Lumbar facet syndrome

What is

The facet joints are small joints located in the posterior part of the entire spine that play a fundamental role in the functions of stabilization and reinforcement of the spine. In addition to these functions, they facilitate and allow rotation and flexion-extension movements.

Over the years, overexertion, environmental or hereditary factors of each person cause the intervertebral disc that separates the vertebrae to wear so that the distance between the vertebrae decreases, this factor is very important because it directly affects the facet joints promoting wear so that they collide and become inflamed causing pain. If the alteration is not corrected, the joints will continue to wear out, producing what we know as facet syndrome in the lumbar area.

Causes

It is usually caused by degeneration of the facet joints of the lumbar region. This fact contributes to this fact:

  • Degeneration of the intervertebral disc: discoarthrosis, disc protrusion or disc herniation.
  • Trauma
  • Overweight
  • Antero listhesis or retrolisthesis

Symptoms

Symptoms appear when there is pain in the lumbar region due to wear and tear of the facet joints.

This pain has some peculiar characteristics that help to differentiate it from other types of low back pain:

  • It is located in the spine in what is called the paravertebral area.
  • It may radiate to the buttocks, groin and back of the thigh and increases with twisting and hyperextension movements.
  • It is accentuated by standing for long periods of time, causing a forward lean, as this produces pain relief by relieving pressure on the affected joints.

Approach protocol

Diagnosis and assessment

A correct medical evaluation will be necessary by means of a good anamnesis, physical examination and, if necessary, support of imaging tests. Focusing especially on detecting the factors that lead to the overload of these joints (in this phase the biomechanics, the podiatrist and the physical trainer will be essential) and assessing whether the injury is exclusively at a vertebral level or if there are more conditions in adjacent areas. In addition, it is not uncommon for this type of pain to overlap with episodes of sciatica-type pain that should be evaluated together. The multidisciplinary approach is essential for a comprehensive, personalized approach, focused on achieving prolonged pain relief depending on the phase in which it is found and may involve the collaboration of professionals in biomechanics, podiatry and physiotherapy.

Complementary tests

X-rays, CT or MRI scans are usually performed.

Treatment

Treatment will depend on the physician’s diagnosis and may be applied:

  • Drugs for pain relief
  • Physiotherapy:the combination of osteopathic manual technique treatments with invasive neuromodulation/electrolysis techniques associated with technologies such as Magnetolith, superinductive systems, MBST and therapeutic exercise.
  • Interventional treatments:
    • Facet blocks
    • Facet radiofrequency
    • Functional rehabilitation

Here begins your life without pain

Our customers say

R. Glez. To.
1 day ago
Sin lugar a dudas, si tuviera más estrellas 🌟 siempre marcaría todas, y todas ellas con un mismo sentimiento: "honestidad y agradecimiento infinito". Cinco estrellas no califican el amplio abanico de cualidades positivas de la U.D. MIVI Santa Cruz de Tenerife, y el calificativo "Excepcional" no hace justicia a los valores y cualidades de su "EQUIPO" en mayúsculas. Su trato humano, su profesionalidad, su don de gentes (hacen que te sientas como estar en casa y olvidar que estás en un hospital), su tacto con cada paciente, su cercanía, su cariño en cada acto que realizan, su acompañamiento en cada paso,...y un largo etcétera, además que en mi caso particular, le debo seguir respirando al Doctor J. De Santiago y todo su equipo. Así que eternamente agradecido.
Anna Martinez
1 day ago
Gracias a la Doctora Neira mi vida ha cambiado por completo,tenía una lesión lumbar desde hacía 20 años que sobrellevaba con antiinflamatorios ,esterilla caliente y una gran frustración hasta que por fin me derivaron a la unidad de dolor y tuve la gran suerte de caer en sus manos. Me infiltró hace 7 meses y este verano he hecho los Alpes Albaneses!! mi día a día es más llevadero y además de que es un encanto como persona su profesionalidad me ha dado la oportunidad de poder funcionar de nuevo. Gracias Natalia,por tu buen hacer y si con tu juventud eres así de buena ,cuando llegues a la mía,serás un referente para las futuras generaciones de tu sector,sin dudarlo. Ana.
Me ha atendido la doctora Natalia Neira sobre un problema de hombro y he quedado encantada con su atención y profesionalidad. Explica todo muy bien y es muy cercana. Me volvería a poner en sus manos sin dudarlo.
Diana Aliaga
1 day ago
El trato y experiencia con el médico y enfermera fenomenal. Muy contenta 🤗🤗🙏🏼gracias
Pepi Moreno
1 day ago
Muy buena asistencia, grandes profesionales, quienes demuestran gran profesionalidad y valor humano. Muchas gracias
Muy amables y efectivos!
Atención excelente

Insurance companies

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