Facet joints are located between each vertebra in your spine. These small joints provide flexibility and stability to your back. Over time, the cartilage that is in between the facet joints gradually wears away. This results in friction and can contribute to chronic pain.
Conditions Facet Syndrome by Santa Ana Pain Clinic 1 1 - Facet Syndrome

Causes

Arthritis and general wear and tear contribute to facet syndrome. In younger patients, overuse or injury may be the cause. You might be at an increased risk of facet syndrome if you are overweight, because of the extra load the facet joints have to support.

Symptoms

The symptoms of facet syndrome depend on where the affected facet joints are located. For example:
Conditions Facet Syndrome by Santa Ana Pain Clinic 2 1 - Facet Syndrome

  • In the lumbar spine (lower back), facet joints can lead to pain in the lower back area and the legs, hips, and buttocks
  • In the thoracic spine (middle back), facet joints can lead to pain in the upper back and chest
  • In the cervical spine (upper back and neck), facet joints can lead to pain the head, neck, arm, or shoulder
  • It is not uncommon for the pain to worsen as facet syndrome progresses.
  • Treatments

    A facet joint injection can deliver anti-inflammatory medication to reduce pain in the joints. This method of pain relief acts quickly and can last for extended period. Other treatment options include a nerve block and radiofrequency ablation, which numbs the affected nerves and blocks pain signals from reaching the brain.