Doctor insights on:
Facet Joint Low Back Pain
Lumbar disc degeneration,facet hypertrophy,3mm spondylolisthesis L5-S1.Severe low back pain, radiates down hips and legs.Benefit from pain mngmt?
Low back pain is pain that occurs in the back above the buttock area and below the ribs. Low back pain can be sharp, dull, intermittent or constant. Pain can be at rest or associated with activity. Back pain can also be accompanied with pain that shoots or radiates down into the lower extremities or legs which is frequently ...Read more
"radiating pain": If refers to radiating pain from a specific nerve distribution - usually from an upper region to a lower region, i.e. Back down th leg, or neck to the arm or shoulder. . Each nerve carries a signal (and pain) to a specific anatomic location. (compare to a sprained ankle that can be diffusely painful and numb rather than focally numb and painful in one location. ...Read more
Multiple symptoms : See u orthopaedist for evaluation and treatment. ...Read more
Facet joint pain or si joint pain? Pain is located in lower left, 2 inches from spine (l5-s1 area). No reffered pain. 2 somewhat positive facet blocks
Can Be both: However if the facet block gave you 70-100% pain relief, then more likely to be your fact joint. If less than 50% relief, then consider the SI joint as a definite source of your pain. Also if not ruled out already, I often find things like spinal stenosis or herniated discs also have this same pattern of pain. ...Read moreSee 1 more doctor answer
Hard to say: Lumbar spondylosis is another way to say you have developed some degenerative changes in your spine. This can certainly potentially cause back and leg pain, but is somewhat of a non specific diagnosis. If pain persists, a detailed exam and appropriate studies can usually pinpoint the cause. Thank you for the question. ...Read more
Can strained l5s1 facet joints cause pain in the si joints? Right si joint pops when raising left leg sometimes and when pushing legs together. Sijd?
Depends: If you already have sciatica and it involves your si joint too, this nerve goes all the way down to the foot, and can affect any part of the nerve that shoots off from it. To double check, you need to see a PCP/Dr. to get this checked out and see for sure. A sports medicine, or osteopathic (DO) physician are well trained to see this, as are neurologist or orthopedist. Start with your PCP first! ...Read more
I am experiencing severe back pain, low back pain, reduced spinal flexibility, curved spine, reduced reflexes, popping or snapping sound from shou...
Back pain: This is a common symptom in teens who are active. Assuming no specific trauma, you can take a trial of Advil po q 6 hrs and Aleve q 12 hrs until pain subsides. Also, patches on the back OTC for pain are helpful. Heating pads can also help. Reduce activities that might aggravate while you are healing. The pops/snaps are muscularskeletal from laxity of the tensions/muscles. See MD if pain persist ...Read more
63 healthy m chronic back pain. Gr 1 spondylolithesis l34&l45+ facet arthritis. Bil facet blocks helped but still have bil butt pain. Advice?
Generally Good: Radiofrequency procedures work well if a previous facet injection or medial branch block was performed with greater than 75-80% relief that was obtained. As with anything there are failures, but quite low if the block worked well. Risks are the same as with any spine procedure, no different. Rare that you would be worse off afterwards. ...Read moreSee 3 more doctor answers
Likely unrelated: I think the symptoms in the leg and the head are separate even though they may be occurring simultaneously. The leg symptoms may be related to a disc compression some of the nerves that go down the leg. This may be more prominent in certain positions. Leg symptoms also may be due to referred pain from muscle or a disc. Also, not all headaches are migraines so it is important to have them evaluated. ...Read moreSee 1 more doctor answer
Can muscle unbalances cause Pain in SI joint Area on one side?Plus nerve pain down leg. Had MRI and showed no disk problems, pain in side really sharp
Yes but may not b: Yes muscle involvement can be involved, but also the facet joints can also cause radiating down the leg. As part of your evaluation the other thing to consider is if the nerve is being irritated outside the spine such as by the piriformis muscle . These are things your physician will need to try to evaluate and help you ...Read moreSee 2 more doctor answers
Is mild lumbar hypertrophic disease in facet joints something to worry about and monitor?Chronic low back pain.Neuro didn't mention in f/u,got report
I have back pain non-stopin my mid back to lower back, it aches non-stop and feels stiff the physio said the pain is in the facet joint. What's wrong?
I'm 30 yrs old and dealing with low back pain for last three years. Have had epidurals, facet injection, rfa of l5-l1 nerves and no fix yet. ?
Low back pain. 8 mos post laminectomy. Need good lower back strengthening exercises. Pain dr. Claims says its bio mech changes in facets post surgery?
Possibly: There is nothing about a laminectomy that should precipitate facet pain/arthritis. But patietns with spinal stenosis who require laminectomy often have multiple back issues including facet arthritis. There could be scarring after surgery causing some pain but typically you would have some leg pain as well. After completing pt and core exercises, facet pain can easily be tested with an injeciton. ...Read moreSee 3 more doctor answers
Si joint &low back pain for 2 weeks.How often does it indicate ankylosing spondylitis? If not as, what are other differentials that i can think of?
Excruciating low back pain, and si joint, what can one do to relieve the pain, I have a physical job and have to work. Any suggestions appreciated! ?
My symptoms severe pelvic joint ligament pain-right side. Low back pain bloating and increase in gas. Please advise me?
Low back pain: Consider seronegative spondyloarthritis. There are several forms including enteropathic spondylitis or spondylitis associated with inflammatory bowel disease (including crohn's disease & ulcerative colitis) & forms caused by bacterial infections of the bowels including yersinia, salmonella, shigella, & campylobacter. See a rheumatologist to sort this out. ...Read more
Depends: Both specialists overlap quite a bit. Just depends on what you are comfortable with. Physical therapy is now doing a lot of manipulation therapies and vice versa chiropractors are noting the benefit of active exercise therapy for their patients as well. Often times seeing an sports medicine physician might be helpful since they have experience with both care types to guide you. ...Read moreSee 3 more doctor answers
Can ankylosing spondylitis begin with neck pain? 1yr after my neck pain started now I have low back pain and bony erosions in si joint x-ray.Im 29
Im complement deficient. What does this mean? Low C3 and c4. joint pain, low back pain, rashes, anisocoria, low tsh, fatigue etc and it's not lupus
Likely secondary: You probably has an autoimmune condition which is consuming the complements thus accounting for the low levels. Have you seen a rheumatologist? if so, you need to rush to find one. ...Read more
Are there specific blood tests to identify viruses? Cbc clear but been ill for 2 months. Abdo/low back pain, sore throat, mild fever, inflamed joints
Blood Tests: A viral culture might be drawn to identify a virus in your blood, but many viruses hide within cells, such as the HIV virus. Bacteria are usually more easily identified, but only if the bacteria is actually in the blood. Better identifying factors might be your eosinophils, neutrophils, and your total WBC blood count, but these only show that your body if fighting a problem. See your doctor! ...Read more
6mos post lami. Localized left lower back pain, feels muscular. Hurts when twist and extend. Dr. Wants facet rhizo. Muscles? Pain when i stretch. Mri?
Possibilities: In addition to pain management, especially if it's not helping, i would talk to your surgeon about getting new imaging. I would consider getting dynamic xrays to rule out any new instability. I don't know if MRI would add much if you aren't having leg symptoms. ...Read moreSee 1 more doctor answer
Lower back pain. MRI done. Ligamentum flavum Hypertrophy, among others things. Will it get better? Im 45, female. Also, Facet Capsulitis. Thanks
MRI: Ligament hypertrophy is in the spectrum of degenerative disease, not likely to improve. ...Read more
Can you recommend anything other than surgery? I began having lower back pain 6 yrs ago, ended up having 3 injections for fractured facets, arthritic changes and 2 bulging discs. 2 years ago, i had another 3 injections for the same problem. The dr told me
I'm : I'm sorry you're having trouble getting relief of your pain. Based on your description, you have facet mediated pain most likely from facet arthropathy (arthritis). It sounds as though you have exhausted many of the non-operative options available for your problem. Some other options (you may or may not have tried already) include acupuncture, physical therapy, oral medications, and lumbar traction. None of these methods are a "cure-all" but they may give you enough relief to make the situation tolerable and avoid surgery. If you fail all of these measures and continue to have pain that interferes with your quality of life you might consider surgery. There are some newer techniques that have not stood the test of time (facet joint replacement) but the gold standard is lumbar fusion. It is reliable surgery in the properly indicated patient. You would need to discuss the risks, benefits, and alternatives with your surgeon, but don't expect 100% relief of pain. If you can accept 75% improvement in your pain condition, that would be a reasonable expectation. Good luck, hope you find relief. ...Read moreSee 1 more doctor answer
Im 19.I have lower back pain. CT scan stated that I have a "chronic break in l5-s1 pars interarticularis with facet arthropathy" what does this mean?
Refer to an ortho: In general, I would normally tell a patient to see an orthopedic specialist. ...Read more
I had X-rays for chronic lower back pain. Report says moderate right facet hypertrophy is present at L5-S1. Mild narrowing of the L5-S1 disc is noted. I also had X-rays of my knee which said lateral patellar subluxation. How can they help me?
Orthopedic surgeon: Your patella(kneecap) slides out of place but doesn't dislocate. Nevertheless this indicates some degree of instability which I feel should be evaluated by an orthopedic surgeon who will advise you about treatment options. You have some osteoarthritis of your spine and some mild degenerative disc disease which may cause some back issues. These spinal findings are rather common. ...Read more
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