TiDolore

Cervical facet joints

The facet joints in the neck are small joints that allow the head to rotate, tilt, and bend.
Over time, wear and tear or minor trauma can damage these joints, causing pain.

How to Recognize Cervical Facet Joint Pain?

  • Pain located in the back or side of the neck.
  • Possible radiation towards the shoulders, shoulder blades or back of the head.
  • Pain worsening with movements such as turning or extending the neck.
  • Feeling of stiffness and limited movement.

Unlike cervical hernias, there is usually no tingling or loss of strength in the arms.

How is the Diagnosis Confirmed?

If the doctor suspects the pain is coming from the cervical facet joints, they may suggest:

  • Diagnostic blocks: small injections of local anesthetic near the nerves that innervate the facets.
  • If the pain improves immediately after the injection, it means those joints are the cause.

How Do We Treat Cervical Facet Joint Pain?

If the diagnostic block confirms the problem, we can offer you an effective treatment:

Radiofrequency Denervation of Cervical Facet Joints

This is a minimally invasive technique that:

  • Uses a special needle to reach the nerves that transmit pain.
  • Applies controlled heat (about 80°C for 2 minutes) to interrupt the pain signal.
  • Is performed under radiological guidance for maximum precision.

How Long Do the Benefits Last?

Pain relief can last 6-14 months or even longer, and if necessary, the procedure can be repeated.

It is a safe technique, well-tolerated and with very few risks.

Lifestyle Interventions

Attività fisica (passeggiate, stretching), sonno regolare, alimentazione equilibrata e tecniche di riduzione dello stress possono migliorare la resilienza e potenziare l’efficacia delle terapie mediche.

Psychological Support

The management of chronic pain can be aided by psychological interventions (such as relaxation techniques or cognitive behavioral therapy), which help reduce anxiety, insomnia, and the impact of pain on quality of life.