Facet Joint Degeneration: A Common Cause of Back Pain Evaluation and Treatment
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- Опубліковано 15 чер 2024
- Reza Jahan, MD
Diagnostic and Interventional Radiology
Professor
Division of Interventional Neuroradiology
Member of Interventional Spine Program
David Geffen School of Medicine at UCLA
University of California, Los Angeles - Наука та технологія
I have watched many videos on facet joint degeneration, and this is BY FAR the BEST explanation I have seen. Thank you for explaining what and where the joints are, the causes of the pain, and the treatments so well. I am eternally grateful for this excellent video. THANK YOU!
At 74 I have lower back pain standing for long, and I know bending forward gives me relief, after watching your program I understand exactly what kind of back problem I have so I am able to avoid those “ one kind of back pain exercise for all” which actually could hurt patients instead of helping. Thank you UCLA my alma mater, you are the best in providing the best science to help the public!
What a great explanation. Just started it and am desperate to get relief....Wish I lived in California
I have recently been diagnosed with this after suffering with chronic back pain for 4 years, I had my nuclear medicine spect scan today and hopefully it will help with my targeted facet joint injections, this is really comforting, thank you
Whats a spect scan? Like a bone scan?
How are you now...I'm going through this now
did you find what facet joint issue is causing your pain?
Great video! Very helpful to have this explained clearly... Looking forward to some relief
Thank you Professor. Your explanation about facet joint conditions is unparalleled and par excellent. I thank you once again.
There's a few videos out there but this one has to take top spot in my book for the best explanation of facet joint degeneration and treatments. Much praise to you kind Sir.
Thank you for your illuminating video.
Thanks! That is very helpful!
Thank you so much for this information. It makes me calm before my procedure.
Great Work! Thank you so much 👍🏻👍🏻
Thank you Dr
well said and described.
And explained. 🙏
Very well explained to common man.. thank you sir
Thanks 🙏 finally I have an idea what is causing me so much pain. I leave in Montreal and will be looking for a doctor that is willing to take care of my back. Thanks again God bless
Sooo helpful thanks ❤️❤️❤️
Why not grow Synovial fluid (join cushion) into labs and then inject it into the joints? Anyone knows?
Superb video.I had another flare up yesterday,this video gives me hope that i might get back to my job as a postman,which i really enjoy.Well,i did ,been off sick 3 months now,facet joint effusion and 3 prolapsed lumbar discs😕
Thank you. 😊
4 months of tingling into both legs and feet and back pain that moves, finally got an mri and facets are inflamed. I think I got this from starting yoga at home arching too far back and then the symptoms began. Not to mention the A typical sciatica relief exercise that I kept doing that made it so much worse. Going for injections of steroids hoping that will stop the nerve irritation. My pain wasn’t continual and wasn’t worse in the morning. I have had bouts of pain, muscle spasms mainly at night and then for week or so nothing but tingling in feet.
Yeah me too, mine is actually pretty decent the first 2/3 of the day. But by about 2 o'clock I'm in discomfort unless I rest and lay down
Hi how you feeling now ? And did you get your injection thanks 🙏 same symptoms
Mine is really bad. I only got an x-ray on my pelvis and lower spine, but my pain is in my legs, arms, and the top right part of my buttocks near the spine. I'm in so much pain. The majority is in my lower back. My nerves also tingle all over my body.
Regarding the inflammation, have to changed your diet intake, reduced carbs, sugars and processed foods. Many are doing very on an elimination way of living. Carnivore is serving many so well
The injection into the spine during CT was helping me 4 days. ..I would have done it a second time maybe in the future.
What are your thoughts on PRP for facet joint issues?
Best video, I have seen .at,age 56 I have both of these. Neck and lumbar. I have tried injections didn't work for me. I was told not to take motrin only arthritis Tylenol due to heart failure and chronic kidney disease.
I’m 74 and just recently I was told about only taking Tylenol. Better now than never i guess🤦🏼♀️
Thanks. I will look into radio frequency ablation.
i have same issue and i saw people were getting endoscopic facet rhizotomy were the endoscopically cut the nerve and with longer releif
i think i got it from sitting too much during the pandemic
Same
Need this bad
How's it going my brother
Central and bilateral paracentral protrusion of intervertebral disc at L2-3 level compressing the dural sac and
indenting the nerve roots.
Central and bilateral paracentral protrusion of intervertebral disc at L4-5 level (L>R) compressing the dural sac
and the left sided nerve roots.
Facet joint arthropathy and ligamentum flavum hypertrophy at L2-3, L3-4 and L4-5 levels with secondary canal
compromise.
plese smjao
I went from asymptomatic to absolute hell 2 months ago. Does physical therapy significantly reduce or even totally revert the pain back to perceptive normalcy in chronic cases? My ROM in flexion is also suddenly gone, which wasnt the case at initial onset. Lumbar flexion is the absolute worse. I used to be able to crack my own back with ease. Now even a chiropractor cant do it.
Great video. When the MRI says "hypertrophy" is that swelling or degeneration or both?
Increase in size
Very informative,But in the UK under NHS treatment, The waiting time to get treatment is so long! I’ve suffered for years with Facet joint degeneration, I’ve had several injections of anaesthetic,But relief is not long term.
i saw people perform endoscopic facet rhizotomy and get longer releif
I have facet joint hypertrophy in my back
My friend was diagnosed with spinal stenosis of L3-5 and had surgery,consisting of posterior fusion and decompression posteriorly, stabilized by hardwares.Post-op,he can’t ambulate w/o a walker and uses motorized W/C to get around.He is on pain meds which give minimal relief.F/U MRI reveals bilateral stenosis with traced anterolisthesis of L3 on L4 and retrolisthesis on L4 on L5 ,severe bilateral foraminal stenosis .Pain never abated.Tried epidural steroid injection;pain got worsened. The right anterior thigh feels tight, heavy and thick.Difficult to walk due to pain.What probably went wrong after the injection, and how to alleviate the worsening pain in the back and leg?Currently,on pain meds as prescribed w/o relief.
Did he try physical therapy
Maybe he was treated the wrong way round. I sympathize re the pain. I'm a veteran and have had chronic back problems since an early age. When enlisted back in the 90's my job caused plenty more issues. The FIRST time I go see a Dr my option he gave was disc fusion right out the gate. I was shocked and explained I'm very athletic etc. I asked if this would limit my ability in any way. He said well you will still be able to walk. I was 22! Military Dr's were butchers many and we were guinea pigs.
Then came big pharmaceutical and the jab😅🤮😵
what is the best exercises for the facet i had 2 injection lasted few days ,,now i was told if i had a facet injection and it work only do facet exercises ,,no back brace no inversion table dr any suggestions and are they right what they said please help i have L4 L5 S1 herniated bulge disk,
I find the following the following three yoga stretches very helpful: Child's pose, downward dog, and forward fold. It's easy to find instructions for these online, hope they help!
Is a lumbar radio frequency ablation contraindicated in someone who has an interstim neurostimulator with the leads at The s3 level?
I am 54 and I have osteoporosis with facet disease was told I need intense therapy due to deformation appearing in nearly all my joints neck back hands feet knees hip my brittle ness if the bones are improving from injections however the degeneration of the bones and joints I can't turn my head to the left the pain is horrid 2018 diagnose osteoporosis osteoarthritis osteopenia hence the injections for the brittle bone it is a none curable disease but can be helped pain management hiweverbibhavevraynauds as well so it is a big issue for me knowingly am going to die from this disease you mentioned a accident and as for standing that is a bug no I have no choice but to take care of myself how dies one get thus disease when no member of the family that was living had any of these things?
Looks like you just got the short straw like the rest of us 😂
I’m 54. My MRI suggest disc budges and some facet joint osteoarthritis at L3/4 L4/5 Levels. I’m in pain most of time. Please advise
Exactly the same for me, did you ever find anything to help?
Same. I did the RFA as physio wasn’t working. It’s been a year since. I’ve taken my rehab slow and easy and added a few lower back strengthening exercises. What the RFA did for me, was to make me able to go to the physio and rehab without another back attack for 9 months. Im good now and have started my golf again…work my way back to the 6 handicap when all this happened. I also ride a road bike for fitness as walking seems to aggregate the back muscles in and around that area.
I couldn’t walk or anything for 7 weeks before I did the RFA (was an,e to walk a little by then with the help of pain meds). For the sake of just numbers right before the procedure; pain level 10 before, when I woke up a few hours later, pain level 3. Then worked on working out the knots from the back spasms and relearning how to use those muscles. And of course strengthening.
Does the pain eventually go away on its own (if someone is diligent with their daily stretches)?
Mine stays minimal unless I have to do a lot at my concrete job. Luckily I can take off when I need to, but tbh I've been dealing with it for almost 20 years and it's arthritic so it never actually goes away.
Doesnt radiofrequency ablation and injections mask the pain such that the person is more likely to indulge in behaviors that would only exacerbate the underlying issue without the negative disincentive of pain to guide them out of complacency such as with lazy posture and overdoing it with free weight training?
YES! I would use this time for physical therapy and strengthen those back muscles
Gave ,e time to work on my back without the spasms that would lay me down
can you do spine fusion for facet joint pain?
According to the neurosurgeon I met with, fusion can be done but it's rare. He himself said I would not be a candidate for surgery, luckily I was able to see a doctor who does RFA and my first procedure was a week ago. The injections only caused minimal discomfort, I would recommend to anyone with arthritic facet joints to consider RFA.
@@tncorgi92 did you get medial branch blocks? how did it go?
here to learn about condition. My low back pain has been on and off for 20 years. Lately at 43 its been really bad. espeically in the morning. I am 43 year old physical male. My Dr did the mri and saw fluid around the facets and beleives this is the cause of my pain. I also have l5/s1 degeberation but she belives that is not the sorce of my pain. my pain is one sides lower back and blips of pain into the top of butt check. feels like a tooth ache all the time. morning times i can barely walk or bend. she wants to try 3 levels l3 l4 l5 of injection to see if it helps. if so then she will burn the nerve.
hey i read that endoscopic rhizotomys work longer / better
I dont get pain relief AS I AM ON BETA BLOCKERS and the double strength codeine give me severe heart burn and i already take omeprazole ,i have multi level and dont get to see a specialist yet ,been nearly 20 years ,i get severe back and rib spasms .
I am on Tramadol SR 100mg, twice a day and 75mg of Lyrica twice a day. It does help me.
i read there is a procedure endoscopic facet rhizotomy and aparently it works really good, they cut the nerve and not burn it
Amazing, calm, thorough explanation! I finally understand my back pain.
Does anyone have recommendations of how to sleep without pain? My pain is worst when I lay flat.
I’ve tried so many positions and different types of beds including adjustable.
But I wake up tossing and turning all night with lower back pain.
Thanks in advance!
Sleep on yr side with pinched knees
my pain at night is really bad and waking up in morning is hell. I need a new mattress. I know me sinking in is not helping it at all
@el-hp1lj mattress should be firm I have this problem I cannot sleep on my back let me ask you are you able to drive with your back against the seat and drive with no pain
but will it cause major pain in the feet?
Yes, burning feet is a symptom.
if they can put screws through your bones to do a fusion why cant they just put some grease fittings at the facet joints🤣🥵🥴
Can it be cured?
thast what im trying to figure out, some doctors say fusion others say fusion wont help so im confused
ArizonaPheonix spine something has a new version. With RFA ur nerves will regenerate fully within a year…that’s where I am right now.
Arizona procedure is called DVR it basically does the same thing but makes it permanent. Google DVR or UA-cam it. If u google there is a Hopkins article
It is indeed a constant pain. Have had ablation and steroid injections .
Has it helped?🙏🏻
Did it work?
if taht worked maybe try endoscopic facet rhizotomy