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Joint Pain

Loving Couple

Joint Pain

Facet Joints (Z-joints) are synovial joints found on both sides of the back of the spine. The purpose of the facet joint is to guide and limit the motion of the spine. When working properly, they allow flexibility in your back while keeping you from overextending or overflexing the joints in your spine. When you bend or twist, facet joints control that motion.


Facet joints are classified into three sections — cervical, thoracic and lumbar— correlating with three areas of your spine. Over time, wear and tear, arthritis or injury can take a toll, damaging the joints and causing inflammation and, often, debilitating lower back pain.


Inflammation or injury to the Facet Joints is one of the most common causes of neck pain or back pain. In fact, Facet Joint Pain, also known as Facet Joint Syndrome or Facet Joint Sprain, accounts for about 30 percent of all reported cases of back pain. Many of these cases are caused by Osteoarthritis.


When the cartilage in facet joints wears down, the bone underneath may produce bone spurs, causing the joints to rub and scrape. The resulting inflammation is known as facet joint syndrome or facet joint disease.


When left untreated, inflammation in the facet joint can trigger spasms in the muscles parallel to the spine. This can cause the spine to bend or “crook,” affecting the patient’s posture as well as the overall health of the back and spine.

Symptoms of Facet Joint issues

● Acute pain in specific areas of your neck or back. The pain is generally intermittent, regularly occurring several times each month.
● Loss of flexibility at the joint as well as pain when leaning forward or backward.
● Consistent tenderness at the joint.
● Facet Joint problems in the cervical region can radiate pain into the shoulders and upper back.
● Facet Joint problems in the lumbar region are often accompanied by radiating pain to the buttocks and down the back of the leg.


Due to the pain coming and going without any warning or regularity, many patients tend to dismiss facet joint pain, believing it’s “just a backache” or it’s “all in my head.” This is troubling, because the underlying causes of Facet Joint Pain can be progressive. The longer you wait to begin treatment, the more extensive the damage to the joint can become.

Medial Branch Nerves

When Facet Joints become inflamed, Medial Nerves carry pain signals from the spine to the brain. Medical conditions such as OsteoarthritisSpinal Stenosis and traumatic injury exacerbate this inflammation, causing more pain signals to be sent.


Medial nerves are found in each section of the spine.


● Cervical medial branch nerves are found in the neck
● Thoracic medial branch nerves are found crossing over a bone in the mid or upper back
● Lumbosacral medial branch nerves are located in a bony groove in the lower back


Lumbosacral medial nerve pain plays a part in up to 45 percent of diagnosis related to lower back pain. The percentage is even higher with patients complaining of neck pain. More than two out of three patients suffering from cervical spine pain have inflamed facet joints.


Here’s the good news…


While Medial branch nerves are often associated with significant pain, they do not control any major muscles, and they don’t carry any sensation to or from the extremities. The loss of these nerves has not been shown to be harmful. This means pain in the Facet Joints can be alleviated using a Medial Branch Block.

Diagnosing and Treating Facet Joint Injury

Dr. Skaliy will begin with a physical examination. If necessary, he may conduct additional medical imaging tests, including an X-ray, MRI or CT scan. Once a positive diagnosis is made, Dr. Skaliy will discuss potential treatment options.


In the early stages, Facet Joint Pain can often be treated through physician guided exercise or a physical therapy regimen. Patients may also relieve some of the pain through practicing good posture.


If these treatments are unsuccessful, Facet Joint Injections have proven effective in the treatment of Facet Joint Pain.


If your pain is related to other spinal conditions, you may also be a candidate for Stem Cell Therapy.

A Better Minimally-Invasive Treatments For Sciatica


Stem Cell Therapy has been used to treat at least 65 different medical issues, including chronic pain in the back, neck and joints. WIth physicians reporting up to 90 percent success rates, stem cell treatment has proven to be very effective in reducing and eliminating pain. Plus, since it comes with none of the potential side-effects of surgery, Stem Cell Therapy is also very safe… 

(Read more)


The Effectiveness of Stem Cells in Treating Pain

Regenerative medicine is a new area of medicine that uses stem cells to regenerate tissue and “turn the clock back” to a more active and fulfilling life.  We specialize in orthopedic regenerative medicine which has a long history of success scientific studies show the benefit and success of stem cell therapy for joints and back.  We practice the safest and most advanced techniques to bring relief to or patients. Our success rate is very high.

Adult stem cells possess several different qualities which allow them to be effective in the treatment of damaged joints. When used to treat pain caused by damaged joints, stem cells:

● Differentiate between and grow into bone, cartilage, tendons, and ligament cells

● Offer anti-inflammatory effects, which reduces further injury

● Recruit other cells necessary to increase cell growth in joints

● Inhibit cell death (apoptosis)

● Enrich blood supply, leading to more healthy tissue regeneration

Specifically, adipose stem cells are effective in treating Osteoarthritis; and bone marrow stem cells have beneficial in Rotator Cuff repair, treating Avascular Necrosis (AVN) in the hip, and assisting with bone union.

The success of these attributes depends on several different factors including disease severity, the type of stem cell used, the procedure chosen, and other factors specific to the patient. But, overall, up to 90 percent of our patients who elect stem cell therapy experience significant, long-term pain relief.

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