Cervical Facet Syndrome | Neck Pain, Stiffness & Treatment Options скачать в хорошем качестве

Cervical Facet Syndrome | Neck Pain, Stiffness & Treatment Options

Cervical Facet Syndrome Exercise Program ⸻ 🟦 PHASE 1: Pain Reduction & Joint Protection (Days 1–14) Goals • Reduce cervical facet joint irritation • Decrease compressive loading • Restore gentle, pain-free motion • Improve postural awareness Mobility (Pain-Free Range Only) ✔ Perform 2–3× daily 1. Cervical Retraction (Chin Tuck – Seated or Supine) • Hold 3–5 sec × 10 reps • Cue: “Slide head straight back, not down.” 2. Gentle Cervical Rotation (Mid-Range) • 5–10 reps each side • Stop before symptom reproduction 3. Upper Cervical Flexion/Extension (Nodding Motion) • Small, controlled range • 10 reps ⸻ Postural Decompression • Supine cervical unloading (towel support if tolerated) • Frequent posture resets during daily activities • Avoid prolonged static positions ⸻ Avoid During Phase 1 🚫 End-range extension 🚫 Extension + rotation 🚫 Sustained looking up 🚫 Sudden head movements ⸻ 🟨 PHASE 2: Stability & Controlled Mobility (Weeks 2–4) Goals • Improve cervical motor control • Activate deep neck stabilizers • Reduce segmental overload Cervical Stabilization ✔ Perform 1–2× daily 1. Deep Neck Flexor Activation (Supine Chin Tuck Lift-Off) • Hold 5–10 sec × 5–8 reps • No visible SCM dominance 2. Cervical Isometrics (Neutral Spine) • Flexion, extension, side-bending • 5 sec hold × 5 reps each direction 3. Controlled Cervical Rotation (Eyes → Head) • Slow, controlled motion • 8–10 reps ⸻ Scapular Support (Key for Facet Load Reduction) ✔ 3–4× weekly • Low-load scapular retraction • Serratus activation in upright positions • Emphasis on endurance over max strength ⸻ 🟩 PHASE 3: Endurance, Strength & Functional Control (Weeks 4–6+) Goals • Improve cervical endurance • Increase tolerance to functional rotation and extension • Reduce recurrence risk Progressive Strength & Control ✔ 3× weekly 1. Prone Propped on Elbows – Cervical Control • Neutral cervical alignment • Hold 20–30 sec × 3–4 sets • Focus on postural endurance 2. Resistance Band Cervical Rotation (Short Arc) • 2–3 sets × 10 reps • No symptom reproduction 3. Resistance Band Retraction Holds • Hold 10–20 sec × 5–8 reps • Emphasize postural endurance ⸻ Functional Integration • Controlled head turns (driving simulation) • Gradual return to overhead and visual scanning tasks • Activity-specific head control as needed ⸻ 🔁 Flare-Up Strategy • Temporarily return to Phase 1 mobility • Reduce extension-rotation exposure • Resume stabilization once symptoms calm ⸻ 🧠 Patient Education Emphasis • Facet joints are load-sensitive, not fragile • Pain does not equal damage • Endurance is is better than stretching alone • Consistent movement improves outcomes ⸻ ⚠️ DISCLAIMER Not a fully comprehensive program. Patients should undergo a thorough medical history review and clinical examination. Individualized plans are developed after clinical decision-making. This is a general educational guide, not medical advice. This is for rehab clincian use. ⸻ 📺 Follow ChadGOrthoOT YouTube: ChadGOrthoOT Instagram: @ChadGOrthoOT ⸻ #OccupationalTherapy #CervicalFacetSyndrome #NeckPain #ExerciseForPain #ChronicPainEducation #OTRehab #ChadGOrthoOT #PainScience