What is facet joint degeneration?
Facet joint syndrome is an arthritis-like condition of the spine that can be a significant source of back and neck pain. It is caused by degenerative changes to the joints between the spine bones. The cartilage inside the facet joint can break down and become inflamed, triggering pain signals in nearby nerve endings.
What causes degeneration of the facet joints?
Degeneration due to aging and tissue wear-and-tear is the most common cause of facet joint disorders in the lower back. Degeneration of the facets is closely related to degenerative changes in other spinal structures, such as the intervertebral discs,1 and may result in both conditions occurring consecutively.
Is facet joint deterioration serious?
While rare, a lumbar facet joint problem may indicate a serious underlying condition if one or more of the following signs and symptoms are present: Pain that suddenly becomes severe and intolerable. Numbness in the groin and/or genital area. Severe weakness in both legs.
What are the symptoms of facet joint pain?
Symptoms of Lumbar Facet Joint Disorders
- Localized pain. A dull ache is typically present in the lower back.
- Referred pain. The pain may be referred to the buttocks, hips, thighs, or knees, rarely extending below the knee.
- Radiating pain.
- Tenderness on palpation.
- Effect of posture and activity.
- Stiffness.
- Crepitus.
How do you treat facet degenerative disc disease?
Diagnostic facet injections contain a corticosteroid, and an anesthetic to temporarily relieve discomfort. If the patient experiences relief, the facet joint is likely the cause of the pain. Initial treatment for facet joint syndrome is often conservative and may include rest, and ice or heat therapy.
Can surgery help facet joint pain?
Surgeries performed on the facet joints aim to reduce pain by improving the stability of the motion segment. A fusion of the adjacent vertebrae may be performed if a significant portion of the facet is removed.