Facet syndrome, which is also referred to as facet osteoarthritis or facet disease, is a degenerative condition that occurs when a facet joint deteriorates. Facet joints connect the spinal vertebrae to each other and allow the spine to bend and twist while providing stability. Like other joints in the body, the facet joints have a smooth cartilage lining that protects the bones from rubbing and grinding against each other. When one of these joints becomes worn down from the natural aging process or because of traumatic injury to the spine, the resulting friction can lead to joint inflammation.
If you think you are experiencing symptoms related to facet syndromes, such as localized neck or back pain and stiffness, it is important that you are diagnosed by your doctor so you can begin a treatment plan to manage your pain. The following practical information about facet syndrome diagnosis and treatment can make you more involved with this process and give you a better chance of finding lasting relief.
Facet Syndrome Diagnosis
Because pain in the neck or back is relatively common, an accurate diagnosis is necessary to determine whether you have facet syndrome or another condition. A physician should be able to provide a diagnosis after performing a thorough evaluation. This typically involves:
- A review of your medical history
- Questions about your symptoms
- A physical examination involving a range of motion test
- Diagnostic testing such as X-ray, MRI, or CT scan
The examination might also include a diagnostic facet joint injection, which involves pain medication injected directly into the facet joint. If your symptoms cease immediately after the injection, then it is likely that the source of your pain is, in fact, the facet joint. If your symptoms persist, however, then they may be related to another condition, such as herniated disc or a narrowing of the spine.
Facet Syndrome Treatment
If you’ve been diagnosed with facet syndrome, your symptoms can usually be managed using conservative options such as over-the-counter pain medications, low-impact exercise, or corticosteroid injections. If while fully exploring these and other treatment options are unable to provide you with adequate relief, then surgery may be recommended.
At BEST Health System, we perform minimally invasive spine surgery to address facet syndrome on an outpatient basis. Among the procedures we offer is one called facet thermal ablation, which is designed to resolve the pain associated with facet joint arthritis.
To learn more and find out if you may be a candidate for one of our minimally invasive outpatient surgeries, contact us today!