From the Research
The recommended treatment for facet hypertrophy of the cervical spine is conservative management, including exercise therapy, as the first line of treatment, with radiofrequency treatment of the medial branches considered when conservative management does not result in adequate improvement of pain. This approach is based on the most recent and highest quality study available, which emphasizes the importance of conservative management and radiofrequency treatment for facet joint pain 1. The study highlights that first-line therapy for pain treatment includes focused exercise, graded activity, and range-of-motion training, and that radiofrequency treatment of the medial branches can provide long-term analgesia (>6 months) in patients who do not respond to conservative management.
Key points to consider in the treatment of facet hypertrophy of the cervical spine include:
- Conservative management, including exercise therapy, as the first line of treatment
- Radiofrequency treatment of the medial branches as a consideration when conservative management does not result in adequate improvement of pain
- Avoidance of interventions with limited evidence, such as botulinum toxin, intra-articular steroid injections, or surgery, unless absolutely necessary
- Use of diagnostic blocks to confirm the diagnosis of facet joint pain, but not as a treatment option
It is essential to note that the treatment approach should be individualized based on the patient's specific needs and circumstances, and that a thorough evaluation and diagnosis are necessary to determine the best course of treatment. The study by 1 provides the most up-to-date and comprehensive guidance on the treatment of facet joint pain, and its recommendations should be followed in clinical practice.