What is the role of palpation in the evaluation of lumbosacral facet syndrome?

Updated: Nov 19, 2018
  • Author: Gerard A Malanga, MD; Chief Editor: Craig C Young, MD  more...
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Answer

The examiner should palpate along the paravertebral regions and directly over the transverse processes because the Z-joints are not truly palpable. This is performed in an attempt to localize and reproduce any point tenderness, which is usually present with Z-joint–mediated pain.

In some cases, Z-joint–mediated pain may radiate to the gluteal or posterior thigh regions.


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