Facet Sprains

By Sydney CBD Osteopath Dr Abbey Davidson

Sydney CBD Osteopath Dr Abbey Davidson demonstrating facet sprains

What is a Facet Sprain?

The spine is made up of many synovial or moving joints, 139 to be exact! 48 of these joints are known as zygapophyseal or facet joints. Just like an ankle or any other moving joint in your body, these facet joints can be sprained. Facet sprains usually caused by a trauma such as a tackle or fall, or from doing some unaccustomed activity like moving house or exercise.

Facet sprains usually caused by a trauma such as a fall, or from doing some unaccustomed activity.

Signs & symptoms of a Facet Sprain:

  • Sudden onset of band-like or pin point back/neck pain during or the morning after activity
  • Pain usually focused on one side of the spine
  • Surrounding muscle spasm or tightness
  • Reduced spinal range of motion
  • Pain aggravated by bending backwards, twisting motions and lifting

What can I do to help myself if I have a Facet Sprain?

If you are experiencing the symptoms above, we recommend applying ice to the affected area for the first 24-48 hours’ after the pain starts to decrease the amount of inflammation and swelling in the area. It is recommended that you apply ice for 20 minutes every hour, and that you place a towel in between your skin and the towel to avoid direct contact. Heat packs are then recommended after this period of time, as the application of heat encourages blood flow to the affected area, which promotes repair and relaxation of muscles.

Performing gentle lower back range of motion exercises within pain limits is also encouraged to help prevent loss of range of motion in your back and to decrease stiffness in the area. It is also important to avoid activities which aggravate pain, such as heavy lifting or sudden bending movements where possible.

Bed rest is not recommended for this injury.

For more information on Facet Join Sprains, watch the video below by Sydney CBD Osteopath Dr Abbey Davidson, or click here.

 

When should I see a health professional for a Facet Sprain?

It’s time to see a health professional if your pain does not improve after 1-2 weeks, if your sleep quality is greatly impacted, or if you are having any pins, needles, tingles or nerve pain.

What will a Health Professional do if I am suffering from a Facet Sprain?Manual therapies can be of help when suffering from a facet sprain

If your pain has persisted and has not improved after 1-2 weeks, your sleep quality is greatly impacted, or you are experiencing any pins, needles, tingles or nerve pain, we suggest booking an appointment to see a health professional such as a physiotherapist, osteopath or chiropractor.

A health professional will look into the history of your injury, and assess the affected area, testing for range of motion, any restrictions or muscle tension, so as to establish if it is indeed the facet causing your pain.

Your health professional will use a range of manual therapies and techniques to help decrease your pain, increase your range of motion and decompress the area.

At the end of your appointment, your health professional will reassess your facet sprain and see if there has been any changes or improvements from your treatment, and may give you some exercises and stretches to use at home to continue your progress until your next appointment.

For more information on conditions of the Neck, click on the following conditions:

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Nerissa D'Mello​​

Clinical Lead Physiotherapist
Nerissa’s interest in physiotherapy began after experiencing multiple injuries growing up. Being in and out of clinics sparked her curiosity about how the body heals and inspired her to help others return to what they love. Early hands-on experience with a Scottish rugby club during her masters strengthened her passion for musculoskeletal and orthopaedic rehabilitation.
 
Now the Clinical Lead Physiotherapist at Quay Health, she has a strong interest in helping patients recover without surgical intervention when possible. Her treatment style combines hands-on techniques with exercise prescription, grounded in the latest research to promote lasting recovery.
 
Some of the techniques Nerissa uses are dry needling, VALD ForceDecks and Dynamo for data-driven rehab, taping, and shockwave therapy for stubborn tendon injuries.
 
She enjoys treating a broad range of patients, regardless of age, fitness, or background, and is currently expanding her expertise in women’s health.
 
Patients can expect a thorough, personalised approach focused on understanding their goals, hands-on treatment, and education in a supportive environment.
 
Outside work, you can find Nerissa training for her first full marathon, playing tennis, smiling at your dog, and trying to keep up with all her downloaded podcasts.
 
Clinical interests include:
 
  • Shoulder injuries, including rotator cuff and instability
  • Ankle sprains
  • Tennis and racquet sports injuries
  • Neck and upper back pain
  • Rehab from postoperative hip and knee replacements
  • Women’s health 
 
Languages spoken other than English: Conversational Hindi
 
Nerissa is available at Quay Health. Call 1300 782 943 to make an appointment or book online.

Jamie Belesky

Senior Physiotherapist

Jamie discovered his passion for physiotherapy through his own rehabilitation journey after tearing his ACL as a teenager playing football. Going through that process sparked his appreciation for how effective rehab can restore confidence and performance. He now has over 10 years’ experience working across musculoskeletal and sports physiotherapy in clinics in Wellington, Auckland, and London, including high-performance gym and sporting environments.

His treatment style is evidence-based, hands-on, and exercise-focused. Jamie combines manual therapy with structured rehabilitation programs to achieve long-term results and believes treatment should always be individualised to the person and their goals.

Jamie uses a range of techniques including dry needling, joint mobilisation, sports massage, taping, shockwave therapy, and VALD ForceDecks testing.

Outside the clinic, you’ll find Jamie running, surfing, playing golf, or watching football.

Clinical interests include:

  • Knee and ankle rehabilitation
  • Low back pain
  • Running-related injuries
  • Shoulder pain and instability
  • Tendon injuries

 

Jamie is available at Quay Health. Call 1300 782 943 to make an appointment or book online.