Facet Joint Pain

The facet, or zygapophysial joints are the articulations between two vertebrae. Each vertebrae has both superior and inferior articular processes, on its left and right sides. The superior process forms a facet joint with the inferior process of the vertebrae above.

The inferior process forms a facet joint with the superior process of the vertebrae below.

Facet joints allow movement of the spine and dictate what type of movement is most extensive at that part of the spine. For example, in the lumbar spine, the joints are orientated horizontally (at right angles to your computer screen!). This allows the movements of flexion, extension and side bending, but restricts rotation.

In lower back pain problems, pain is usually chronic in nature and is caused by long-term degenerative or postural changes. Sometimes an acute period of facet joint pain occurs following a movement such as bending over or twisting. Nerve compression and inflammation of the joint are the most frequent sources of pain.

Symptoms

Pain, usually focused on one side of the back.
Pain is worse when bending backwards (extending the lumbar spine).
Pain which is worse when you bend to the painful side.
If a nerve is compressed, pain may radiate into the buttocks or back of the legs.

Treatment

Treatment of an acute attack should focus on pain relief:

Rest from aggravating activities.
Use a hot pack or take a warm bath to ease associated muscle spasms.
Visit your Doctor or a specialist who may:
Prescribe anti-inflammatories like ibuprofen
Use sports massage to ease muscle tension

For longer term chronic problems, specialist treatment may include:

Manipulations to open up the facet joint and improve movement.
Postural correction using exercise therapy.
Corticosteroid injections into the facet joint.

Further Information

Facet joints - for further information on treatment including rehabilitation, taping, sports massage, stretching and more visit sportsinjuryclinic.net

Facet joints can be the cause of acute back pain