Facet Joint irritation occurs when the joint is injured through compression, rotation, extension or a combination of these movements. Facet joint injuries often occur when the spine is placed into extension for example when reaching up to hang a picture or to change a light bulb. These injuries can be treated effectively with mobilisation or manipulation which provides a reduction in pain and improvement in range almost immediately. For the best long term outcomes a specific therapeutic exercise programme needs to be implemented. This programme of exercise helps restore normal muscle control in the region and an emphasis should also be placed on spinal posture and awareness.