Facet Joint Pain: An Overlooked Cause of Back and Neck Pain

October 24, 2025

Facet joint pain causes up to 45% of low back pain cases. Learn the signs, treatment options, and how chiropractic care at Thrive Sports & Spine can help.

 

Not all back or neck pain comes from discs or muscles. Research shows 15–45% of low back pain cases and up to 55% of chronic neck pain are due to facet joint dysfunction. At Thrive Sports & Spine, we specialize in diagnosing and treating this under-recognized condition.

 

What Is Facet Joint Pain?
Facet joints are small stabilizing joints in the spine. Injury, arthritis, or repetitive stress can irritate these joints, causing localized pain, stiffness, and reduced mobility.

 

Signs of Facet Joint Pain

  • Pain worsens with extension or rotation (leaning backward, twisting).
  • Local pain that may radiate into the buttocks or thighs but rarely past the knee.
  • Stiffness after prolonged standing or inactivity.

 

Evidence-Based Treatment

  • A 2011 randomized controlled trial found that chiropractic manipulation plus laser therapy significantly improved outcomes in cervical facet pain patients.
  • A 2016 systematic review confirmed that conservative care, injections, or radiofrequency ablation are effective for lumbar facet joint pain. Chiropractic is often the first line of conservative care.

 

How We Treat Facet Joint Pain at Thrive Sports & Spine

  • Chiropractic Adjustments: Restore movement and reduce joint irritation.
  • Soft Tissue Therapy: Loosens tight muscles guarding the painful joint.
  • Rehab Exercises: Improve posture, mobility, and spinal stability.
  • Adjunctive Modalities: Shockwave, electric stimulation, stretching, and ergonomic advice.


If you’re struggling with chronic back or neck pain that doesn’t seem to improve, your facet joints may be the hidden culprit. At Thrive Sports & Spine, we offer targeted chiropractic care to restore function and relieve pain naturally.

 

Reference:

  • Saayman L., et al. “Chiropractic manipulative therapy and low-level laser therapy in the management of cervical facet dysfunction: a randomized controlled study.” JMPT, 2011.
  • Manchikanti L., et al. “Management of lumbar zygapophysial (facet) joint pain.” Pain Physician, 2016.


October 24, 2025
At our chiropractic office, we focus on more than just pain relief and alignment. True performance and recovery start with how well your body and brain communicate. A new study reminds us that inflammation, often seen as a purely physical issue, also impacts your cognitive performance. A recent cross-sectional study, “Inflammation and cognitive performance in elite athletes” (Wiedenbrüg et al., 2024), explored how inflammatory markers, metabolic hormones, micronutrients, and recovery status relate to cognitive functions in 350 elite athletes. The findings highlight how systemic inflammation and nutritional status influence brain performance, directly affecting how athletes think, react, and recover. Key Takeaways Inflammation matters for cognition. Elevated pro-inflammatory cytokines (like TNF-α) were linked to poorer working memory and reduced cognitive flexibility, particularly in athletes from closed-skill sports. Vitamin D supports brain performance. Higher vitamin D levels correlated with improved cognitive flexibility. Hormones, stress, and recovery are interconnected. Processing speed and attention were best explained by a mix of metabolic hormones and physiological/psychological stress levels. What This Means for Chiropractic Patients Chiropractic care supports nervous system balance, which plays a key role in inflammation regulation and brain–body communication. This research highlights that cognitive performance isn’t just about “mental focus”, it’s influenced by your physiology. Chronic inflammation can dull your brain. Even low-grade inflammation affects how quickly your nervous system processes information. Recovery is brain training. Sleep, nutrition, and stress management enhance both musculoskeletal and cognitive recovery. Chiropractic care supports total performance. By optimizing nervous system function and joint mobility, chiropractic helps reduce physiological stress and improve neuromuscular communication. Actionable Tips for Athletes and Active Adults Prioritize sleep and active recovery to reduce systemic inflammation. Support your body with anti-inflammatory nutrients (omega-3s, vitamin D, and antioxidants). Include regular mobility and chiropractic care to keep your nervous system adaptable and responsive. Address stress holistically, mental, physical, and nutritional. In Summary The brain and body are one system. Your training, recovery, and inflammation levels shape how effectively that system functions. Chiropractic care fits into this picture by helping regulate the nervous system, support recovery, and optimize both movement and cognition. Reference: Wiedenbrüg, C., et al. (2024). Inflammation and cognitive performance in elite athletes: A cross-sectional study. Brain, Behavior & Immunity – Health, 36, 101431. https://doi.org/10.1016/j.bbih.2024.101431
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