Joint pain is an unfortunate fundamental problem in patient care and pain management. For example, knee pain is so prevalent that, by 2020, more than 1 million patients had undergone knee replacement surgery. However, there are several different medications and treatments that are options before undergoing surgery, which may not be readily apparent. And what if your patient is not a surgical candidate, or if the pain persists even after joint replacement surgery? In this course, we review the relevant clinical exam findings for diagnosis as well as treatment options for cervical/lumbar facet joint pain through peripheral joints such as the shoulder, hip, and knee.