Low Back Pain Due To Facet Joints

What are the Facet (zygapophysial) Joints? The facet joints are synovial joints which help support the weight and control movement between individual vertebrae of the spine. They work together alongside the intervertebral discs to form a functional working unit. They direct the plane of motion at each vertebral segment which is dependant on their angle and orientation. Throughout the spine the angles and orientations differ which alters the possible movement allowed in that area. The facets have an articular cartilage and articular capsule which allow movement but provide stability. Facet joints have a nerve supply from two levels, one branch arises from the nerve root at that level and the second from the level above. When functioning correctly, facet joints move freely controlling the movement of the spine. Facet joint pain may arise directly from the facet joint either from inflammation or nerve impingement What are the symptoms? Common symptoms associated with this condition are adjacent muscle spasms which can pull the patient out of alignment, leading to a guarded posture. Often patients will report “I just bent over to tie my shoe laces and my back went and I couldn't move”. The usual acute attack of back pain involving facet joints occurs suddenly with no warning. It can appear dramatic and patients are in much discomfort and cannot move very well. This spasm of adjacent muscles is the bodies way of protecting the area and tries to prevent you from moving and incurring more damage. Symptoms can vary greatly and be confused with disc related disorders as its possible for patients to report referred pain into the lower extremities. The traditional facet locking syndrome may lead to such an acute attack but can be resolved successfully by freeing the offending joint and restoring normal function. This should only be attempted by suitably qualified practitioners following the correct diagnosis.   The information contained on this site is purely a source of information and can at no time replace the expert eye of a qualified professional. We recommend seeking professional advice before embarking on any form of self treatment. Neither the content or nor any other service provided through mybesttennis.com is intended to be relied on for medical diagnosis or treatment. Never delay in seeking professional advice because of something seen on mybesttennis.com.