Hi Ginger,

Thanks for the information.

I was wondering what happens when the pain is not simply from the Wikipedia reference-linkfacet joint. For examply, each spinal nerve contributes a nerve supply to the facet joint above AND below, the disc directly, the PLL and ALL and vertebral artery nerve plexus, the sympathetic trunk etc. Then there is the fact that a spinal level can lead to symptoms emanating from up to 4 levels in a superior AND inferior direction (i.e. 8 levels supplied by the one spinal level). This is often the reason why rhizotomy, diagnostic nerve blocks etc don't always work properly...

i do agree that many people do not consider referred pain but surely it is harsh to suggest that nobody in the past has considered it - chiros and osteos make their living off this principle. Perhaps we as physios do not consider it. e.g. a patient of mine has had 6 months of "physio" to her knee without success (I/F, exercises, massage, U/S) but on my initial assessment (a simple routine one), i was not able to reproduce the pain locally (knee) but able to reproduce the exact pain on L/S examination. Also found a pelvic dysfunction driving the whole process - that is pelvic dysfunction led to uneven loading on the facet joint during loaded manoeuver leading to referred pain to the knee.

Also, i will look into the continuous mobes thing - haven't done so yet - it just seems to take a long time (10-20mins). Are you briefly able to state the proposed mechanisms and simple explanation of its technique?

Thanks!

BTW - what does "Eill Du et mondei" mean?? I cannot find an answer in any translators!