Which statement best describes initial management of a facet joint sprain?

Which statement best describes initial management of a facet joint sprain?

• A. Aggressive strengthening of the affected area
• B. Avoid aggravating movements; start with gentle mobility and stabilization exercises
• C. High-intensity rotation
• D. Surgery

Answer: (B)

In acute facet joint sprain, the priority is to protect the irritated joint and control pain while preserving movement, so the initial steps are to avoid aggravating movements and begin with gentle, pain-free mobility plus stabilization work. This approach prevents further irritation of the injured facet joints, supports spinal alignment, and helps restore function as healing begins. Pushing for aggressive strengthening or high‑intensity rotation at first would load the damaged tissues and likely worsen pain or slow recovery, and surgery is not indicated for a sprain without signs of instability or other complications. As tolerance improves, the program can progressively include more targeted strengthening and function-focused exercises.

In acute facet joint sprain, the priority is to protect the irritated joint and control pain while preserving movement, so the initial steps are to avoid aggravating movements and begin with gentle, pain-free mobility plus stabilization work. This approach prevents further irritation of the injured facet joints, supports spinal alignment, and helps restore function as healing begins. Pushing for aggressive strengthening or high‑intensity rotation at first would load the damaged tissues and likely worsen pain or slow recovery, and surgery is not indicated for a sprain without signs of instability or other complications. As tolerance improves, the program can progressively include more targeted strengthening and function-focused exercises.