Spine conditions

Lumbar facet syndrome

By on October 24th, 2016

There are two facet joints that lie behind the discs, and together with the discs, control all movement of each spinal segment. The facet joints are put under more stress when we bend backwards. The main mechanism of injury of a facet joint is severe sudden, compressive, or repetitive movements such as over stretching. Other contributing factors include repetitive wear and tear, poor posture, sedentary lifestyle, or weak back muscles. The symptoms of back pain and spasm can be felt on one or both sides. If your pain is reproduced with bending backward then you may have an element of facet joint irritation. Disc and facet degeneration often occur together. Other aggravating factors include prolonged standing, sudden movement such as sit to stand, rotating the trunk, or bending to the side. Pain typically decreases with walking, lying with knees bent toward the chest and bending away from the painful side.

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Kamshad Raiszadeh, M.D.

Dr. Raiszadeh's completed medical school at UC San Francisco, orthopedic surgery residency at UC Davis and his Pediatric and Adult Spine Fellowship at the Hospital for Joint Diseases/NYU in New York City. He has 20 years of experience with the broad range of spine surgery including minimally invasive surgery, complex spinal disorders such as scoliosis and kyphosis, and cervical spine disorders. During this 20 years he has noticed a dramatic increase in patients turning to surgery for treatment of neck and low back pain, but many of them not getting their desired long-term result. He therefore became increasingly interested in improvement and standardization of non-operative treatment. By developing the best aspects of non-operative treatment in an atmosphere of empowerment to maximize the body’s own healing capacity, he noticed that many fewer patients required surgery, and the ones who underwent surgery had much better long term results.

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