Zygapophyseal joints are also called
facet joints. Facet is a bit simpler to pronounce than zygapophyseal,
and Paulette Hugulet, DC, LLC knows ‘facet’ is much easier to type than 'zygaopophyseal’! These joints are documented to be the source of cervical spine
pain for many adults of all ages. Paulette Hugulet, DC, LLC provides
gentle chiropractic spinal manipulation to alleviate
neck pain like that created by facet joint innervation.
FOUNDATIONAL STUDY
Mapping of normal volunteers’
responses to stimulation of cervical facet joints in the 1990s was foundational.
Five volunteers came forward to have their cervical spine facet
joints irritated to see where neck pain and arm pain were felt.
Amazing! These volunteers’ pain responses produced
some much appreciated easy-to-read
pain charts. (1) A follow up study of 10 actual
cervical pain patients that compared their pain to that described
in the normal volunteers’ pain drawings to confirm the original
charts from normal volunteers. (2) Paulette Hugulet, DC, LLC sees verification
of these normal volunteers’ pain reports in our La Grande neck pain
patients! Decompression of spinal nerves with chiropractic helps.
NEW INFORMATION ON CERVICAL FACET JOINTS
New details from a current-day
dissection project included new knowledge to the job
cervical facet joints (aka zygapophyseal joints) have in
neck pain and arm pain. At some levels, more than one medial branch was seen.
Direct facet joint branches were found that originated
from the dorsal root of the spinal nerve. These were independent
from the medial branches in their direct route to the facet
joint. Current day researchers speculate if there is a more varied pattern
of innervation than has already been documented. (3)
Paulette Hugulet, DC, LLC values the nuances of spine pain and the research that discovered them.
EXAM AND TREATMENT
Clinical observation, examination, and imaging findings
lead the diagnosis of neck pain due to the complexity
of cervical facet joints. (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 in the spinal cord. The central nervous
system is complex and responsive to these painful stimuli,
both pressure and nerve related. (5) That’s why your
La Grande chiropractor takes such care in examining, diagnosing and
treating La Grande neck pain. There are many
factors to consider! Our Cox® Technic System of Spinal
Pain Management is gentle, non-thrust spinal manipulation of the cervical spine for La Grande neck pain relief.
CONTACT Paulette Hugulet, DC, LLC
Listen to the PODCAST
with Dr. Sean Delahunt on the
Back Doctors Podcast with Dr. Michael Johnson as he
shares the effective, gentle treatment with the Cox® Technic System of Spinal Pain
Management for his male patient with neck pain and tingling in
his arm and hand.
Schedule your next La Grande
chiropractic appointment with Paulette Hugulet, DC, LLC. Pick your word: zygapophyseal
or facet! We’re here to discuss, diagnose, and
treat them for neck and arm pain relief.