Facet Joint Syndrome

Welcome to Vrije Universiteit Brussel's Evidence-based Practice project. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editors - Niels Cloet, Jonas Vangindertael

Lead Editors - Your name will be added here if you are a lead editor on this page.  Read more.

Search Strategy[edit | edit source]

add text here related to databases searched, keywords, and search timeline

Definition/Description[edit | edit source]

Lumbar facet joint syndrome is a multi-factorial process that is intimately tied to degeneration of the intervertebral discs. It’s a painful irritation of the posterior part of the lumbar spine. The swelling of the surrounded structures can cause pain and irritation of the nociceptors.[1]


Clinically Relevant Anatomy[edit | edit source]

<meta name="Title" content=""><meta name="Keywords" content=""><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><meta name="ProgId" content="Word.Document"><meta name="Generator" content="Microsoft Word 14"><meta name="Originator" content="Microsoft Word 14"><link rel="File-List" href="file://localhost/Users/jonas/Library/Caches/TemporaryItems/msoclip/0/clip_filelist.xml"></link> <link rel="themeData" href="file://localhost/Users/jonas/Library/Caches/TemporaryItems/msoclip/0/clip_themedata.xml"></link> <style> </style> The capsule of the facet joint is reinforced posterioly by the multifidus muscle and anterioly by the ligamentum flavum. It is surrounded by fascia, wich itself is continuous with that covering the ligamentum flavum and the investing fascia of the vertebral body. The facet joint capsule therefore can be seen as a bridge of connective tissue between the ligaments of the neural arch and those of the vertebral body. The functions of the lumbar facet joint are flexion extension lateroratation and rotation. [2][3]</meta></meta></meta></meta></meta></meta>

Epidemiology /Etiology[edit | edit source]

add text here

Characteristics/Clinical Presentation[edit | edit source]

add text here

Differential Diagnosis[edit | edit source]

add text here

Diagnostic Procedures[edit | edit source]

add text here related to medical diagnostic procedures

Outcome Measures[edit | edit source]

add links to outcome measures here (also see Outcome Measures Database)

Examination[edit | edit source]

add text here related to physical examination and assessment

Medical Management
[edit | edit source]

add text here

Physical Therapy Management
[edit | edit source]

add text here

Key Research[edit | edit source]

add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)

Resources
[edit | edit source]

add appropriate resources here

Clinical Bottom Line[edit | edit source]

add text here

Recent Related Research (from Pubmed)[edit | edit source]

see tutorial on Adding PubMed Feed

Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10

References[edit | edit source]

see adding references tutorial.

  1. 1. Gerard P. Varlotta &amp;amp; Todd R. Lefkowitz &amp;amp; Mark Schweitzer &amp;amp; Thomas J. Errico &amp;amp; Jeffrey Spivak &amp;amp; John A. Bendo &amp;amp; Leon Rybak (2010) " The lumbar facet joint: a review of current knowledge: part 1: anatomy, biomechanics, and grading ", SKELETAL RADIOLOGY Volume 40, Number 1, 13-23
  2. 2. Fujiwara A, Lim TH, An HS, et al. The effect of disc degeneration and facet joint osteoarthritis on the segmental flexibility of the lumbar spine. Spine. 2000;25(23):3036–44.
  3. 3. Christopher M. Norris 2008. Back stability. Integrating science and therapy. Second edition. Oxford, United kingdom. (p. 15)