Tag Archives: facet syndrome

Pinched Nerve in the Neck?


DRXC spinal decompression SFWe have been providing neck pain relief in San Francisco since 1992.

One of the most common causes of neck, shoulder, arm, and hand pain is a “pinched nerve in the neck”. A pinched nerve is medical terminology (formerly doctor slang) for pressure on a nerve or nerve compression.

Here is how the Mayo Clinic defines a Pinched Nerve:

A pinched nerve occurs when too much pressure is applied to a nerve by
surrounding tissues — such as bones, cartilage, muscles or tendons. This
pressure disrupts the nerve’s function, causing pain, tingling,
numbness or weakness.


A pinched nerve can occur at several sites in your body. A herniated
disk in your lower spine, for example, may put pressure on a nerve root,
causing pain that radiates down the back of your leg (sciatica).
Likewise, a pinched nerve in your wrist can lead to pain and numbness in
your hand and fingers (carpal tunnel syndrome).

Me: A pinched nerve in the neck is usually the result of a herniated or bulging cervical disc, vertebral subluxation (misalignment), degenerative disc disease, facet syndrome, or moderate to severe sprain/strain from say a whiplash or sports injury (think football). This can happen all at once from a trauma or slowly over time from sitting in an awkward position at your workstation, poor sleeping habits (flat pillow with no support), or hobby’s like bowling, playing a musical instrument, knitting, or gardening.

These days, just about everyone spends a lot of time on the computer. Our chiropractic clinic is located in the SF Financial District so almost all our patients sit at a desk for very long hours performing repetitive tasks with the upper extremities on the computer. Many then go home and do more of the same. And a very high percentage of these people already had misalignments in the neck from years of school, studying, sports and life. The stress of working at the computer all day is just another layer of the onion that can accelerate the degnerative process and lead to pinched cervical nerves.

So, what can be done to prevent pinched nerves from happening and what is the best treatment once they do happen?

Well, I am a chiropractor, and I specialize in the treatment of neck, arm, and hand pain. So my opinion is biased owards chiropractic care and nonsurgical spinal decompression. Of course, most of the patients I treat are already experiencing pain and dysfunction. So, our primary focus is to treat the problem and get some relief. We do this using a combination of chiropractic adjustments to the neck, shoulder, arms and hands. We incorporate massage and stretching into the mix, as well as custom low tech exercises. If needed, we use deep tissue laser therapy to reduce inflammation and pain levels.

If a pinched nerve is due to a herniated or bulging disc and the patient does not respond to conventional chiropractic as described above than we will consider cervical spinal decompression with the DRX9000c. The DRX9000c is designed and built to treat cervical disc herniations naturally.

Sometimes we use a combination of everything we have to achieve favorable outcomes. Our 20years+ experience comes in handy when it comes to making decisions on pinched nerve treatment.

Along side the treatment we teach our patients how to prevent what we treat by making better lifestyle choices. Education on things like ergonomics, sleeping postures, nutrition, supplements, exercise/stretching, meditation and relaxation techniques are some of the things we weave into the treatment process.

If you would like to find out if you are a candidate for treatment at our San Francisco Chiropractic Clinic please call 415-392-2225. Ask for a complimentary consultation.  

By Eben Davis

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Tiger Woods has Cervical Facet Syndrome: What is it?

San Francisco Chiropractor Comments:

Tiger Woods
Tiger Woods has been suffering with severe neck pain ever since he returned to play several months back. In fact, neck and shoulder pain caused him to withdraw from THE PLAYERS Championship.

Tiger and his team thought that he had a bulging disc in the neck, or a herniated disc. However, recent MRI findings reveal an inflamed facet joint. The medical diagnosis for this condition is cervical facet syndrome or facet joint syndrome.

So what is facet joint syndrome anyway?  Here's an excerpt of what the Cleveland Clinic has to say:

Cervical Facet Joint Syndrome
Facet joints occur in pairs at the back of each vertebra. The facet joints link the vertebrae directly above and below to form a working unit that permits movement of the spine. The structure of the facet joint is identical to other joints in the body, such as knees and hips.

The bone surfaces of the facet joints are covered with a specialized tissue called articular cartilage. The joint is lined by a membrane called the synovium and enclosed in a fibrous sac called a joint capsule. A thick liquid (synovial fluid) surrounds the joint, allowing the bones to move without friction.

Facet joint syndrome refers to pain that occurs in the facet joints. This syndrome most often affects the lower back and neck. Lumbar facet syndrome might cause referred pain to the buttocks and thigh. Facet syndrome in the neck might cause headaches or shoulder pain.

What are the symptoms of facet joint syndrome?

Symptoms of facet joint syndrome in the lower back include:

  • Pain or tenderness in the lower back
  • Pain that increases with twisting or arching the body
  • Pain that moves to the buttocks or the back of the thighs — This pain is usually a deep, dull ache.
  • Stiffness or difficulty with certain movements, such as standing up straight or getting up out of a chair

Symptoms of facet joint syndrome in the neck include:

  • Neck pain
  • Headaches
  • Shoulder pain
  • Difficulty rotating the head
What causes facet joint syndrome?

There are several possible causes of pain that originates in a facet joint. An injury and/or changes associated with aging might cause the cartilage cushion that covers the bones to wear away, causing pain as the bones of the joint rub together.

In addition, small nerves that branch out from the spinal nerves supply the facet joints. Irritation or pinching of these nerves also can lead to pain. Poor posture, which forces the spine out of alignment, can be a factor in the development of pain from the facet joints. Trauma, inflammation, infection, and disc degeneration are other suggested causes of facet joint pain.

Read full article here

My Take: Facet syndrome is actually fairly common with golfers and many other professional athletes.

We treat quite a bit of facet joint syndrome at Executive Express Chiropractic in San Francisco…as do chiropractors around the world…especially sports oriented chiropractors.  

We use a combination of chiropractic care, deep tissue laser therapy (to reduce inflammation), Active Release Technique (ART), and nonsurgical spinal decompression of the cervical spine.

Drx9000c san francisco

I'm not sure what kind of treatment Tiger Woods has received for his facet joint syndrome, but I would be very surprised if it did not include all of the above.

The problem is the professional golf tour is non-stop…so no matter how state-of-the-art the treatment…you still need to give the body adequate time to recover. Plus, Tiger has been under a lot of mental stress, which can slow down the healing process.

From my own experience, most cervical facet syndrome's do not require surgery or cervical rhizotomy, the nerve deadening procedure.  But, often times professional athletes will do what ever it takes to stay in the game, and deal with the consequences down the road.

However, YOU (the average person) don't have to do this. Most of us have the luxury of being able to rest and recover, such that we don't have to force a treatment that we have to pay for down the road (common in professional sports).

Anyway…hopefully Tiger gets rid of his neck pain and can win a few this year…he is long overdue.

Dr. Eben Davis is clinic director of Executive Express Chiropractic in San Francisco.

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Reviews and directions to Executive Express Chiropractic.

New York City Chiropractor Steven Shoshany offers cervical spinal decompression, laser, Active Release Techniques, and Kinesiotaping. He has lots of experience with professional athletes and facet syndrome. I highly recommend him.

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Does Nonsurgical Spinal Decompression Really Work?

San Francisco Spinal Decompression Doctor Comments:

DRX9000 San Francisco
We have been helping patients with cervical and lumbar herniated discs in downtown San Francisco for about 18 years now at Executive Express Chiropractic (formerly Front Street Chiropractic-across the street).

About 4 years ago we decided to add nonsurgical spinal decompression into the mix. I did this after spending almost a year researching spinal decompression systems, visiting the manufacturers of decompression machines, talking to doctors that had already implemented spinal decompression into their practices, and talking to herniated disc patients that had successfully completed spinal decompression programs (Take the Spinal Decompression Guided Tour). 

Why? Because I did not want to mess with the great results we were already achieving. And…I did not want to add additional overhead to the clinic for some kind of magic bullet machine that was all hype. Plus, there really wasn't any research to support the claims that spinal decompression manufacturers, doctors, and patients were making…it was suspicious…and I am somebody that likes to see hard facts.

So I waited. In the meantime several close friends became spinal decompression doctors around the country…and these are doctors I trust. When they told me they were amazed with the treatment outcomes and were now able to treat a sub-set of cervical and lumbar herniated disc patients that they would have previously referred out it got my attention…and I decided to give it a shot. I think this was around April of 2005.

Well…we have now helped hundreds of herniated disc patients with nonsurgical spinal decompression and I can honestly say…spinal decompression really does work. Does it help every patient that does it? NO

Does it help most of them? YES

And…decompression therapy is very safe and gentle. In fact my mother in law is on the machine now. She is doing both cervical decompression therapy and lumbar decompression therapy. She does the sessions back to back. She got sore in the beginning but that's about it. She is looking to avoid back and neck surgery. Will it work?…don't know yet…but so far so good…she's feeling better. 

Here's the deal…If she would have done the lumbar fusion surgery the surgeon recommended she would have never been able to try nonsurgical spinal decompression…she would have been disqualified from treatment. She knows she can always have back surgery if decompression does not work.

So…while nonsurgical spinal decompression IS NOT a Magic Bullet…It is (in my opinion)the most advanced and effective (and safest) form of nonsurgical treatment for lumbar and cervical disc herniations that exists in the marketplace today.

Will it help you? Don't know…we need to check you out and make sure you qualify medically first…not everyone does. And if we accept your case it's because we feel there is a fairly good chance it will help you.

So why not give it a shot? If you have cervical or lumbar disc herniations, disc bulges, spinal stenosis, disc degeneration, or a facet syndrome that is not responding to other forms of neck pain or back pain treatments you should consider nonsurgical spinal decompression. Why? Because it works…most of the time.

For a complimentary consultation to see if you are a candidate for spinal decompression therapy at Executive Express Chiropractic in downtown San Francisco…call 415-392-2225 (we validate parking).  

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Nonsurgical Cervical Disc Herniation Treatment with the DRX9000c

San Francisco Herniated Disc Doctor Comments:

Drx9000c san francisco
We have been helping patients with cervical disc herniations in downtown San Francisco for over 18 years now at Executive Express Chiropractic (formerly Front Street Chiropractic).

Most of the patients that we treat tell us they want to avoid neck surgery at all costs. And, many have tried just about everything under the sun already…everything from acupuncture and massage to cortisone and physical therapy, even chiropractic care…nothing seems to help. Many have been told that surgery is the only option…and who knows if it will even work…and what about the risks?  

Well, you can imagine how frustrating this must be…and it was for us as well up until about 4 years ago when we purchased our DRX9000c cervical disc repair system. We had already been treating lumbar disc herniations successfully for a while with the DRX9000, so adding the DRX9000c into the mix so we could treat herniated discs in the neck just made sense.

The symptoms of a cervical disc herniation can be devastating. Symptoms like severe neck pain and loss of mobility. Headaches. Night pain. Pain that travels from the neck into the arms and hands. Loss of grip strength. Shoulder pain. Mid-back pain. Herniated discs in the neck can make life miserable. It can be impossible to exercise, hard to sleep, and often times difficult just to sit upright. 

Then, you throw pain medications and muscle relaxers into the mix just so you can make it through the day (and night) and you end up with an endless loop nightmare that is not that uncommon.

It was very frustrating for us (before the DRX9000c) when we had to tell patients we could not help them and refer out for surgical consultations. We felt helpless. But that was then and this is now.

What we are finding now at our San Francisco Spinal Decompression Center is that we are actually able to successfully treat most of the cervical disc patients we treat. Sure, we don't achieve favorable outcomes with every single patient…but the results are outstanding.

In my (biased) opinion, anyone with a cervical disc herniation that has been told they need surgery, should consider the DRX9000c as long as they qualify medically (not everyone does).

Understand this…the DRX9000c Is NOT a Magic Bullet. What it is is the most advanced technology in the marketplace today for the nonsurgical treatment of neurovascular compression syndromes such as cervical disc herniations, disc bulges, cervical stenosis, and facet syndromes.

Is the DRX9000c for you? There's only one way to find out, and that's to get checked by a spinal decompression doctor to see if you qualify.

Here's the deal…in the unlikely event the DRX9000c does not help you at least you are still whole. Nothing was cut out. Nothing was put it. No needles. No drugs. It just makes sense.

If you live or work near downtown San Francisco you can visit us at Executive Express Chiropractic at the Embarcadero Center. Simply call 415-392-2225 and mention the DRX9000c and we will schedule an appointment to see if spinal decompression makes sense for you.

Otherwise, go to www.axiomworldwide.com to find a doctor near you.

Read some San Francisco DRX9000c testimonials

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Is Spinal Disc Herniation Fixable?

San Francisco Spinal Decompression Doctor Comments:

Md_news_photos_011 Up until recently, it was  thought that a herniated disc in the neck…or a herniated disc in the low back could not be repaired without surgery.

Now, it is widely accepted that nonsurgical spinal decompression of the lumbar spine or cervical spine can help a disc herniation heal naturally. It’s pretty amazing if you think about it.

Sure decompression therapy will not help every single patient that does it…but nothing else will either.

We have been treating patients at my San Francisco Spinal Decompression clinics for over 3 years now…and the results have been outstanding. Some patients return to normal, some become a lot better than they were, some a little better…and some do not respond at all (rare).

I’m not sure what the overall success rates are…but it’s pretty darn good.

According to preliminary research currently underway at the Mayo Clinic, John Hopkins and Duke Universities…spinal decompression is the nonsurgical treatment of the future for disc herniations, disc bulges, facet syndromes, and disc degeneration.

The spinal decompression machine used for the research was the DRX9000…the machine we have used at our SF Bay Area Chiropractic Centers.

There is a  Spinal Decompression Special Report on the findings of this study that is very interesting. Check it out and let me know what you think.

If you would like to find out if you are a candidate for spinal decompression at Executive Express Chiropractic at the San Francisco Embarcadero Center…simply call 415-392-2225 and ask for a complimentary consultation with Dr. Eben Davis.

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Cervical Spine Decompression

San Francisco Spinal Decompression Doctor Comments:

Md_news_photos_010Cervical disc degeneration can lead to cervical disc herniations,  which can lead to pinched nerves,  which can lead to neck surgery.

Sure, not everyone with a bad neck ends up on the operating table…but many do.

Does surgery help? Some surgeries do…some don’t. Can surgery be reversed…NO

But what if there is NO WAY I will have surgery…

Are there any other options…it seems like I have tried everything?…YES

Nonsurgical spinal decompression with the DRX9000c. WHAT’S THAT?

It’s a very expensive machine that was designed and built to treat cervical degenerative disc disease, cervical disc bulges, cervical disc herniations, and facet syndrome. DOES IT WORK?

Yes…but not with everybody that does it. HOW DO I KNOW IF IT WILL HELP ME?

You have to try it. There is just no way to know if cervical decompression therapy with the DRX9000c will help you for sure. What we do know is that it is very safe, and is helping thousands of neck pain sufferers around the world…when nothing else would.

You can find a doctor near you with a DRX9000c by going to www.axiomworldwide.com. They have a doctor finder.

Or…if you live or work in the SF Bay Area, you can call my Embarcadero Center Spinal Decompression Clinic to schedule a complimentary consultation. Just call 415-392-2225, and press #1.    

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Sciatica and SF Spinal Decompression

San Francisco Chiropractor and Disc Herniation Doctor Comments:

Images1 The sciatic nerve is the largest nerve in the body. Inflammation of the sciatic nerve is called sciatica…which means you have pain that travels down the leg. The sciatic nerve originates in the lumbar (lower) spine. It is created by branches of lumbar nerve roots.

Here is an excerpt from the great www.spine-health.com website entitled What You Need To Know About Sciatica:

The term sciatica describes the symptoms of leg pain and possibly tingling, numbness or weakness that travels from the low back through the buttock and down the large sciatic nerve in the back of the leg. The vast majority of people who experience sciatica get better with time (usually a few weeks or months) and find pain relief with non-surgical sciatica treatment. For others, however, sciatica can be severe and debilitating

Anyway…it is universally accepted that sciatica is usually the result of a bulging disc, herniated disc, or spinal stenosis. There are other causes also, such as piriformis syndrome, degenerative disc disease, facet syndromes, and vertebral subluxation. Sciatica is just a symptom…not the actual problem.

So, when it come to the treatment of sciatica, we need to look at correcting the problem…removing the mechanical pressure off of the sciatic nerve. Sometimes chiropractic adjustments can do this. Surgery obviously can…but what about the risks?

Md_news_photos_011 Well…this is where nonsurgical spinal decompression comes into play. Spinal decompression systems such as the Axiom Worldwide DRX9000 were designed and built specifically to treat neurovasclar compression syndromes such as bulging and herniated lumbar discs…a primary cause of sciatica. Sure the DRX9000 (watch DRX video) wont help every single person that does it…but nothing will.

Spinal decompression therapy has proven to be very safe and effective…and is gaining popularity every day…even amongst the medical profession.

There are very favorable preliminary research findings from spinal decompression studies currently underway at John Hopkins University, Duke University, and The Mayo Clinic (DRX9000 Special Report).

It’s the wave of the future.

We have been using lumbar and cervical spinal decompression at my San Francisco Spinal Decompression Center for over three years now. We have treated hundreds of cases and the results have been outstanding.

So, if you would like to find out if you are a candidate for lumbar decompression…simply call 415-392-2225, and press #1 (24 hr live operator). Ask for a complimentary DRX9000 consultation.

Read some Bay Area DRX9000 Success Stories

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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