What is a grade 4 lateral facet changes.

Wear and tear: In general this is for to degenerative changes and grade 4 means that this is the most severe change.

Generally: Speaking its discussing the wear and tear of the cartilage on the patella/kneecap. Grade 4 is significant wear and tear, suggesting that there could be bone on bone issues. Most people with this may need surgery to correct this. You could consider stem cell therapy as an option for relief. Check out Regenexx.Com