Page 31 - DMX HANDBOOK 4TH EDITION

28. DMX provides proof of the cause of facet joint injuries.

Recently, authoritative and reliable medical research has established that the primary cause of chronic pain in the victims of CAD
trauma is injury to the facet joint. Reliable biomedical research has established that facet joint pain is primarily due to injury to the
capsular ligament and to some extent of the anterior longitudinal ligament. Research is also established that injury to the synovial
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fold may be a secondary cause .
Laxity of the capsular ligament of the facet joint produces “mechanical pain that is associated with mechanical instability. Mechanical
pain is pain that is deep and agonizing in nature, worsened by spinal loading, and relieved by spinal unloading. A characteristic pain
pattern deep and agonizing pain that is usually worsened by activity (loading) and relieved by an activity (unloading) suggests the
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diagnosis of mechanical back pain which is often associated with dysfunctional motion segment .”
Facet joint injury can provoke pain in the medial branch nerve. Radiofrequency neurotomy (RFN) provides relief of pain in the medial
branch nerve by coagulating the nerve so that it no longer transmits the pain message to the brain. However, RFN procedures do
absolutely nothing to cure the underlying injury in the facet joint.

As Paul Harvey would say, “Now, the other side of the story”: DMX now provides a method of proving damage to the capsular
ligament and the anterior longitudinal ligament!!!

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