Up to 45% of the time
the facet joint is a cause of chronic low back pain ["]Perolat R, Kastler A, Nicot B, Pellat JM, Tahon F, Attye A, Heck O, Boubagra K, Grand S, Krainik A. Facet joint syndrome: from diagnosis to interventional management. Insights Imaging. 2018 Oct;9(5):773-789. doi: 10.1007/s13244-018-0638-x. Epub 2018 Aug 8. PMID: 30090998; PMCID: PMC6206372.

Manchikanti L, Manchikanti KN, Cash KA, Singh V, Giordano J. Age-related prevalence of facet-joint involvement in chronic neck and low back pain. Pain Physician. 2008 Jan;11(1):67-75. PMID: 18196171.

Natural wear and tear of the facet joints can cause painful friction that can worsen into stenosis

1

Healthy spine

No canal arthrosis, facet capsule with synovial fluid allowing smooth facet joint and spinal motion

2

Facet syndrome

Little fluid left in the facet capsule, the resulting
friction causes inflammation and back pain

3

Lumbar Spinal Stenosis

The body naturally responds to this motion/instability by developing bone spurs. Nerve roots are compressed causing additional leg pain and a significantly reduced walking distance. The canal is often narrowed due to arthrosis

Cortisone
injections

Cortisone injections to reduce facet joint inflammation

Radio Frequency
Ablation

Temporary thermal
destruction of pain nerves
in the facets

Surgical
fixation

Surgical implantation
of medical devices blocking the facet motion causing pain (pedicle screws, facet fixation systems)

Treatment options vary in duration
of pain relief and invasiveness

Patients - FFX: Sustainable pain treatment

3

Lumbar Spinal Stenosis

The body naturally responds to this motion/instability by developing bone spurs. Nerve roots are compressed causing additional leg pain and a significantly reduced walking distance. The canal is often narrowed due to arthrosis

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