Facet joint syndrome is a common musculoskeletal condition that affects millions of people worldwide. The facet joints are small joints located between the vertebrae in your spine that allow you to twist, bend, and move in different directions. When the cartilage on these joints wears away or becomes inflamed, it can lead to friction, irritation, and pain. This condition can significantly impact your quality of life, causing stiffness, reduced mobility, and discomfort in the neck, back, or shoulders. However, it is possible to live a long life with facet joint syndrome as there are many effective treatments available to manage and relieve pain. In this article, we’ll explore the best treatment options—including chiropractic care, physiotherapy, medication, and self-care strategies—recommended by experts at CARESPACE.
Chiropractic Care
One of the most effective ways to treat facet joint syndrome is through chiropractic care. Chiropractors specialize in diagnosing and treating conditions related to the spine and musculoskeletal system. Spinal adjustments help realign the spine, reduce pressure on the facet joints, and alleviate inflammation and nerve irritation. These adjustments can also improve range of motion and help restore normal joint function.
In addition to adjustments, chiropractors may use soft tissue techniques such as massage, myofascial release, and trigger point therapy to reduce muscle tension and improve circulation. Some may also recommend home exercise programs designed to strengthen supporting muscles and promote long-term joint stability.
Chiropractic care can be particularly effective for individuals experiencing chronic back pain or stiffness due to facet joint syndrome, offering a non-invasive way to improve function and relieve discomfort.
Physiotherapy
Another highly effective treatment option for managing facet joint syndrome is physiotherapy. Physiotherapists use evidence-based exercises, manual techniques, and education to reduce pain, improve flexibility, and restore normal movement.
A physiotherapist can design a personalized rehabilitation program tailored to your needs. Common physiotherapy techniques include:
- Spinal mobilization: Gentle manual movements that help reduce stiffness and improve range of motion.
- Core strengthening exercises: Building strength in the abdominal and back muscles helps support the spine and reduce stress on facet joints.
- Postural correction: Proper posture helps prevent further irritation and encourages long-term spinal health.
Physiotherapists may also use electrical modalities, stretching, and manual therapy to manage pain and inflammation. Regular physiotherapy sessions can improve posture, prevent future flare-ups, and help you return to normal activities safely.
Medication
In some cases, medication may be recommended to help manage pain and inflammation associated with facet joint syndrome.
- Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can help reduce inflammation and discomfort.
- Muscle relaxants may be used to relieve muscle spasms around the affected area.
- Corticosteroid injections can provide short-term relief for severe inflammation.
While medication can be effective for short-term pain management, it’s important not to rely on it as a long-term solution due to potential side effects.
Radiofrequency Ablation
For individuals with severe or chronic pain who do not respond to conservative treatment, radiofrequency ablation (RFA) may be an option. This minimally invasive procedure involves inserting small needles near the affected facet joints and using heat to disrupt pain signals from the nerves. RFA can provide long-lasting pain relief and improved function, especially when other treatments haven’t worked.
Lifestyle Modifications and Self-Care
Self-care and healthy lifestyle habits are essential in managing and preventing facet joint syndrome.
- Exercise and movement: Incorporate low-impact exercise for facet joint syndrome such as swimming, walking, yoga, or cycling to maintain joint mobility and flexibility. Regular exercise strengthens the muscles supporting your spine, reducing pressure on the joints.
- Posture: Poor posture while sitting or standing can strain your facet joints. Use ergonomic furniture, keep your back supported, and take breaks to stretch throughout the day.
- Weight management: Maintaining a healthy weight reduces stress on the spine and joints, helping alleviate pain and prevent further degeneration.
- Heat and cold therapy: Alternating between heat and cold packs can help manage inflammation, reduce stiffness, and provide temporary relief from pain.
- Nutrition and hydration: A balanced diet rich in fruits, vegetables, lean proteins, and healthy fats helps reduce inflammation and support tissue repair. There are also foods to avoid with facet joint syndrome, which can aggravate symptoms. Staying well-hydrated is equally important—dehydration can worsen joint pain and stiffness by reducing the cushioning in the spinal discs and joints.
- Avoid smoking and excessive alcohol consumption, as both can impair healing and contribute to inflammation.
When to Seek Professional Help
Facet joint syndrome can cause chronic pain and limit mobility if left untreated. It’s best to seek professional care early to improve your chances of recovery. Chiropractors, physiotherapists, and registered massage therapists (RMTs) can work together to design a customized treatment plan tailored to your needs.
Combining chiropractic adjustments, physiotherapy, and targeted exercises provides an integrated approach to relieve pain, restore movement, and improve spinal health. In more severe cases, advanced treatments such as radiofrequency ablation or corticosteroid injections may be recommended under medical supervision.
Final Thoughts
Facet joint syndrome can be a painful and limiting condition, but with the right treatment approach, you can significantly reduce your symptoms and improve your quality of life. Early intervention, professional care, and consistent lifestyle changes—such as maintaining good posture, exercising regularly, and staying hydrated—can help you manage pain effectively and prevent recurrence.
If you have any questions or would like to explore further, please book a free, no-charge online appointment with myself, Nitin Nair, BPT, R/TRO DIP, PT, or another Kitchener physiotherapist at CARESPACE. We are happy to listen and are here to help!
Visit our Facet Joint Syndrome Guide for expert advice on back pain management, therapy options, and recovery strategies
