The mainstay of treatment for small joint disorders is conservative treatment, which includes postural correction, manipulation and functional exercises. Small joint syndrome can be caused by trauma, such as a neck injury to the cervical region. Abnormal posture can overload spinal tissues, including the small joints, and cause inflammation and pain in these joints. More commonly, degenerative changes in the cervical, thoracic, and lumbar spine can lead to abnormal stress and tension, which results in increased loads on the small joints. This eventually results in a disordered problem in the small joints. Most conservative treatments for small joint syndrome correct small joint disorders through rest and muscle relaxation. It can also be treated by manipulation experienced doctors massage massage, which has an immediate effect. Treatment is usually combined with a range of anti-inflammatory medications to reduce inflammation. When conservative treatments do not work, small joint injections using steroid medications can reduce small joint pain. This can be done safely using x-ray guidance, which works well to locate the disordered joint for safe injection of the medication. This medication injected around the small joints works well to eliminate inflammation and treat painful discomfort. If the small joint pain is temporarily improved or resolved by injections, further treatment options can be suggested, which is surgery. An example is radiofrequency ablation. This type of minimally invasive treatment measure can help to eliminate the various unfavorable factors that lead to small joint disorders and restore normalcy around the small joints. For the treatment of small joint disorders it is important to note that conservative treatment options are first and foremost, and surgery is chosen only after the conservative treatment fails to work.