Facet Syndrome (Spondylolisthe)

Spondylolisthesis is a spinal condition that occurs when one of the vertebrae in your spinal column moves out of place, moving off the vertebra below it. In other words, it means slipping of one vertebra out of place from the vertebrae below. This can cause back pain and /or leg pain. This condition can become very painful for the patient. It can put pressure on the nerves in the patient’s back. This can create lower back pain and pain in the patient’s legs. In some cases, it can cause the patient to lose control over his or her bladder or bowel. If this occurs, the patient should get medical help right away.

Facet joints are the joints between adjacent vertebrae that allow for small twisting, turning, and bending movements of the spine. The facet joints work with the corresponding disc to link the vertebrae directly above and below to form a working unit that lends stability and weight-bearing capacity while permitting flexibility and movement of the spine.

Facet joint syndrome, or osteoarthritis, is most commonly seen in adults over 40 years of age and occurs when facet joints become worn or torn. The wear creates bone spurs and enlarges the joints. Most people develop it due to the deterioration of the cartilage in the spine over time, but it can also be caused by injury, accident, or overuse. When you experience chronic pain and/or severe spasms anywhere in your neck or back and it worsens when standing or leaning backwards, you might be suffering from facet joint syndrome or chronic axial back pain. The facet joints can become inflamed and cause pain, soreness, and stiffness. The facet joints are innervated by a small median branch nerve that extends from the exiting nerve to the facet joints and into your muscle column in your back. This nerve transmits the sensation of pain from your back to your brain.