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In the lumbar spine, facets provide about 20 percent of the twisting stability in the low back. Each facet joint is positioned at each level of the spine to provide the needed support especially with rotation. [citation needed] Facet joints also prevent each vertebra from slipping over the one below.
Facet joint injections came into use from 1963, when Hirsch injected a hypertonic solution of saline into facet joints. [3] He found that this solution relieved lower back pain in the sacroiliac and gluteal regions of the spine. In 1979 fluoroscopy was used for guidance of the needle into the facet joints with steroids and local anesthetics. [3]
The degenerative process in osteoarthritis chiefly affects the vertebral bodies, the neural foramina and the facet joints (facet syndrome). If severe, it may cause pressure on the spinal cord or nerve roots with subsequent sensory or motor disturbances, such as pain, paresthesia, imbalance, and muscle weakness in the limbs.
Dr. Ashira Blazer says back pain can be caused by arthritis, a chronic illness that causes pain, stiffness and swelling around the joints. (Photo: Yahoo Life.)
This is commonly known as facet joint arthritis or facet arthropathy. [3] As with any arthritis , the joint can become enlarged due to the degenerative process. Even small changes to the facet joint can narrow the intervertebral foramen , possibly impinging on the spinal nerve roots within. [ 3 ]
Finding the right treatment for your back pain means trying to figure out what's causing your pain in the first place, Dr. Ashira Blazer, a rheumatologist and assistant professor in the New York ...
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