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Facet Blocks Diagnosis - gold standard (PE) - pain with extension and rotations, side bending, return to standing from flex position with local tenderness to palpation over the facet joint. Radiographic - joint space narrowing, hypertrophy, sclerosis, trophism Previous slide Next slide Back to first slide View graphic version © 1998 Specialty Physicians Alliance. All rights reserved. If you have questions or comments please contact webmaster@spa-ortho.com