Overview

Lumbar facet syndrome is a common cause of chronic low back pain. It originates from the small joints (facet joints) at the back of the spine that help stabilize and guide motion. When these joints become arthritic, inflamed, or irritated—due to aging, repetitive motion, or trauma—they can cause persistent back pain, especially with certain movements like twisting or extension.

Common Symptoms

• Aching or stiffness in the lower back
• Pain that may radiate to the buttocks or upper thighs (but not below the knee)
• Worsening pain with prolonged standing, arching the back, or twisting
• Relief with sitting, flexion, or rest
• Tenderness over the spine with pressure

Causes & Risk Factors

• Age-related wear and tear of the lumbar facet joints
• Repetitive lifting or twisting
• Poor posture or sedentary lifestyle
• Work-related strain or overuse
• Auto accidents, especially those involving hyperextension of the spine
• Previous spine injury or surgery

How We Can Help

At Restore Spine and Pain, we accurately diagnose lumbar facet-mediated pain through a careful physical exam and confirmatory diagnostic injections. We provide personalized, step-by-step care plans that focus on relieving inflammation, restoring mobility, and preventing flare-ups.

Treatment Options Offered

1. Physical therapy for core strengthening, posture, and lumbar mobility
2. Activity modification and ergonomic coaching for daily or work activities
3. Non-opioid medications including anti-inflammatories and muscle relaxants
4. Medial branch blocks to help confirm the facet joints as the pain source
5. Radiofrequency ablation (RFA) for long-term relief after a positive diagnostic block
6. Peripheral nerve stimulation (PNS) for chronic or treatment-resistant cases