When done with RF, this technique is often called Treatment Options: Phase III – Surgery Rarely needed for Spondylosis or Facet Joint Syndrome unless radiculopathy or stenosis is present Back and neck pain from Spondylosis can be treated non-surgically [pauljeffordsmd.com]

We included 509 patients who underwent open, microsurgical discectomy in our neurosurgical department between 2006 and 2009 and who presented to our outpatient clinic for follow-up. [ncbi.nlm.nih.gov]

Usually, this condition presents in other joints first – hands, feet, and knees – but it can certainly progress to the facet joints, usually of the neck rather than the lower back. [completepaincare.com]

They are found throughout the length of spine and therefore present in the cervical, thoracic and lumbar spines. Their role is to allow movement of the spine and at the same time preserve stability. [spine-works.com]

• Disability

  (RMQ), Oswestry Disability Index (ODI), and modified MacNab criteria for the pain relief. [ncbi.nlm.nih.gov]

  Clearly, such episodes can be very disabling and frightening. [spine-health.com]

• Weakness

  Facet joint syndrome in the cervical spine may cause weakness, numbness, and tingling in the neck, shoulders, and arms. [americanspinegroup.com]

  Causes “Core” weakness of back and abdominal muscles, often in conjunction with tight hip flexors, can underlie this syndrome, especially when there are frequent recurrences. [resultspt.com]

  Common symptoms of facet joint syndrome include: Back or neck pain Numbness in your hands or feet Muscle weakness Difficulty twisting and bending Headaches If you have symptoms of facet joint syndrome, you should contact your healthcare provider. [intermountainhealthcare.org]

  Individuals who suffer from this condition also tend to suffer from headaches, shoulder pain, muscle weakness, pain in the extremities, and joint stiffness, especially in the back. [wakespine.com]

  Regular exercise to strengthen weak areas is important for those suffering from locked facet joints. [sagemassage.edu.au]

• Back Pain

  BACKGROUND AND OBJECTIVES: Lumbar facet joint syndrome is currently suggested to be a main source of axial low back pain, and a large portion of axial low back pain is caused by disorders in lumbar facet joints. [ncbi.nlm.nih.gov]

  The doctors of Manhattan Pain and Sports Associates are considered best in class back pain specialist for facet joint syndrome. [painmanagementdoctornyc.com]

  View other back pain conditions: Lower Back Pain Middle Back Pain Upper Back Pain Neck Pain Bulging Disc Herniated Disc Pinched Nerve Sciatica Degenerative Disc Disease Foraminal Stenosis Sacroiliac (SI) Joint Dysfunction Vertebral Compression Fracture [spineina.com]

• Neck Pain

  Symptoms Back pain with radiation into hips and buttocks or neck pain with radiation into the shoulders Natural History (“Doing Nothing”) Not all arthritic facet joints cause symptoms Back or neck pain may not be coming from the facet joints even if they [pauljeffordsmd.com]

  Thoracic spine manipulation is also recommended for reducing pain and disability in patients with neck and neck-related arm pain (Gonzalez-Iglesias J. et al, 2009). [blackberryclinic.co.uk]

  Facet joints are a common source of back and neck pain. In fact, lumbar facet joints are implicated in nearly a third of chronic lower back pain cases and nearly half of all chronic neck pain cases when no herniated disc is present. [positivehealth.com]

  Doctors call this common diagnosis facet joint syndrome Facet joints are a common source of back and neck pain. [theragear.com]

  When the facet joints start to change from the wear and tear, they can cause neck or back pain. [intermountainhealthcare.org]

• Muscle Weakness

  Common symptoms of facet joint syndrome include: Back or neck pain Numbness in your hands or feet Muscle weakness Difficulty twisting and bending Headaches If you have symptoms of facet joint syndrome, you should contact your healthcare provider. [intermountainhealthcare.org]

  Individuals who suffer from this condition also tend to suffer from headaches, shoulder pain, muscle weakness, pain in the extremities, and joint stiffness, especially in the back. [wakespine.com]

  Pain, numbness, and muscle weakness associated with facet joint syndrome will affect different parts of your body depending on which of your nerves are being affected. [depuysynthes.com]

• Pain In Thoracic Spine

  Facet joint pain is one of the most common causes of neck pain, back pain and thoracic spine pain. What Causes Facet Joint Pain? Facet joint motion can be disturbed by injury. Joint motion can stiffen - known as hypomobility. [physioworks.com.au]

• Headache

  RESULTS: Group 1 showed increased CROM, increased mean NRS pain reduction, and decreased incidence of combined tension-type headache compared with group N during the follow-up. [ncbi.nlm.nih.gov]

  Symptoms Pain and stiffness when turning from left to right Headaches Pain in the lower back, buttocks or thighs Causes Injury Arthritis Diagnosis Injection of an anti-inflammatory and anesthetic. Immediate relief confirms facet joint syndrome. [michigansportsandspine.com]

  The result can be localized or radiating back or neck pain, headaches and limited mobility. Facet Joint Syndrome The adult human spine is made up of 33 bones, or vertebrae. [myspinedoc.com]

  The person may also experience headaches. Symptoms (lumbar) If the lumbar, or lower spine, is affected pain may be felt in the lower back, buttocks and back of the thigh. Facet joint syndrome occurs when the facet joints become stressed and damaged. [arcticspine.com]

  The person may also experience headaches. Symptoms (lumbar) If the lumbar, or lower spine, is affected pain may be felt in the lower back, buttocks and back of the thigh. [centralcoastortho.com]

• Sciatica

  This is known as Sciatica. Often this problem is made worse by prolonged sitting or standing in one position. [physioroom.com]

  This can often cause pain on the opposite side to the locked facet joint and may potentially lead to other conditions such as sciatica or arm pain. Most commonly you will notice decreased movement and pain or difficulty stretching. [physioworks.com.au]

  Whether such an anatomical variation produces or not low back pain and/or sciatica is a subject of great debate. [casesjournal.biomedcentral.com]

  View other back pain conditions: Lower Back Pain Middle Back Pain Upper Back Pain Neck Pain Bulging Disc Herniated Disc Pinched Nerve Sciatica Degenerative Disc Disease Foraminal Stenosis Sacroiliac (SI) Joint Dysfunction Vertebral Compression Fracture [spineina.com]

  Therefore, symptoms differ depending on the location: Lumbar Facet Joint Pain Lower back pain that may radiate into the buttocks and upper thigh area May be misdiagnosed as sciatica Thoracic Facet Joint Pain Facet syndrome is in the thoracic region of [bonati.com]

• Confusion

  Often, there is an associated spasm of the muscles in the paraspinal region [on either side of the spine], which can further confuse the diagnosis. [neurosurgery.ucla.edu]

  Occasionally, anatomic confusion may lead to surgery on an inappropriate spinal segment; more commonly, occult symptoms from one segment are overlooked while disease at another segment that may not have been so symptomatic is surgically approached. [spinoteka.hr]

• Dizziness

  Vasovagal reaction can be a number of things: dizziness, lightheadedness, weakness, nausea, palpitations, blurred vision, feeling cold or warm, sweating and possibly fainting. [necksolutions.com]

Medial branch block for diagnostic purposes has already been described (see Workup, Procedures), and studies have shown it to be effective in this regard; however, controversy remains regarding its use as a therapeutic intervention. [emedicine.medscape.com]

(level of evidence: 2C) (53) Malanga G., Lumbosacral Facet Syndrome Workup, 2015, Medscape. [physio-pedia.com]

At one week after treatment, low back pain reduced significantly compared with prior to treatment both at rest and during flexion. [ncbi.nlm.nih.gov]

Symptoms may be short-lived and infrequent Rarely, patients develop more persistent and debilitating pain Facet joints have very little ability to repair themselves or regenerate Three Phases of Treatment: Phase I – Non-Invasive Treatments Phase II – [pauljeffordsmd.com]

However, for a better long term prognosis corrective exercises and postural improvements need to be made to get to the root cause of the problem and help prevent a relapse. [physioroom.com]

[…] stylomandibular ligament (SML) at the mandible. 1-21 The onset of Ernest Syndrome may be a consequence of auto accident, whiplash, blunt trauma, law enforcement submission techniques, general anesthesia, dental surgery, excessive yawning, and other etiologies [practicalpainmanagement.com]

It’s more likely at this level that the dorsal ramus blockades, rather than the medial branch. (9)(48)(49) Epidemiology /Etiology LBP is a major cause of disability and is the most common reason for medical consultations because this pain problem interferes [physio-pedia.com]

Global, regional, and national disability-adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990–2013: quantifying the epidemiological transition. The Lancet. 2015;386(10009):2145-91. [theunj.org]

Comprehensive review of epidemiology, scope and impact of spinal pain. Pain Physician. 2009;12:35–70. Manchikanti L, Pampati V, Fellows B, Bakhit CE. [paindoctor.com]

Epidemiology /Etiology According to Binder D et al.(level2A), it has been estimated that facet joint pathology is a contributory factor in 15–52% of patients with chronic low back pain. [physio-pedia.com]

References: Ray CD: Facet syndrome: pathophysiology, clinical picture and treatment. Giornale Internationale per Terapia Antalgica 1:80-94, 1991. [spine-health.com]

Lack of physical exercise or daily activity (questionably) Pathophysiology [ edit ] 55% of facet syndrome cases occur in cervical vertebrae, and 31% in lumbar. [en.wikipedia.org]

FACET SYNDROME TREATMENT Prevention & Self-Care As facet joint pain is linked to aging, it may not be entirely preventable. [bonati.com]

The aim of this retrospective study was to identify possible predictors, surgical aspects or individual characteristics that may contribute to the development of pFJS and may allow prevention of this frequent postoperative problem. [ncbi.nlm.nih.gov]

However, for a better long term prognosis corrective exercises and postural improvements need to be made to get to the root cause of the problem and help prevent a relapse. [physioroom.com]

Left untreated, chronic back pain can become a debilitating condition, preventing patients from completing daily life and work tasks. [joimax.com]

If this is successful then symptoms will be reduced whilst further physical therapy can be employed to prevent recurrences. These injections can be successful but may need to be repeated. [spine-works.com]