Facet Joint Syndrome at DRHC Dubai Back Pain Clinic

Facet Joint Syndrome is a common cause of chronic neck and back pain originating from the small joints (facet joints) located between the vertebrae of the spine. These joints play a vital role in spinal stability and flexibility. However, injury, inflammation, or age-related degeneration can impair their function, leading to pain and stiffness. At DRHC Dubai, we offer advanced diagnostic and treatment options to help patients manage facet joint-related pain and improve mobility.

What is Facet Joint Syndrome?

Facet Joint Syndrome occurs when the cartilage in the facet joints wears down or becomes inflamed, causing pain in the neck, upper back, or lower back. These joints allow the spine to bend, twist, and extend smoothly, but over time, arthritis, trauma, or overuse can cause them to deteriorate, leading to discomfort and limited movement.

Pain from facet joints can mimic other spinal conditions, such as herniated discs or muscle strain, making accurate diagnosis essential for proper treatment.

Causes of Facet Joint Syndrome

Several factors may contribute to the development of Facet Joint Syndrome:

• Age-related Degeneration: As we age, the cartilage in the joints gradually wears away, leading to arthritis.
• Repetitive Movements or Trauma: Jobs or activities involving repetitive bending, lifting, or twisting can strain the facet joints.
• Spinal Injuries: Accidents or sports injuries can damage the joints, causing inflammation and pain.
• Poor Posture: Slouching or improper posture puts stress on the spine and facet joints.
• Obesity: Excess weight increases pressure on the spine, accelerating joint degeneration.

Symptoms of Facet Joint Syndrome

Symptoms vary depending on whether the affected joints are in the neck (cervical spine), upper back (thoracic spine), or lower back (lumbar spine):

Cervical Facet Joint Syndrome (Neck)

• Neck pain, especially when turning the head
• Headaches at the base of the skull
• Stiffness and limited range of motion in the neck
• Pain radiating to the shoulders or upper back

Thoracic Facet Joint Syndrome (Upper Back)

• Localized upper back pain
• Difficulty bending or twisting the upper body
• Pain that worsens with prolonged sitting or standing

Lumbar Facet Joint Syndrome (Lower Back)

• Lower back pain, especially after standing or walking
• Stiffness and difficulty bending forward
• Pain radiating to the buttocks or thighs
• Morning stiffness that improves with movement

Diagnosis of Facet Joint Syndrome at DRHC Dubai

Accurate diagnosis is essential to distinguish facet joint syndrome from other spinal conditions. At DRHC Dubai, we use advanced diagnostic methods to identify the source of pain:

1. Physical Examination:
   • Assessing spine movement and joint tenderness.
   • Identifying specific activities or movements that trigger pain.
2. Imaging Studies:
   • X-rays: To detect joint degeneration, bone spurs, or misalignment.
   • MRI: Provides detailed images of soft tissues and confirms joint inflammation or cartilage loss.
   • CT Scan: Offers precise visualization of the facet joints and helps detect subtle abnormalities.
3. Diagnostic Facet Joint Injections: A local anesthetic is injected into the affected joint to confirm it as the source of pain. If the pain subsides temporarily, facet joint syndrome is likely the cause.

Treatment Options for Facet Joint Syndrome at DRHC Dubai

At DRHC Dubai, we offer both non-surgical and surgical treatments to relieve pain and restore function. The treatment plan is customized based on the severity of the condition and the patient’s needs.

Non-Surgical Treatments

1. Physical Therapy:
   • Exercises to strengthen core muscles and improve posture.
   • Stretching to restore flexibility and reduce stiffness.
2. Medications:
   • Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and pain.
   • Muscle relaxants for spasms.
3. Facet Joint Injections:
   • Corticosteroid injections to relieve joint inflammation and pain.
   • A combination of anesthetic and anti-inflammatory medication is injected directly into the affected joint.
4. Radiofrequency Ablation (RFA): A minimally invasive procedure that uses heat to destroy nerve fibers transmitting pain signals from the facet joint.
5. Lifestyle Modifications:
   • Weight management to reduce spinal stress.
   • Ergonomic adjustments at work and home to prevent further joint damage.

Surgical Treatment Options

Surgery is recommended only if non-surgical treatments fail to provide relief. At DRHC Dubai, we offer:

1. Facet Joint Fusion: Fuses the affected joints to prevent movement and reduce pain.
2. Minimally Invasive Spinal Surgery: Removes damaged joint tissue or bone spurs to relieve pressure on nerves.

Rehabilitation and Recovery

Rehabilitation plays a crucial role in long-term recovery from Facet Joint Syndrome. Our team of physiotherapists at DRHC Dubai will guide you through:

• Post-treatment Rehabilitation Programs: To regain strength, flexibility, and endurance.
• Pain Management Techniques: To manage discomfort during recovery.
• Posture Training: To prevent recurrence and improve spinal alignment.
• Regular Follow-ups: To monitor progress and adjust the treatment plan as needed.