Facet Joint Syndrome

Facet Joint Syndrome

Facet joints, also known as zygapophyseal or z-joints, are the joints found between the vertebrae in your spine.  When the surfaces that make up these joints become irritated, inflamed, or arthritic and cause pain it is known as Facet Syndrome.  

Presentation

Facet Syndrome often occurs in the lumbar (low back) region, however, is also commonly seen in the cervical (neck) region.  Research suggests that 15-45% of low back pain can be due to the facets.  Pain that is caused by Facet Syndrome usually presents as local pain but it can also radiate towards the arms and legs.  When pain travels down the legs it often terminates above the knee.  Radiating pain can also be indicative of a disc/nerve root irritation however Facet Syndrome lacks neurological deficits which are often seen in cases of a disc herniation.  The extension (bending back) coupled with rotation (turning) is the most aggravating position in the neck and low back and when located in the low back arising from a flexed or forward bent position is often painful as well.  Facet Syndrome is seen more commonly in adults who are middle-aged and older.  

Cause

The facet joint and the capsule surrounding it can themselves be a source of pain however pain can also be caused by synovial folds also known as meniscoids which become entrapped.  

How We Can Help

If you believe you have Facet Syndrome, or if you have neck or low back pain and are unsure what’s causing it, seeking evaluation and care from a healthcare professional such as the doctors here at Radius is advised. We can help you obtain an accurate diagnosis for your condition and help you escape pain and restrictions.  

Source(s): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206372/

The views expressed in this article intend to induce conversation. This article is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice.