$Unique_ID{BRK02163} $Pretitle{} $Title{Facet's Syndrome} $Subject{Facet's Syndrome pains vertebral column standing sitting Muscle spasm arthritis arthritic process vertebra spinal x-rays cartilage compression nerve nerves rest analgesic medication Physical therapy surgery bone graft joint pain} $Volume{} $Log{ Anatomy of the Spinal Cord*0006801.scf} Copyright (c) 1993 Tribune Media Services, Inc. Facet's Syndrome ------------------------------------------------------------------------------ QUESTION: Could you please explain what facet syndrome is? Also, what is the correct pronunciation of it? I suspect that this particular condition may be the reason for my pain and problems and would like to discuss it with my physician in an intelligent manner. ------------------------------------------------------------------------------ ANSWER: You display a commendable attitude and I am pleased to help. Facet's syndrome (it's pronounced "fasets") is often the diagnosis that explains the reason for patient complaints of pains which originate in the vertebral column and which sometimes are aggravated by standing or sitting in certain postures. Muscle spasm may be present, and both sides of the body can be involved at the same time. Actually, it's a type of arthritic process which involves a small area on the surface of a vertebra (a facet) where one bone in the spinal column connects (articulates) with the vertebra above or below it. Usually, the diagnosis can be made by taking x-rays of the spine from different angles. These x-rays often show a degeneration of the cartilage within the joint, and a displacement of one bone in relationship to the other. The result is a spasm of the muscles, and a closing of the space through which the nerves from the spinal cord pass out to the rest of the body. And it is this compression of the nerve that causes some of the pain you are experiencing. Often the pain can be relieved with rest and analgesic medication. Physical therapy can be very helpful in getting you over some of the difficult times when pain is great, and which, unfortunately, may return from time to time. It is only the rare case that requires surgery, consisting of removing the facets, or bone graft and fusion of the joint. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.