Open Accessibility Menu
Hide

Facet Joint Pain

The Facet Joint connects the posterior elements of the spine and is prone to degenerative changes. The facet joint carries up to 1/3 of the loading force of the lumbar spine. Osteoarthritis of the joints leads to cartilage fissures, fraying and erosions. Hereotopic Growth (bony spurs) leads to instability and inflammation. Degeneration of the Facet Joints account for approximately 10-15% of the cases with chronic low back pain.1

Symptoms of Facet Joint Pain Include:

  • Constant aching
  • Dull or sharp pain
  • Pain worsens with movement
  • Localized pain, but can refer pain to the hip or buttock area

The common types of nonsurgical treatments for facet joint pain are:

  • Lumbar Facet Block is procedure where medicine is injected directly into the joint.
  • Cervical Facet Block is procedure where medicine is injected into the cervical facet joint.
  • Medial Branch Block is a procedure where the facet joints are "innervated" by sensory nerves that come off the posterior aspect of the corresponding spinal nerve. These small sensory nerves "dorsal ramus medial branches form a lattice work sensation of the facet joints. Local anesthetic block of the Medial Branch Block can temporarily interrupt the pain signal carried to a specific facet joint.

Reference

1. Pope JE, Cheng J. Facet (Zygapophyseal) Intraarticular Joint Injections: Cervical, Lumbar, and Thoracic. Injections for Back Pain. 129-135. ClinicalKey.com. Accessed July 16, 2019.
Related Providers
*Please note that all physicians are listed in random order and search results are refreshed every hour to comply with Stark Law.
Related Testimonials
  • Interventional Procedure "Dr. Safman is caring and communicates well. The discomfort from the spinal injection is very minor. She makes it an easy procedure." Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "Setting of expectations: that the injection might or might not work, and that another may be needed. The follow-up care has also been very helpful and is appreciated." Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "He explained my condition well and educating me further. Also he and his team were very caring." Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "My appointments have always been professional, caring, and on time." Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "Very positive experience, she even remembered me from several years ago." Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "Everyone was very kind and considerate very helpful" Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "Cared about me during procedure." Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "The care team is great. They do keep an eye on you if you are having a problem." Provider: Kimberly Safman MD
  • Pain Management "Lindsey listened to what I told her and helped me with my problems." Provider: Lindsay Charlu Baumhefner PA-C
  • Spinal Injections Epidural/Facet "My pain is gone right now. Explains everything she is doing." Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "Extremely nice, caring attitude" Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "They made me feel comfortable when I had my injection" Provider: Balaji (Bobby) S Charlu MD
Patient Reviews are anonymous and provided through GetWell, a HIPAA compliant patient engagement tool.
Related Videos
Related Blogs
Related Locations
  • Newport Orthopedic Institute - Huntington Beach Orthopedics
    19582 Beach Boulevard, Suite 306
    Huntington Beach, CA 92648
    (949) 722-7038
  • Newport Orthopedic Institute - Irvine Orthopedics
    16300 Sand Canyon Ave, Suite 400
    Irvine, CA 92618
    (949) 722-7038
  • Newport Orthopedic Institute - Newport Beach Orthopedics
    22 Corporate Plaza Drive
    Newport Beach, CA 92660
    (949) 722-7038
  • South Orange County Orthopaedics, Inc. - Mission Viejo Orthopedics
    26730 Crown Valley Parkway, Suite 200
    Mission Viejo, CA 92691
    (949) 364-2154
  • Hoag Orthopedic Institute Surgery Center - Newport Beach
    22 Corporate Plaza, Suite 150
    Newport Beach, CA 92660
    (949) 515-0708