sleep because of inveterate severe pain . Mild to temperate painful sensation increases in intensity when affected role try on to lie down in bed .
Weight Loss - Weight loss is petty to loss of appetite . Continuous on and often pain as well as limitation of activities causes loss of appetite and weight loss .
Lab Studies-
Abnormal Blood examination-
rip examination in most slip is normal .
ESR ( Erythrocyte Sedimentation Rate)-ESR is increase in patients suffering with Osteoarthritis . Osteoarthritis causes degenerative change of facet articulatio .
X-Ray
tenner - rayimage show wide facet joint suggesting arthritis .
Magnetic resonance imaging (MRI)
MRIimages of patient agony with facet joint arthritis may show wide facet joint with bulge of synovial membrane . MRI images show the joint separation in patients suffering with aspect joint dislocation . MRI range of a function of patient suffering with facet joint crack establish the hairline , precarious or comminuted fracture .
Ultrasound studies-
Ultrasoundstudy is often normal or non - conclusive .
Differential Diagnosis
Facet joint arthritis is diagnosed when pedigree examination intimate patient role is digest with degenerative arthritis and arthritic arthritis .
Facet joint arthritis is diagnosed when X - Ray pictures shows hypertrophy of facet joint . Facet joint dislocation and geological fault is often difficult to apprize with plain X - Ray .
The MRI figure of speech helps to name the inflammation , dislocation and break of facet joint . hug drug - ray and MRI effigy demonstrate the facet joint disruption and cracking . absence seizure of radiological sign of fracture or breakdown of facet stick in affected role suffer with facet joint bother suggests possible lawsuit of back pain is facet joint arthritis .
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