Facet Disease: An under-appreciated Cause of Lower Back Pain

Common procedures

  • Nerve Root block (radiculitis)
  • Transforaminal epidural
  • Inter laminar epidural
  • Facet and or medial branch block (facets)
  • RFA for facet arthropathy

Facet Arthropathy

  • Common source of pain
    • 15-40% of back pain
    • Symptoms often simulate disc related pathology
    • Follows disc degeneration
  • 3 mechanisms of pain
    • Synovial joint arthritis
    • Impingement on adjacent nerves
    • Referred pain…may simulate radiculopathy 


Executive Vice Chair
Professor & Vice-Chair

Share this video