Facet Joint Syndrome

 Ultrasound-Guided Facet Joint Injections at Joint Injections

Facet Joint Syndrome is a condition that can significantly affect one’s mobility and comfort, particularly in the lower back or neck. At Joint Injections, our clinicians specialise in using ultrasound-guided injections to support the management of spinal joint-related discomfort. This blog explores the condition in depth, including its causes, symptoms, diagnostic approaches, and the role of targeted interventions.

Understanding the Facet Joints

The spine consists of vertebrae stacked atop each other, providing structural support and flexibility. Between these vertebrae are facet joints, which are small stabilising joints located at the back of the spine. Each vertebra has two facet joints — one on either side — which work in conjunction with intervertebral discs to facilitate controlled motion such as bending, twisting, and stretching.

Facet joints are synovial joints, meaning they are enclosed in a capsule and lined with cartilage and fluid, allowing for smooth movement. Over time, or due to injury, these joints can become a source of pain, particularly if they undergo degeneration or inflammation.

What is Facet Joint Syndrome?

Facet Joint Syndrome, also referred to as facet arthropathy, is a condition where the facet joints develop inflammation, wear and tear, or structural changes that may contribute to localised or referred discomfort. It can affect various areas of the spine, most commonly the lumbar (lower back) and cervical (neck) regions.

In many cases, individuals may experience localised pain or discomfort radiating to nearby areas, sometimes mimicking other conditions such as herniated discs or muscular strains. While often associated with age-related spinal degeneration, Facet Joint Syndrome can also occur in younger individuals due to trauma, repetitive movements, or postural issues.

Causes and Contributing Factors

Several factors may contribute to the development of Facet Joint Syndrome:

  • Degeneration due to ageing: Natural wear and tear of the joints can reduce cartilage and narrow joint space.
  • Repetitive strain: Frequent twisting or bending, especially in certain occupations, may lead to joint irritation.
  • Spinal injury or trauma: A sudden jolt or fall can lead to joint misalignment or inflammation.
  • Poor posture or biomechanics: Prolonged periods of poor alignment may stress the facet joints.
  • Previous spinal surgery: Post-surgical biomechanical changes can sometimes affect adjacent facet joints.

Common Symptoms

Symptoms of Facet Joint Syndrome can vary depending on the location of the affected joints. Common presentations include:

Lumbar (lower back):

  • Localised back discomfort
  • Pain radiating to the buttocks or upper thighs
  • Stiffness or reduced flexibility, especially in the morning or after inactivity
  • Discomfort while leaning backwards

Cervical (neck):

  • Localised neck pain
  • Headaches, often starting at the base of the skull
  • Discomfort radiating to the shoulders or upper arms
  • Reduced range of motion in the neck

Symptoms may worsen with prolonged standing, twisting, or bending backwards and may improve with rest or forward bending.

Diagnosis

Accurate diagnosis of Facet Joint Syndrome involves a combination of:

  • Clinical assessment: A detailed history and physical examination to identify characteristic pain patterns and limitations.

At Joint Injections, our clinicians are trained in ultrasound-guided injections, allowing for accurate visualisation of anatomical structures in real-time during diagnostic and therapeutic procedures.

Managing Facet Joint Syndrome

Management is tailored to the individual, depending on the severity of symptoms, functional limitations, and response to initial treatments. Options may include:

Activity Modification and Postural Strategies

Identifying and reducing aggravating movements, such as repeated extension or rotation, can help ease joint stress.

Ultrasound-Guided Facet Joint Injections at Joint Injections

For individuals who continue to experience discomfort despite conservative measures, ultrasound-guided facet joint injections may be considered. At Joint Injections, these injections are administered with precision under real-time ultrasound guidance, allowing for visual confirmation of needle placement and improved targeting of the joint.

What Does the Injection Involve?

  • A small volume of local anaesthetic, often combined with a corticosteroid, is injected directly into the affected facet joint.
  • The local anaesthetic may provide temporary numbing, while the corticosteroid may help reduce inflammation within the joint capsule.
  • The procedure is typically carried out in a clinic setting, and individuals are generally able to resume light activities soon after.

Benefits of Ultrasound Guidance

Using ultrasound allows for:

  • Real-time imaging of muscles, ligaments, and joints
  • Precision in needle placement, helping avoid surrounding structures
  • Improved patient comfort, often resulting in quicker recovery

Why Choose Joint Injections?

At Joint Injections, we focus on precision and patient-centred care. Our clinicians use ultrasound technology to deliver targeted injections with visual accuracy, helping to support those managing spinal joint-related discomfort. We believe in a tailored approach, ensuring that decisions about treatment are made in partnership with each individual based on their unique situation.

Our clinic provides a professional environment where each procedure is performed by trained clinicians experienced in musculoskeletal and spinal injection techniques.

Final Thoughts

Facet Joint Syndrome can be a source of persistent spinal discomfort, particularly when conservative treatments do not provide sufficient relief. A careful assessment, combined with targeted ultrasound-guided injections, may help support the management of symptoms and improve function.

At Joint Injections, our clinicians are committed to delivering thoughtful, personalised care with a focus on precision and comfort. If you’re experiencing spinal discomfort that may be related to facet joints, a clinical consultation can help determine whether a diagnostic or therapeutic injection may be suitable.

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