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Facet syndrome is a syndrome in which the facet joints (synovial diarthroses) cause painful symptoms. [1] In conjunction with degenerative disc disease , a distinct but functionally related condition, facet arthropathy is believed to be one of the most common causes of lower back pain.
The facet joints or zygapophyseal joints are synovial cartilage covered joints that limit the movement of the spine and preserve segmental stability. In the event of hypertrophy of the vertebrae painful arthrosis can occur. [ 1 ]
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 ]
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Spinal ligaments can thicken (ligamenta flava) [24] [25] Bone spurs develop on the bone and into the spinal canal or foraminal openings; Intervertebral discs may bulge or herniate into the canal or foraminal openings [26] Degenerative disc disease causes narrowing of the spaces. [27] Facet joints break down; Facet joints may hypertrophy [28]
Hypertrophy is the increase in the volume of an organ or tissue due to the enlargement of its component cells. [1] It is distinguished from hyperplasia , in which the cells remain approximately the same size but increase in number. [ 2 ]
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The injection can be used to treat any facet joint that is causing pain, so this procedure may need to be repeated for the adjacent facet joints. IV sedation can be used for anxious patients to help them sit still. Doctors try to avoid this because it interferes with a patient’s pain response, which is needed to determine which facet joint is ...