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Facet joint injections are used to alleviate symptoms of Facet syndrome. [1] The procedure is an outpatient surgery, so that the patient can go home on the same day. It usually takes 10–20 minutes, but may take up to 30 minutes if the patient needs an IV for relaxation. [ 2 ]
Older adults more greatly affected by low back pain; they are more likely to lose mobility and independence and less likely to continue to participate in social and family activities. [26] Women have higher rates of low back pain than men within all age groups, and this difference becomes more marked in older age groups (above 75 years). [26]
NAGS involves a mid to end-range facet joint mobilisation applied anterocranially along the plane of treatment within the desired joint, combined with a small amount of manual traction. The purpose of this treatment is to increase movement within the spine, and decrease symptomatic pain. [1]
Facet joints also prevent each vertebra from slipping over the one below. A small capsule surrounds each facet joint providing a nourishing lubricant for the joint. Also, each joint has a rich supply of tiny nerve fibers that provide a painful stimulus when the joint is injured or irritated. Inflamed facets can cause a powerful muscle spasm.
The age that people develop spinal stenosis is correlated with change in the joint's biomechanics. [33] Because of this, there has been a recent increasing trend seen by physicians, of lumbar spinal stenosis being more commonly diagnosed in older patients. Low back pain accounts for 17% of all physician visits of people aged 65 and older. [37]
Spinal manipulation appears to provide similar effects to other recommended treatments for chronic low back pain. [57] There is no evidence it is more effective than other therapies or sham, or as an adjunct to other treatments, for acute low back pain [58] "Back school" is an intervention that consists of both education and physical exercises.
Simple, single-joint movements, like a biceps curl, can feel natural after just a few sessions. “Your brain only needs to coordinate one muscle group, so the pathways form faster,” says Rothstein.
[14] [21] Spinal manipulation, massage, and acupuncture have been used to treat the pain associated with various back injuries, but there is little consensus on their degree of effectiveness. [21] [14] [9] Injections: Spinal nerve blocks and epidural injections are options available to alleviate pain and neurological symptoms. [12]