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The Different Stages of Facet Joint Syndrome

facet joint syndrome stages - The Different Stages of Facet Joint Syndrome

Facet joint syndrome is a common condition that affects many people, commonly resulting from degenerative changes. It is a painful condition that can lead to chronic discomfort and immobility if it is not managed properly. When it comes to treating facet joint syndrome, understanding the different stages of the condition is critical. In this blog post, we will explore the different stages of facet joint syndrome to help you better understand your condition and seek appropriate treatment options.

Stage 1: This is the early stage of the condition. It is characterized by mild pain and discomfort that is not severe enough to interfere with normal activities. In this stage, patients may experience occasional stiffness, and joint mobility tests may reveal minimal loss of joint movement. Stage 1 usually responds well to conservative treatments like physiotherapy and chiropractic care. Patients may be advised to take a break from activities that exacerbate their symptoms and adopt a healthy lifestyle that includes regular exercise and a healthy diet.

Stage 2: In stage 2, pain and discomfort increase progressively. Patients experience more frequent stiffness, and joint mobility is significantly reduced. They may also experience muscle spasms around the joint area, making it difficult to move the joint. To manage stage 2 facet joint syndrome, more aggressive treatments like epidural steroid injections may be recommended. Patients may also be asked to go for imaging studies, such as X-rays and MRI scans, to assess the severity of the degenerative changes.

Stage 3: In this stage, facet joint syndrome becomes advanced and more severe. Patients may experience chronic pain that interferes with their daily activities and may be unable to work or perform physical activities. Joint mobility is limited, muscle spasms are frequent, and there may also be nerve root compression symptoms. It is common for patients to require surgery for stage 3 facet joint syndrome, such as a medial branch block or radiofrequency ablation. Surgery is a last resort, but it is always recommended to perform surgery than letting patients living with chronic health conditions.

Stage 4: This is the end-stage of facet joint syndrome, which occurs when the joint has experienced severe degeneration. Joint deformity, complete loss of mobility, and severe neurological damage are common features of this stage. Patients may require more invasive surgery techniques like spinal fusion. However, treatment options are limited, and pain management is the primary focus in this stage.

Facet joint syndrome can have a significant impact on your life if you don’t seek treatment early. Understanding the different stages of the condition is critical to receiving appropriate care. In the early stages of the condition, conservative treatments like physiotherapy and chiropractic care are effective in managing symptoms. As the condition advances, more aggressive treatments like epidural steroid injections may be recommended. Surgery is required in the later stages of the condition, but early intervention is critical to maintaining your quality of life. If you are experiencing symptoms of facet joint syndrome, it is important to seek medical attention promptly to receive appropriate treatment.

If you have any questions or would like to explore further, please book a free, no-charge online appointment with either myself, Nitin Nair, BPT, R/TRO DIP, PT, or another Kitchener physiotherapy at CARESPACE. We are happy to listen and are here to help!

Picture of Nitin Nair, BPT, R/TRO DIP, PT

Nitin Nair, BPT, R/TRO DIP, PT

Physiotherapist
Nitin is an internationally trained physiotherapist and has been practicing in Canada since 2015. After graduating in 2009, Nitin started as a physiotherapist in a cardiothoracic and vascular surgery team under the guidance of an eminent cardiac surgeon. His interest and passion in the field of sports and musculoskeletal rehabilitation made him switch from acute care to a musculoskeletal rehabilitation setting. Nitin blends various hands-on physiotherapy techniques with therapeutic exercises to achieve his client’s goals. He is certified in the McKenzie method of Mechanical Diagnosis and Therapy (MDT): Lumbar spine, Mulligan concepts and personalized blood flow restriction rehabilitation (PBFR). His clients vary from weekend warriors to elite athletes. He is a huge advocate of the ‘Looking beyond the pain’ model to provide clients with the best care possible. Exercises and activity modification are always important components of his treatment plans to empower clients to reach their health goals.

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