What is Facet Syndrome
Facet Syndrome, also known as facet joint osteoarthritis or facet arthropathy, is a condition that affects the small stabilizing joints located at the back of the spine. These joints help support spinal motion and prevent excessive movement. When these joints become inflamed or degenerate due to aging or injury, it can result in localized back or neck pain.
Types of Facet Syndrome
– Cervical Facet Syndrome: Affects the neck region and can cause pain radiating to the shoulders and upper back.
– Thoracic Facet Syndrome: Less common, involves the mid-back area.
– Lumbar Facet Syndrome: Affects the lower back and may radiate to the buttocks or thighs.
Causes of Facet Syndrome
Facet Syndrome is typically caused by:
– Age-related wear and tear of the facet joints
– Repetitive spinal movements or poor posture
– Previous spinal injury or trauma
– Degenerative disc disease increasing joint stress
– Spinal misalignment or scoliosis
Symptoms
Common symptoms include:
– Localized back or neck pain near the affected joints
– Pain that worsens with twisting, bending, or arching the spine
– Stiffness or decreased range of motion
– Tenderness over the spine
– Referred pain to buttocks, shoulders, or thighs depending on location
Diagnosis of Facet Syndrome
Diagnosis involves:
– Detailed history and physical exam
– X-rays to identify joint degeneration
– MRI or CT scans to visualize joint inflammation
– Diagnostic facet joint injections to confirm the source of pain
Conservative Treatment
Non-surgical treatments may include:
– Physical therapy to improve mobility and strength
– Nonsteroidal anti-inflammatory drugs (NSAIDs)
– Postural and ergonomic modifications
– Activity modification and weight management
– Facet joint injections for temporary pain relief
– Radiofrequency ablation (RFA) to reduce nerve pain transmission
Surgical Treatment
Surgery is typically reserved for severe cases that do not respond to conservative treatment. Options include:
– Facetectomy/Facet Debridement
– Spinal fusion to stabilize the painful joint segment
– Decompression procedures if nerve compression is involved
Frequently Asked Questions
Q: Is facet syndrome the same as arthritis?
A: Yes, it is a form of spinal arthritis that affects the facet joints
Q: How long do facet joint injections last?
A: Relief can last from a few days to several months, depending on the individual.
Q: Can exercise help facet syndrome?
A: Yes. Physical therapy and targeted exercises can help strengthen supporting muscles and reduce joint stress.