Parker College of Chiropractic is a nonprofit, co-educational, private professional institution of higher education. The purpose of the College is the preparation of men and women to become Doctors of Chiropractic, who will then serve as primary health care providers and perpetuate chiropractic services worldwide for the benefit of all mankind.
Parker College is committed to the maintenance of chiropractic as a separate and distinct healing art which addresses primarily the location and detection of spinal misalignments, dysfunctions and subluxations affecting neural integrity. Correction is achieved by either force or non-force spinal and/or extraspinal techniques.
The integration of this wellness philosophy principle is woven through the basic science, chiropractic science, clinical science and techniques department.
Lumbar Facet Pain: Prevention
This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.
Lead Author(s):Â
Dwain M. Daniel, D.C.
How this evidence was rated:
Strength of Recommendation Taxonomy (SORT)
Strength of Recommendation Taxonomy (SORT)
Legend:A = consistent, good quality patient oriented evidence;
B = inconsistent or limited quality patient oriented evidence;
C = consensus, disease oriented evidence, usual practice, expert opinion or case series;
D = all or the preponderance of existing evidence is negative.
For more information on the Strength of Recommendation Taxonomy (SORT), please click here.
Published on
July 16, 2008
Text Size:Â Â
Although the lumbar facet is well established as a pain generator (1-3), very little meaningful research has been performed to determine risk factors. To evaluate risk factors for lumbar facet mediated pain (LFMP), one needs to locate a population with this specific diagnosis. However this has proven difficult. Clinical diagnosis is very uncertain. The gold standard of diagnosis is a series of two facet blocks which limits study populations. As a result many of the studies available are observational, performed on animals or cadavers or are speculative in nature.
In order to view the full content of this review, which includes information broken down by topic, you must be a registered user of ChiroACCESS. The primary mission of ChiroACCESS is to disseminate accurate user-friendly information to practicing chiropractors, faculty and students of chiropractic in order to ensure the best possible patient care.
Please click on the following link in order to register at ChiroACCESS and view the full detail of this clinical review.
If you already have an account, you may log in at this time.
References
1.Â
Schwarzer AC, Aprill CN, Derby R, Fortin J, Kine G, Bogduk N. The relative contributions of the disc and zygapophyseal joint in chronic low back pain. Spine 1994 Apr 1;19(7):801-6.
2.Â
Dreyer SJ, Dreyfuss PH. Low back pain and the zygapophysial (facet) joints. Arch Phys Med Rehabil 1996 Mar;77(3):290-300.
3.Â
Sehgal N, Dunbar EE, Shah RV, Colson J. Systematic review of diagnostic utility of facet (zygapophysial) joint injections in chronic spinal pain: an update. Pain Physician 2007 Jan;10(1):213-28.
4.Â
Fujiwara A, Tamai K, An HS, Lim TH, Yoshida H, Kurihashi A, et al. Orientation and osteoarthritis of the lumbar facet joint. Clin Orthop Relat Res 2001 Apr;(385):88-94.
5.Â
Kalichman L, Hunter DJ. Lumbar facet joint osteoarthritis: a review. Semin Arthritis Rheum 2007 Oct;37(2):69-80.
6.Â
Sweetman BJ. Heavy work and low back pain. J Orthop Med 1999;21(3):75-9.
7.Â
Sweetman BJ. The differernt activities of heavy work that can cause or prevent low back pain. J Orthop Med 2000;22(3):81-92.
8.Â
Marras WS, Davis KG, Granata KP. Trunk muscle activities during asymmetric twisting motions. J Electromyogr Kinesiol 1998 Aug;8(4):247-56.
9.Â
Fathallah FA, Marras WS, Parnianpour M. The role of complex, simultaneous trunk motions in the risk of occupation-related low back disorders. Spine 1998 May 1;23(9):1035-42.
10.Â
Eubanks JD, Lee MJ, Cassinelli E, Ahn NU. Prevalence of lumbar facet arthrosis and its relationship to age, sex, and race: an anatomic study of cadaveric specimens. Spine 2007 Sep 1;32(19):2058-62.
11.Â
Manchikanti L, Pampati V, Rivera J, Fellows B, Beyer C, Damron K. Role of facet joints in chronic low back pain in the elderly: a controlled comparative prevalence study. Pain Pract 2001 Dec;1(4):332-7.
12.Â
Manchikanti L, Manchikanti KN, Cash KA, Singh V, Giordano J. Age-related prevalence of facet-joint involvement in chronic neck and low back pain. Pain Physician 2008 Jan;11(1):67-75.
13.Â
Alyas F, Turner M, Connell D. MRI findings in the lumbar spines of asymptomatic, adolescent, elite tennis players. Br J Sports Med 2007 Nov;41(11):836-41.
14.Â
Dai LY. Orientation and tropism of lumbar facet joints in degenerative spondylolisthesis. Int Orthop 2001;25(1):40-2.
15.Â
Noren R, Trafimow J, Andersson GB, Huckman MS. The role of facet joint tropism and facet angle in disc degeneration. Spine 1991 May;16(5):530-2.
16.Â
Vanharanta H, Floyd T, Ohnmeiss DD, Hochschuler SH, Guyer RD. The relationship of facet tropism to degenerative disc disease. Spine 1993 Jun 15;18(8):1000-5.
17.Â
Grogan J, Nowicki BH, Schmidt TA, Haughton VM. Lumbar facet joint tropism does not accelerate degeneration of the facet joints. AJNR Am J Neuroradiol 1997 Aug;18(7):1325-9.