What Is Facet Arthropathy?
Facet Arthropathy commonly denoted as FA is an arthritic condition that affects the functioning and structural integrity of the facet joints present in the spinal column which causes immense pain in certain spinal regions like back and neck areas. It is one of the most frequent forms of condition diagnosed in facet pathology . Aging which causes the wear and tear of facet joints or pressure trauma caused through the injury on the back could be an underlying reason behind the development of facet arthropathy.
Facet Arthropathy Symptoms
1. One of the major symptoms in facet arthropathy include chronic pain that might be present at a certain spinal region.
2. The back pain becomes worse with sleep whereas there is some relief when bending or stretching the spine. However, putting pressure on the spine through twisting or heavy weights could worsen the symptoms.
3. Decreased motility or stiffness in the back or neck region depending on the type of area affected.
Types of Facet Arthropathy
Based on the anatomy of the pain and the underlying changes in the morphological structure of the spine, facet arthropathy could be divided into the following types:
Uncovertebral hypertrophy is the enlargement of the uncovertebral joint which is a tiny synovial joint that extends from the lower cervical vertebrae to the superior vertebral body. Commonly known as Luschka’s joint, an uncovertebral joint is one of the common targets for spur growth as well as degeneration of the spine. It is responsible for the controlling of neck muscles and therefore its enlargement in uncovertebral hypertrophy affects the neck region. Its prevalence causes pain in the neck region and stiffness in the neck movement.
What Are Facet (Zygapophyseal) Joints
Facet joints are also known as zygapophyseal joints. A spine consists of vertebrae that features facet joints of two sets. Superior articular facet is the one pair which faces along the upward direction whereas inferior articular facet is another pair that faces towards the downward direction. The facet joints are responsible for the basic function of aligning the vertebrae and stabilizing motions like twisting, alignment and bending of the back spine through counterbalancing the vertebrae’s discs and reducing friction between the bones. In simpler terms, facets are rear regions located at the back of the spine where the joints merge or meet.
It is a process in which the facet joints get enlarged that in turn results in the stiffness of the spine responsible for a decline in the functioning of back motion. Its symptoms include pain in the posterior back region and a decrease in the motility of back movements like bending and aligning. However, the pain gets worse after certain movements of the spine like its rotation or extension. Majorly, it is caused due to aging and there are no proper treatment methodologies that could completely eradicate its symptoms.
Bilateral Facet Arthropathy
The two major components of a spine include discs and bones. The region consisting of bones are known as facets and the point at which they connect are known as facet joints. Each facet consists of facet joints that are located on its right and left side. The bilateral facet joints are responsible for transferring pressure loads and are responsible for guiding and constraining motions in the spine as a result of their geometry . Bilateral facet arthropathy implies that there are certain discrepancies causing the enlargement of facet joints on both sides which results in more severe back pain that might have more regions covered in pain.
Lumbar Facet Arthropathy
Lumbar facet joints are present in the posterior region of the spinal axis and consist of highly connecting joint capsules. The degeneration process that causes anatomical or functional changes to lumbar facet joints is known as lumbar facet arthropathy. It typically occurs as a result of obesity, age, overuse of the posterior region, high pressure on joints or poor body mechanics which might be a result of genetics . It is one of the most common sources of pain and accounts for 15 to 45% of pain caused by facet arthropathy .
Facet Arthropathy Diagnosis and Treatment
Facet arthropathy could be diagnosed using X-rays, CT scans, bone scans or MRIs in order to get an idea regarding the location and the severity of the affected areas in the spine. Currently, there are no specific oral treatment methodologies that could completely eradicate facet arthropathy. However, maintaining a certain lifestyle that aims on maintaining proper weight and specific physiological exercise could help in controlling its symptoms. Pain caused due to facet arthropathy could be managed through anti-inflammatory drugs like ibuprofen or muscle relaxants like metaxalone. Surgical methods could be used to correct the structural deformities caused due to facet arthropathy that could in turn help in controlling the offset of pain caused by facet arthropathy. Radiofrequency ablation that uses heat to destroy pain nerves could also be used to treat the symptoms of facet arthropathy. Also, cryoneurolysis technique that aims to cause deterioration of the nerve causing pain could also be used to treat facet arthropathy .
Facet Arthropathy - References
- Lumbar Facet Arthropathy. Statpearls. Retrieved 31 Oct 2022. Mann S. et. al. (2022).
- https://doi.org/10.1007%2Fs13244-018-0638-x. Retrieved 31 Oct 2022. Perolat R. et. al. (2018). Facet joint syndrome: from diagnosis to interventional management. Insights Imaging, 9(5), pp. 773–789.
- https://doi.org/10.1115%2F1.4004493. Retrieved 31 Oct 2022. PNicholas J., et. al. (2011). Spinal Facet Joint Biomechanics and Mechanotransduction in Normal, Injury and Degenerative Conditions. The Journal of Biomechanical Engineering, 133(7), pp. 71010–NaN
- The Reliability of Computed Tomography and Magnetic Resonance Imaging Grading of Lumbar Facet Arthropathy in Total Disc Replacement Patients. Retrieved 31 Oct 2022. Juerg Hodler, et. al. (2011).
Who are the top experts researching treatments for facet arthropathy?
What are the top concepts researched in studies about facet arthropathy?
What are some of the top places that specialize in facet arthropathy?
Recommended institutions that specialize in facet arthropathy:
Facet Arthropathy Near me
- Modern Orthopedics555 Knowles Dr #200, Los Gatos, CA 95032 Phone: +14083530203
- Brooklyn Premier Orthopedics1414 Newkirk Ave, Brooklyn, NY 11226 Phone: +17187596100
- Total OrthopaedicsHighgate Private Hospital, 17-19 View Road, London N6 4DJ, United Kingdom Phone: +442030511111
- Sakurai Orthopedic Surgical Clinic1 Chome-15-6 Yutenji, Meguro City, Tokyo 153-0052, Japan Phone: +81357238166
Recent articles about Facet Arthropathy
.. of facet arthropathy as well as determining whether there is a contraindication to total disc replacement (TDR).
SUMMARY OF BACKGROUND DATA: Several classifications attempted to evaluate ...
Also Ranks for: Facet Arthropathy | computed tomography | resonance imaging | intervertebral disc | reliability mri
.. level facet arthropathy (FA) in patients treated with disc prosthesis compared with patients treated with rehabilitation.
SUMMARY OF BACKGROUND DATA: There is controversy about the natural ...
Also Ranks for: Disc Prosthesis | facet arthropathy | chronic low | adjacent level | pain lumbar
PURPOSE: To characterize the inter- and intraobserver variability of qualitative, non-disk contour degenerative findings of the lumbar spine at magnetic resonance (MR) imaging.
MATERIALS AND ...
Also Ranks for: Lumbar Spine | disk degeneration | facet arthropathy | intraobserver agreement | magnetic resonance
Facet disease is believed to play a major role in axial low-back pain and may prove in the future to be an important indication for posterior dynamic stabilization. However, the lack of good ...
Also Ranks for: Computed Tomography | photon emission | facet arthropathy | spect imaging | lumbar spine
OBJECTIVE: A major barrier to understanding facetogenic low back pain has been the lack of radiographic diagnostic criteria. This study investigates the correlation between radiographic ...
Also Ranks for: Single Photon | emission computed | magnetic resonance | lumbar facet | axial pain
OBJECTIVE: The objectives of the study were: to illustrate the magnetic resonance (MR) imaging appearance of facet synovitis in the lumbar region using an MR fat-saturation technique; to ...
Also Ranks for: Lumbar Spine | magnetic resonance | imaging detection | inflammatory facet | fat saturation
BACKGROUND: Many studies have assessed the efficacy of radiofrequency ablation to denervate the facet joint as an interventional means of treating axial low-back pain. In these studies, ...
Also Ranks for: Radiofrequency Ablation | pain relief | lumbar facet | procedural techniques | review performed
.. cervical facet arthropathy and occipital neuralgia. Clinical diagnosis is difficult because of the overlying features between primary headaches such as migraine, tension-type headache, and ...
Also Ranks for: Occipital Neuralgia | cervical facet | cervicogenic headache | zygapophyseal joint | post traumatic
.. and facet arthropathy at L3/L4, L4/L5 and L5/S1. Two radiologists rerated 126 examinations. For each MRI finding at each disc level, agreement was analysed using the kappa statistic and ...
Also Ranks for: Disc Prosthesis | mri findings | l4 l5 | facet arthropathy | resonance imaging
.. pain, facet arthropathy accounts for approximately 10-15% of cases. Facet interventions are the second most frequently performed procedures in pain clinics across the United States. ...
Also Ranks for: Radiofrequency Denervation | lumbar facet | 3 months | joint nerve | patients groups