At any given time, 10% of the adult population will be affected by neck pain. Although similar in incidence to low back pain, its has less of a socio-economic impact and uncommonly progresses to neurologic deficit. Pain may result from degenerative, traumatic or inflammatory processes involving the diarthrodial facet (zygapophyseal) joints and/or the facet (medial branch of the dorsal dorsal rami) nerves. Although routinely evaluated by radiography, magnetic resonance imaging and computed tomography, high-resolution musculoskeletal ultrasound (MSKUS) imaging and guidance has become increasingly popular, particularly among pain management specialists, in the evaluation and treatment of these structures owing to its safety, portability, superior resolution and direct real-time visualization. This presentation will discuss the unique anatomy and sonoanatomy of the cervical spine and its innervation/vascularization with particular focus on the facet joints and nerves and the use of MSKUS in the evaluation and treatment of the facet joint/nerve with review of available evidence. Examination technique and sonoanatomic findings will be demonstrated.
Disclosure of Interest None declared