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Here, we provide an overview of the literature on the diagnosis and treatment of cervical facet\u2010related pain with special emphasis on interventional treatment techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A literature search on the diagnosis and treatment of cervical facet joint pain and whiplash\u2010associated disorders (WAD) was performed using PubMed, Cochrane, and Embase databases. All relevant literature was retrieved and summarized.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Facet\u2010related pain is typically diagnosed based on history and physical examination of the patients, combined with a diagnostic block (eg, with local anesthetic) of the medial branches innervating the joints. There is no additive value for imaging techniques to diagnose cervical facet pain, but imaging may be used for procedure planning. First\u2010line therapy for pain treatment includes focused exercise, graded activity, and range\u2010of\u2010motion training. Pharmacological treatment may be considered for acute facet joint pain; however, for chronic facet joint pain, evidence for pharmacological treatment is lacking. Considering the lack of evidence for treatment with botulinum toxin, intra\u2010articular steroid injections, or surgery, these interventions are not recommended. Diagnostic blocks are not considered a viable treatment option, though some patients may experience a prolonged analgesic effect. Long\u2010term analgesia (&gt;6\u2009months) has been observed for radiofrequency treatment of the medial branches.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Cervical facet pain is diagnosed based on history, physical examination, and a diagnostic block of the medial branches innervating the painful joints. Conservative management, including exercise therapy, is the first line of treatment. When conservative management does not result in adequate improvement of pain, radiofrequency treatment of the medial branches should be considered, which often results in adequate pain relief.<\/jats:p><\/jats:sec>","DOI":"10.1111\/papr.70005","type":"journal-article","created":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T07:39:52Z","timestamp":1737617992000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["7. Cervical facet pain: Degenerative alterations and whiplash\u2010associated disorder"],"prefix":"10.1111","volume":"25","author":[{"given":"M. D.","family":"Hellinga","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Pain Management Leiden University Medical Center  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1959-1715","authenticated-orcid":false,"given":"M.","family":"van Eerd","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Management Amphia Hospital  Breda The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. P.","family":"Stojanovic","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Critical Care and Pain Medicine Service VA Boston Healthcare System  Boston Massachusetts USA"},{"name":"VA Bedford Healthcare System  Bedford Massachusetts USA"},{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. P.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Neurology, Physical Medicine &amp; Rehabilitation and Psychiatry and Behavioral Sciences Northwestern University Feinberg School of Medicine  Chicago Illinois USA"},{"name":"Department of Anesthesiology and Physical Medicine &amp; Rehabilitation, Walter Reed National Military Medical Center Uniformed Services University of the Health Sciences  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"de Andr\u00e8s Ares","sequence":"additional","affiliation":[{"name":"Pain Unit Hospital Universitario La Paz\u2010(Anesthesiology)  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7681-1796","authenticated-orcid":false,"given":"J. 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