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

Fernando Molina
2 days ago
Gran equipo Pablo muy apañado felicitaciones
Quiero compartir y agradecer a la Dtra.Natalia Neira su gran trabajo y ser una gran profesional,simpatía y amabilidad,en su gran trabajo día a día.Gracias Dtra.
Horacio Helmann
6 days ago
Las intervenciones que me ha realizado el Doctor han sido un exito y la atención del personal muy buena , recomendado !!!
Thess
6 days ago
I have experienced the utmost professional and reliable advice and help from this unit. Struggling with Meralgia Parastetica for over 2 years and intense discomfort and pain during the past 8 months I am now finally getting the help I needed. First with a nerve block, then an ablation on my trapped nerve. I truly recommend this pain unit, their staff and in my case Surgeon Dr Alejandro Miras Garcia.
Llevo años acudiendo a esta clínica tanto a clases de Pilates máquinas como, puntualmente, a tratamientos de abdomen con Indiba, y estoy encantada. Quiero destacar especialmente a mi profe de Pilates José, que además es fisioterapeuta. Está siempre pendiente de las lesiones y necesidades de cada persona y adapta los ejercicios de forma individualizada, haciendo que cada clase sea segura y efectiva. También se preocupa muchísimo por los horarios y porque podamos recuperar las clases cuando lo necesitamos. En alguna ocasión incluso me ha tratado de manera totalmente altruista alguna dolencia pasajera, un gesto que dice mucho de su calidad humana y de su vocación. Un gran profesional y una clínica totalmente recomendable por su trato cercano y su atención personalizada. 🤍
Sandra Asencio
1 week ago

Insurance companies

Ask your MIVI centre for information on the agreements with insurance companies.