Facet joint pain might cause muscle spasms that pull the spine out of proper alignment, thus resulting to back pain. The facet joints are categorized as synovial joints that serve as a support to the weight and regulate movement between the individual vertebrae. It works along with the intervertebral discs to allow movement for the spine. It is important to note that facet joint pain might arise directly from the facet joint due to inflammation or nerve impingement.
The symptoms tend to vary and can be confusing with disc-related disorders since it is possible for some individuals to report referred pain into the lower extremities.
Indications of facet joint pain
The usual indications linked with facet joint pain comprise the following:
- Muscle spasms that tug on the spine from its proper alignment and trigger back pain
- Bending actions might cause difficulty or inability to move
Remember that a typical acute episode of back pain involving the facet joints manifests abruptly without warning.
How is it diagnosed
In most cases, damage on the facet joint can be revealed on an X-ray. In some instances, a CT scan can be utilized to reveal more detail of other structures to rule out other possible conditions.
If there are no conclusive results, an MRI scan is done to show any issues with the associated structures such as the discs and ligaments of the spine.
Another method involves an injection into the joint which is called facet joint block. This injection is comprised of a contrast material, cortisone and local anesthetic. Once this allows the symptoms to settle, this is considered as facet joint dysfunction.
Management
When dealing with facet joint pain, there are treatment options available where some yield different results for each case.
Initial treatment
The individual should rest and find a position that he/she is most comfortable in. Cold therapy is usually recommended but hot packs can also be used depending on which provides relief to the pain. The application must be done for 15 minutes at a time every couple of hours. Anti-inflammatory medications such as ibuprofen can also be given.
Further treatment
Once the acute phase has passed, other forms of treatment such as sports massage can ease the associated muscle spasms. Exercises to improve posture and strengthen the core and back muscles are also recommended.
Quick Note / Disclaimer
The material posted on this page on facet joint pain is for learning and educational purposes only. To learn to recognize and manage muscular injuries, register for a first aid and CPR course with Saskatoon First Aid.