What Are Facet Joints?

There is a type of low back injury, with unusually severe low back pain immediately after the injury. Patients often lie on their sides, their waists cannot be straightened, and they dare not move, for fear of touching, they are often misdiagnosed as acute lumbar sprains. In fact, the exact diagnosis should be lumbar spinal joint synovial incarceration, or posterior lumbar vertebral joint disorder, which is common in small joint disorders.

Small joint disorders

Facet Joint Disorder Introduction

There is a type of low back injury, with unusually severe low back pain immediately after the injury. Patients often lie on their sides, their waists cannot be straightened, and they dare not move, for fear of touching, they are often misdiagnosed as acute lumbar sprains. In fact, the exact diagnosis should be lumbar spinal joint synovial incarceration, or posterior lumbar vertebral joint disorder, which is common in small joint disorders.

The posterior joint of the human lumbar spine is composed of the lower articular process of the upper vertebra and the upper articular process of the lower vertebra. The facet joint is covered with cartilage, has a small joint cavity, is surrounded by a joint capsule, and its inner layer is a synovium that can secrete synovial fluid to facilitate joint movement. The arrangement of the articular surface of the lumbar vertebrae is semifrontal and semi-sagittal. Its cross-section is approximately arc-shaped, and it is more flexible in flexion, lateral flexion and rotation. Because the lumbosacral region has a large range of motion, the posterior lumbosacral joints are also loose.

When the waist suddenly twists, bends forward, and rotates, the small joint space opens, the negative pressure in the joint increases, and the synovium can enter the joint space. If the joint synovium is caught in the joint space during extension and flexion, it will cause synovial impaction of the small joint or subluxation of the small joint. Synovial membranes can cause severe injuries due to compression of the joints. The synovium and joint capsule are rich in sensory and motor nerve fibers, which cause severe pain and reflex spasms. If the incarceration is not removed in time, chronic severe low back pain and arthritis will occur.

Small Joint Disorders Treatment

Manual treatment is an effective treatment for this disease. If the diagnosis is clear, immediate results will be obtained after the application of the technique. The commonly used method is: "Diagonal anti-back" means to carry the patient back to back. The affected area is against the hip of the surgeon. When the surgeon bends forward, the patient lifts his feet off the ground and swings left and right. The lock can be lifted. This method is suitable for taller doctors and thinner patients. On the other hand, doctors cannot afford to bear patients and cannot achieve results. In addition, using the lateral lying position to pull the waist or sitting in the waist to push can also lift the incarceration and twist.