Facet Joint Syndrome

 Ultrasound-Guided Facet Joint Injections at Alton Pain Clinic

Facet Joint Syndrome is a condition that can significantly affect one’s mobility and comfort, particularly in the lower back or neck. At Alton Pain Clinic, 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 is made up of vertebrae stacked atop one another, providing both structural support and flexibility. Between these vertebrae lie facet joints — small stabilising joints positioned at the back of the spine. Each vertebra has two facet joints, one on either side, working in tandem with the intervertebral discs to allow controlled spinal movements such as bending, twisting, and stretching.

Facet joints are a type of synovial joint, meaning they are enclosed in a capsule and lined with cartilage and lubricated by synovial fluid to enable smooth movement. Over time, or due to injury, these joints can become a source of discomfort, particularly when they undergo degenerative changes or become inflamed.

What is Facet Joint Syndrome?

Facet Joint Syndrome, also referred to as facet arthropathy, occurs when the facet joints experience inflammation, degeneration, or structural change. These changes may contribute to localised discomfort or referred symptoms in surrounding regions. The condition can affect various parts of the spine, but is most commonly observed in the lumbar (lower back) and cervical (neck) areas.

Some individuals may experience pain that mimics other spinal conditions such as disc herniation or muscular strain. While age-related degeneration is a common contributing factor, Facet Joint Syndrome can also affect younger individuals due to repetitive strain, trauma, or postural issues.

Causes and Contributing Factors

There are several recognised factors that may contribute to the development of Facet Joint Syndrome:

  • Age-related degeneration — Natural wear and tear may lead to cartilage breakdown and narrowing of the joint space.
  • Repetitive movements — Activities involving frequent twisting or extension of the spine can place stress on the joints.
  • Trauma — Accidents or falls can result in facet joint irritation or misalignment
  • Poor posture — Long-term biomechanical imbalances can increase joint loading.
  • Previous spinal surgery — Altered biomechanics post-surgery may impact adjacent spinal segments and joints.

Common Symptoms

The symptoms of Facet Joint Syndrome often depend on the region of the spine affected. Typical symptoms include:

Lumbar (Lower Back):

  • Localised lower back discomfort
  • Pain that may radiate to the buttocks or thighs
  • Morning stiffness or discomfort after inactivity
  • Aggravation with backward bending or prolonged standing

Cervical (Neck):

  • Localised neck discomfort
  • Headaches originating from the base of the skull
  • Pain radiating to the shoulders or upper arms
  • Limited range of motion in the neck

Symptoms can be exacerbated by certain movements and may ease with rest or a change in posture, such as forward bending.

Diagnosis

Diagnosing Facet Joint Syndrome typically involves:

  • Clinical evaluation — A thorough history and physical examination to assess patterns of discomfort and mobility restrictions.

At Alton Pain Clinic, our clinicians utilise ultrasound guidance during injection procedures to enhance precision and visualisation. This approach supports both diagnostic accuracy and patient comfort.

Managing Facet Joint Syndrome

Management is always tailored to the individual, depending on the severity of symptoms, response to conservative measures, and the degree of functional impact. Options may include:

Activity Modification and Postural Strategies

Adjusting certain movements or daily habits — such as avoiding excessive spinal extension or prolonged static postures — may help ease joint irritation.

Ultrasound-Guided Facet Joint Injections at Alton Pain Clinic

When symptoms persist despite initial strategies, ultrasound-guided facet joint injections may be considered as part of a personalised care plan. At Alton Pain Clinic, these injections are carried out under real-time ultrasound imaging, providing visual confirmation of joint anatomy and needle placement.

What Does the Injection Involve?

  • A fine needle is used to administer a small amount of local anaesthetic, sometimes combined with a corticosteroid, directly into the affected facet joint.
  • The local anaesthetic may provide temporary numbing, while the corticosteroid may help to reduce local inflammation within the joint capsule.
  • The procedure is usually performed in a clinical setting and individuals are typically able to return to light activity shortly afterwards.

Benefits of Ultrasound Guidance

Using ultrasound allows our clinicians to:

  • Visualise muscles, joints, and soft tissues in real time
  • Achieve greater accuracy in needle placement
  • Avoid nearby structures and reduce the risk of complications
  • Improve overall comfort for the patient during the procedure

Ultrasound guidance does not involve exposure to radiation, making it a suitable option for a broad range of individuals.

Why Choose Alton Pain Clinic?

At Alton Pain Clinic, our approach is grounded in accuracy, safety, and patient-centred care. Each injection is performed by a trained clinician with experience in musculoskeletal and spinal procedures, using state-of-the-art ultrasound technology for visual precision.

We take time to understand each individual’s presentation and work collaboratively to identify options that are most suitable for their needs. Whether you’re seeking a diagnostic assessment or support in managing spinal discomfort, our clinic offers a focused and professional environment.

Final Thoughts

Facet Joint Syndrome can be a significant source of spinal discomfort and may impact daily function. While conservative approaches are appropriate for many, some individuals may benefit from targeted procedures like ultrasound-guided facet joint injections.

At Alton Pain Clinic, our clinicians are committed to delivering a tailored service with a focus on quality and precision. If you’re experiencing ongoing spinal discomfort and would like to explore your options, a clinical consultation may help determine whether a diagnostic or therapeutic injection is appropriate for your situation.

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