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Doctor insights on: Treatment Options Facet Syndrome

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What are some treatment options for facet syndrome?

What are some treatment options for facet syndrome?

Facet Treatments: May help depending on your pain issue if exercise therapy is not helping. Facet injections are helpful and can be long-lasting, however if your get short lived relief you may need to get evaluated for a radiofrequency ablation for longer lasting relief (greater than 1 year of relief is typical).

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Facet (Definition)

Facet joints are places on the spinal bones where two bones actually meet and articulate. Many times arthritis or inflammation can arise ...Read more


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Which treatment option for herniated discs and facet syndrome is the very best?

Which treatment option for herniated discs and facet syndrome is the very best?

You may need: to treat both. Very different treatments for each of those, which can include epidural steroid injections, facet joint injections, Radiofrequency ablation and even things like platelet rich plasma, prolotherapy or even stem cell therapies. Try to find a physician that does all of these to get the most options for treatment for you.

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Got MRI report, broad based dic bulge l4, l5. Facet hypertrophy l4, L5 and l5, s1. What are treatment options? 3mths pain, no improvment w/pt or st shot

Got MRI report, broad based dic bulge l4, l5. Facet hypertrophy l4, L5 and l5, s1. What are treatment options? 3mths pain, no improvment w/pt or st shot

Complex answer: Best way to reduce back pain is to be as light as you can (optimal weight) be as fit as you can (high level of fitness with good core muscle strength) and don't smoke. The intermittent use of anti-inflammatory medications will help as well. If the epidural was not effective the injection can be placed in the facet joint or the disc. The pain generator needs to be found.

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I have chronic pain from spinal injuries. Are there any new treatments since radio frequency denervation for facet syndrome ? I had radio frequency denervation on both sides of my neck and low back for a few yrs. It helped a lot, but was very expensive an

I have chronic pain from spinal injuries. Are there any new treatments since radio frequency denervation for facet syndrome ? I had radio frequency denervation on both sides of my neck and low back for a few yrs. It helped a lot, but was very expensive an

Not Really Anything: that is cheaper, your insurance should cover repeat treatments though. Stem Cell Therapies are available but generally are not covered by insurance so more expensive. Check out Regenexx.Com. I would suggest seeing a pain/spine specialist to evaluate you further to evaluate what level and what can be done to treat you.

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What is hypertrophic facet sclerosis and best treatment?

What is hypertrophic facet sclerosis and best treatment?

Degenerative Disease: The articular surfaces of the vertebrae become enlarge abnormaly and become stiff. The evidence suggests that best treatment is surgery by pedicle to pedicle decompression.

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What treatment for facet joint arthopathy?

What treatment for facet joint  arthopathy?

Injections: Begin with physical therapy. Facet injections not only can give relief but also confirm the diagnosis. Ultimately facet fusion might help. I perform them outpatient through a minimally invasive approach.

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Treatment for grade 4 chondromalacia medial patellar facet with patella alta with pt / pl ratio of 1.6?

Treatment for grade 4 chondromalacia medial patellar facet with patella alta with pt / pl ratio of 1.6?

Varies: It varies in part on your age, the condition of the other compartments of your knee, and the overall alignment of the limb. Grade IV chondromalacia infers severe loss in the normal cartilage under that part of your knee cap. Thank you for your question.

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I've had 3 facet joint injections that were ineffective. What is usually the next course of treatment?

I've had 3 facet joint injections that were ineffective. What is usually the next course of treatment?

Facet Injection: There are many causes of back pain. Facet injections are used mainly for back pain syndromes that are felt to be caused by pathology from the facet joint. If such injections are ineffective, then the pain generating component of your back pain requires further investigation to determine further treatment options.

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Is there a way to unlock a locked cervical facet joint on the left of my spine that was caused by an excersie? I am looking for a cure not a treatment

Is there a way to unlock a locked cervical facet joint on the left of my spine that was caused by an excersie? I am looking for a cure not a treatment

Osteopathic Eval: Some osteopathic physicians do manipulation to see if a vertebrae is dislocated and he/she can offer treatment by trying to correct the pathology. If this does not help, it could be pathology in your spine that needs to be further evaluation. Recommend seeing a pain/spine specialist.

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From south africa. 40 year old desperately seeking insight on treatment for ddd at 3 levels and arthrosis of vertebrae and facet joints?

From south africa. 40 year old desperately seeking insight on treatment for ddd at 3 levels and arthrosis of vertebrae and facet joints?

Physical therapy: Initial treatment should begin with physical therapy, nsaid's, weight loss, aerobic exercise and smoking cessation. If pain persists, surgical treatment in the right hands can provide relief.

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CS MRI Results: Disc bulge & mild facet arthropathy at C5-6 & C4-5. Mild facet arthropathy C6-7. Mild bilateral ostoearthritis C7-T1. Best treatment?

CS MRI Results: Disc bulge & mild facet arthropathy at C5-6 & C4-5. Mild facet arthropathy C6-7. Mild bilateral ostoearthritis C7-T1. Best treatment?

Many Options: This pain as you suggested is the result of an irritated nerve or facet joints or other injury typically in the cervical spine (neck) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and you may be candidate for facet injections, radiofrequency ablation and/or epidural steroid injection. Speak with Doctor.

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MRI shows: Severe left facet arthropathy, with extensive associated bone marrow edema. C4-C5. Is there any treatment to help alleviate this pain?

MRI shows:  Severe left facet arthropathy, with extensive associated bone marrow edema. C4-C5.  Is there any treatment to help alleviate this pain?

Varies: The MRI findings you describe can potentially cause neck pain, headaches, and pain that runs into the arm. Treatment options run from very conservative to more aggressive based upon the severity of the pain and results of an exam, but can include: medications, traction, physical therapy, epidural steroid injections, radio frequency ablation, and even surgical considerations.

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Treatments for hypertrophy flavum in facet joints ?

Treatments for hypertrophy flavum in facet joints ?

You may need: facet joint injections, radiofrequency ablation and even things like platelet rich plasma, prolotherapy or even stem cell therapies. Try to find a physician that does all of these to get the most options for treatment for you.

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I have ruptured l3-s-1with facet autropathy present l2-s1, lateral recess stenosis, and mass effect on my s1 nerve root. Besides prescription therapy. What helps?

I have ruptured l3-s-1with facet autropathy present l2-s1, lateral recess stenosis, and mass effect on my s1 nerve root. Besides prescription therapy. What helps?

Several options: There are a few options for treatment. You mentioned physical therapy. That certainly is effective a substantial % of the time.Other options include pain management therapy.Pain specialists are very good at adjusting medications that maximize pain control.They may also perform epidural steroid injections.Finally, depending on the correlation of the MRI findings with symptoms-surgery is an option.

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I've had facet joint injections which have not worked I'm bent over can not lean back physio therapy has not worked I've got stenosis and ddd? See pic

I've had facet joint injections which have not worked I'm bent over can not lean back physio therapy has not worked I've got stenosis and ddd? See pic

Tried Epidural?: Epidural Steroid Injections can be quite helpful for spinal stenosis and DDD. If already tried, maybe stem cell therapy is an option for you, check out Regenexx.Com. Last Resort is surgery but that is an option as well.

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I have severe low back pain and have 2 bulging discs in T11 &t12 I have had 13 facet inj which have not helped and physical therapy not helped either?

I have severe low back pain and have 2 bulging discs in T11 &t12  I have had 13 facet inj which have not helped and physical therapy not helped either?

Hard to Say: Without evaluating you fully what to do. Recommend if you are not getting relief, seek another opinion. See a Pain/Spine specialist that is fellowship trained and has understanding of the musculoskeletal system like a physiatrist.

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I have chronic back pain, degenerative disc disease, facet arthrosis, nerve compression, spasms, and I have been to pain mang. Tried several treatments including steriods and injections. I am on a certain narcotic for which I know is not helpful, what now

I have chronic back pain, degenerative disc disease, facet arthrosis, nerve compression, spasms, and I have been to pain mang. Tried several treatments including steriods and injections. I am on a certain narcotic for which I know is not helpful, what now

Spinal Surgeon: It appears that you have tried many forms of conservative. I would recommend that you seek the care of a spinal surgeon. If you have nerve root compression secondary to a disc herniation, facet arthrosis, foraminal stenosis or lateral stenosis, surgical decompression may be in your future. See a spinal surgeon!

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