Facet Syndrome

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The facet joints are the articulations of the spine that allow each vertebra to move securely with respect to the vertebra above and the vertebra below.  There are 24 vertebrae in the body, each with articulations (facet joints) on the left and the right.  The left and right facets and the vertebral disc make up a three pronged weight-bearing structure that is replicated at all 24 levels of the spine.  Therefore, these three entities (left and right facet joints and the disc) of the spine help to maintain the upright posture in humans.

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Facet syndrome is the term given to the complex of symptoms experienced when these facets are jammed one upon the other.  These facet joints are lined with cartilage (allows ease of movement and provides cushioning) and surrounded by a capsule.  Problems arise when the facet joints get swollen and irritated (inflamed) as a result of being restricted or not moving well (subluxated).  Subluxations are often the result of poor posture, everyday wear and tear, or the trauma of lifting or bending incorrectly. 

 

The joints don’t move properly and they are irritated which affects surrounding nerves and soft tissue.  The patient will complain of localized low back pain with some referral into the hip/buttock or leg pain above the knee.  Often the patient may also report an increase with pain when sleeping/lying on their belly and/or bending backwards.  Facet syndrome responds extremely well to chiropractic.  The adjustment will help free the facet and reduce muscle spasm and nerve irritation.