New Hampshire Spine and Sport Cares for Neck Pain and Painful Cervical Spine Facet Joints

June 07, 2022

Zygapophyseal joints are also named facet joints. Facet is a bit easier to say than zygapophyseal, and New Hampshire Spine and Sport knows ‘facet’ is much easier to write out than 'zygaopophyseal’! These joints are well-documented as sources of neck-related pain for countless adults of all ages. New Hampshire Spine and Sport provides gentle chiropractic spinal manipulation to ease neck pain like that created by facet joint innervation.


The plotting of normal volunteers’ responses to stimulation of cervical facet joints in the 1990s was groundbreaking. Five volunteers stepped up to have their cervical spine facet joints stimulated to track where neck pain and arm pain were observed. Amazing! These volunteers’ pain reactions produced some much appreciated easy-to-read pain charts. (1) A follow up study of 10 patients with cervical spine pain compared their pain to that noted in the normal volunteers’ pain drawings to validate the initial charts from normal volunteers. (2) New Hampshire Spine and Sport sees confirmation of these normal volunteers’ pain reports in our Southern New Hampshire neck pain patients! Decompression of spinal nerves with chiropractic helps. 


New details from a recent dissection project added new facts to the job cervical facet joints (aka zygapophyseal joints) play in neck pain and arm pain. At some levels, more than one medial branch was found. Direct facet joint branches were found that came 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 previously been noted. (3) New Hampshire Spine and Sport values the nuances of spine pain and the research that found them.


Clinical observation, examination, and imaging findings guide the diagnosis of neck pain given 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 quick to respond to these painful stimuli, both pressure and nerve related. (5) That’s why your Southern New Hampshire chiropractor takes time in examining, diagnosing and treating Southern New Hampshire neck pain. There are a multitude of factors to consider! Our Cox® Technic System of Spinal Pain Management is gentle, non-thrust spinal manipulation of the cervical spine for Southern New Hampshire neck pain relief.

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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 gentleman patient with neck pain and tingling in his arm and hand.     

Make your next Southern New Hampshire chiropractic appointment with New Hampshire Spine and Sport. Pick your term: zygapophyseal or facet! We are here to discuss, diagnose, and treat them for relief of neck and arm pain.

New Hampshire Spine and Sport thoroughly examines, diagnoses, and treats cervical spine facet joints for neck pain relief when they are involved.