Cervical Spine Facet Pain on MRI

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Cervical Spine Facet Pain on MRI

Рет қаралды 20,580

Күн бұрын

How to assess and find facet joint osteoarthritis on cervical spine MRI. This is an important diagnosis as it is frequently missed on MR reports of the cervical spine, due to the lack of proper imaging or just not looking at the right spot by the radiologist. After watching this video, you should be able to detect this painful facet joints on all your MR scans... and then of course report it :)
#pain #spine #MRI
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References:
no scientific data - just my personal observation and opinion. other opinions may be valid too.
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Пікірлер: 42

@seyedmehdimousavi8486 3 жыл бұрын

BIG BIG LIKE THANK YOU .

@shiminho9282 4 жыл бұрын

Thank you for sharing this doctor! I think my physician may have missed out this; I'm having constant neck pain and neurological signs after a hyperflexion fall yet the mri shows no abnormality. Time for me to get a second opinion, probably.

@DrChristophAgten 4 жыл бұрын

It's not uncommon to have a normal MRI despite symptoms. I offer second opinions of you decide to go that route

@minchem1 2 жыл бұрын

I have multiple changes in my MRI as I see in this video many disc protrusions a nd subluxation not even stated. Go visit a chiropractor, massage your neck gently from all sides. Be careful front has nerves so don't go hard but do soft massage and daily for 8 days and see the difference.

@TheSmp1982 Жыл бұрын

@@DrChristophAgten how can i send you my mri for second opinion

@DrChristophAgten Жыл бұрын

@@TheSmp1982 aristra.com/second-opinion/

@sniyut1037 4 жыл бұрын

Beautiful cases , Thanks.

@DrChristophAgten 4 жыл бұрын

Thx

@bernardomedellin8997 3 жыл бұрын

Dr. Agten, as always, great content, thank you very much. Would it be possible for you to post a video on dynamic cervical spine MRI? There is not much online as to how to assess them properly. Again, thank you for the amazing and concise content.

@DrChristophAgten 3 жыл бұрын

Hi Bernardo I have no experience with dynamic spine MRI but would think you assess each position and then compare stuff that gets compressed in which position.

@bernardomedellin8997 3 жыл бұрын

@@DrChristophAgten thanks for taking the time to respond, apparently is something like that.

@tictactoe325 Жыл бұрын

I have OA in the C5-C7 cervical spine and possibly in the lumbar spine and have loads of pain. It would be good to see if there’s bone Odeama in the affected sections and in the lumbar spine.

@aymanmhafez 4 жыл бұрын

Very useful video, thank you so much.

@DrChristophAgten 4 жыл бұрын

Thx

@abubaker438 Жыл бұрын

Thanks Chris for this. The golden question here how to differentiate from septic arthritis of the facet ?

@Pa-ck1is Жыл бұрын

Dr Christoph Sir ... U do a lot of telereporting right.... Haven't u suffered from Carpal Tunnel syndrome due to mouse usage...could u post a video on Posture , Ergonomics...devices ...u ensure to prevent these

@DrChristophAgten 11 ай бұрын

I guess nothing special I got a desk which I can move up to report standing

@tameembhat415 4 жыл бұрын

Nice cases. I have a query. The case with facet arthropathy, how do differentiate it from the infective condition.

@DrChristophAgten 4 жыл бұрын

. I would say the clinical presentation is different in many cases. Sometimes it's unclear clinically. On MRI I use the following to distinguish between OA with inflammation and infection. First, extensive soft issue reaction and bony destruction are helpful signs, as with OA we don't expect that really. Also, the degree of degeneration is less than expected for the amount of inflammation. But that is tricky as the patient might have had an infiltration with steroids and now a iatrogenic infection. So the history remains a key factor ( immunocompromised etc?). Occasionally we do biopsy or try aspiration. It's not 100%😁

@Nastya3T Жыл бұрын

Hello from Ukraine! Thank You Dr. Agten for sharing your knowledge through such great content! I would like to ask, how T2 dix W/F works in spine, is it possible to use it in routine to reduce time scanning in some cases?

@bjspranger Жыл бұрын

Dr Agten. First time subber on here. I'm a 70 yr old female with cervical facets disease C2-C6 and have have PT for awhile with massage and it made the pain worse. I also was prescribed Pregabalin 50 mg X3daily. I'm not feeling any pain relief, in fact I'm feeling needles on my arms and ear pressure with pain. Any idea? My Dr.says I need a Neorologist. Steriod injections? I can't hold my head up, it wants to drop down. Your thoughts. PLEASE! Thanks so much.

@anasuyamukherjee7872 4 жыл бұрын

Can u repeat the name of the sequences we need to see the OA....is it STIR or T2FS?

@DrChristophAgten 4 жыл бұрын

Any fluidsensitive fatsat will do, TIRM, STIR, T2FS, ETC

@MikeyBAAZ 2 жыл бұрын

I have cervical C2-T1 facet arthropathy

@carlverduyn7049 4 жыл бұрын

Hello, Thanx for this interesting lecture. Do you know anything about the correlation of fatsat. MRI with SPECT for cervical facet arthropathy?

@DrChristophAgten 4 жыл бұрын

pubmed.ncbi.nlm.nih.gov/27035592/

@charlieminkel9919 Жыл бұрын

I got a couple questions regarding scans came back as no mechanical issues but have nerve pain throughout right arm. Feel crazy after my visit. Any ideas?

@stevejodoin9937 4 жыл бұрын

You can't find what you don't look for.

@fomowithlo8727 2 жыл бұрын

Hello Dr Agten. do you believe its possible for cervical facet joint to cause constant headaches in the temple area and constant pain on sides of neck .. my boyfriend has had these pains for 2 years now. he was an athlete who used to exercise with exercise bands around his neck ..

@DrChristophAgten 2 жыл бұрын

Could be. I think I have the same lol but I never did an MRI of my spine. I don't want to know .... Lol

@AliBabaZumba 9 ай бұрын

You don’t do for US citizens?

@DrChristophAgten 9 ай бұрын

Second opinions? No. Not allowed by my insurance i'm afraid

@mskblumenau 4 жыл бұрын

Nice video!! By the way, what king of device you're wearing in your finger? Something to facilitate the use of scroll? Thanks!!

@DrChristophAgten 4 жыл бұрын

No. I had an DIP joint injury

@HeyIntegrity Жыл бұрын

Do you commonly report modic changes or don't mention them at all?

@DrChristophAgten Жыл бұрын

I report them, escp. Type 1

@RobertLongM 2 жыл бұрын

Dr. A - do you have an example of C-Spine Rotation Measurements? I find that Rotation is rarely reported. Facet Over-hang is also rarely if ever reported. - And I've noticed in some imaging one will report a Rotation of some 9.8 degrees, where I see 5.8 Still I'll never understand why a C-Spine MRI never includes The CCJ - C0/C1/C2... Thank you for your Channel!

@DrChristophAgten 2 жыл бұрын

It's also a topic of unclear evidence and lot of alternative stuff with manual treatment of some dysfunction of the joint But there is so much mobility up there that angles will overlap. Normally I don't measure But I still haven't found convincing evidence or good articles about it If you have have please share

@RobertLongM 2 жыл бұрын

@@DrChristophAgten unfortunately the articles are all sourced from Regenerative Medicine Professionals. Rotation CT I understand But lateral mass C1 overhang on lateral flexion is only a big Regen tool. I've been studying more about these others like - Grabb Oakes, Harris BDI, BAI, OAI, Powers etc...

@vivanasperen3339 Жыл бұрын

@@RobertLongM look into dr Henderson and rotation hypermobility

@RobertLongM Жыл бұрын

@@vivanasperen3339 I've read all his work. It's his work I'm trying to validate. Too many morphometrics in this business