Osteoarthritis of facets

Common Questions and Answers about Osteoarthritis of facets

osteoarthritis

I am 26 and have had joint degeneration in the facets of my cervical spine that has been visible on x-ray since I was 19. I just recently found out about this when I got another x-ray done, and the findings stated it was compared to an x-ray from 2002 which showed degeneration. Why didnt any one tell me? My doctors just said my x-rays were normal, but how can this be normal for someone that was 19 at the time?
Spondylosis is the slipping (Subluxation) of the 2 adjacent vertebrae over the joint (called as the facets).The main treatment is Physiotherapy as 90 of the cases get resolved with it.Here also, the Orthopaedician would surely help you out, with proper clinical evaluation. Hope my answer was clear to you. Regards..
LAST JUNE I WAS DIAGNOSED WITH DEGENERATIVE JOINT DISEASE"OSTEOARTHRITIS" I HAVE BEEN GOING TO PHYSICAL THERAPY OFF AND ON SINCE. I STILL GO BACK SPECIALIST. HIS NURSE TELLS ME THAT I NEED AN EPIDERAL STEROID INJECTION. I HAVE BEEN ON VICODIN SINCE NOV.2008. IS THERE ANYBODY OUT THERE THAT HAS HAD THOSE SHOTS AND DO THEY WORK TO WHERE I WON'T HAVE TO TAKE PAIN MEDS?? I GET UPSET STOMACHE ON VICODIN {GENERIC}. THANKS!
Also it showed I have significant sclerosis of the facets on the left L4-5 and bilaterally at L5 - SI. I also have secondary osteoarthritis. I am 41 year old female. I am in constant debilitating pain, chrioprator did not help nor massage. Meds help little and i cannot see a surgeon until May....I am becoming depressed and desperate for relief, any suggestions and idea of my prognosis?
I am 65 and I am afraid my bones are falling apart. I have osteoarthritis. I also experience bone cracking in my neck. The same for my knees. I can almost tell when it's going to rain. The back pain starts as soon as I get up in the morning. After I have taken a muscle relaxer it is still there but only slightly. I do not want to become dependent on pill. I have hepc and cirrosis of the liver. Can you shed a little light on my problem.
the discogram showed nothing but the contrast ct showed narrowing of the spinal canal(between mild to moderate stenosis) then on the 28 Feb 07 had injections around the facets and two into the spinal canal. This last set of injections gave me the most relief, but now the pain is back and I'm on vicodin which helps some.
Just a point of clarification the osteoarthritis, DDD, degenerative joints and bone loss are all limited to my lumbar spine. Background information I'm a 36 y/o male, married, 4 children, one of which is 14 months, and the initial injury occured while on active duty in 1991. Thanks so much for letting me post this question here.
Hey, A friend has DDD, Osteoarthritis, bone spurs, etc., and weaned herself off of Morphine. She's getting better relief from Voltaren in pill form now than she was from the Morphine. The gel form is really effective, as well. Hope that this helps.
There are hypertrophic degenerative changes of the facets at this level on the left resulting in severe left-sided foraminal stenosis. There is no significant canal stenosis at this level. C4-5 demonstrates disk degeneration with disk space narrowing and bulging of the annulus. There is no focal disk protrusion identified at this level. There is moderate right sided foraminal stenosis at this interspace due to uncinate joint and facet hypetrophy.
NO EVIDENCE OF FRANK DISC HERNIATION IN THE LUMBAR SPINE. MILD OSTEOARTHRITIS IS VISIBLE IN THE ARTICULAR FACETS. THE COMBINATION OF SMALL DISC BULGE AND MILD FACET HYPERTROPHY AT L5-S1 IS SEEN TO CAUSE MINIMAL IMPINGEMENT OF THE EXITING RIGHT AND LEFT L5 NERVE ROOTS. MY DOCTOR LOOKED AT THIS AND SAID OOHH. DOES THIS MEAN I AM GETTING WORSE? TWO YEARS AGO I WAS TOLD NOT TO WORK OR LIFT. DID MY DISC HEAL AND CAN I WORK AGAIN AND I READ IMPINGEMENT COMES FROM A HERNIATED DISC.
Yes, I kind of figured out that the hypertrophy means enlargement and basically is osteoarthritis of my facet joints. I don't have my report handy right now, but I believe the joints affected are the bottom two or three. The disc that is bulging and torn is L5-S1. The nerve damage is above that I think. I was also diagnosed two years ago with mild scoliosis on an earlier MRI. The first X Ray I had I was told that there was something wrong with the formation of my bones.
Minimal disc bulge with slight effacement of the anterior thecal sac L5/S1 Mild to moderate facet osteoarthritis. No focal disc abnormality. Impression: 1. Multi level degenrative disc in lumbar spine without high grade neural foraminal or central canal narrowing. 2. Right paracentral disc extruion at T12 - L1 with continuing to demonstrate mild mass effect on the cors.
I've been reading your comments and have found it all very informative...thank you. I also suffer from DDD and osteoarthritis of the lower spine with the nerve impingement. I too have seen a physiatrist who wanted to do the facet injections. I agree this procedure is for diagnostic purposes...After doing alot of reading and research and weighing the pros and cons I decided not to go ahead with.
How much is from the bony spine-- did the fusion 'take'? Is there pain coming from the facets or connective tissue of the spine? Telling these apart depends on a combination of exam, imaging, EMGs, and response to procedures... for example, if the epidurals helped, that suggests that you have nerve impingement from narrowing at the foramen, and further surgery might be helpful.
Hello Cougarman, Welcome to our Pain Management Forum. I am glad that you found us and took the time to post. Imagining reports can be difficult to understand. You may want to visit our Radiology Forum at this address: http://www.medhelp.org/forums/Radiology-/show/905 Basically your MRI says that you have numerous reasons for pain. Any time you have nerve impingement it can produce pain. You also have disc protruding out of their normal space. Stenosis is another term for narrowing....
PT, steroidal injections, pain management. I haven't done nerve ablation or facets, and I have also heard of "trigger point" injections, that a lot of people say work. I also recently heard about a rhizotomy that occasionally causes relief. I've had the nerve test (the one without needles) done and that was good. My mother-in-law had the nerve induction with needles and was screaming in pain. It's generally a good idea to get at least one second opinion, as well.
And by the way, this will be my SECOND cervical fusion. The first one was done because of osteoarthritis impinging on nerve roots. The second one will be done due to ventral cord compression and is a MUST. And neither one of these fusions had anything to do with muscle imbalances. Sorry, but no amount of stretching, traction, etc. would have ever obliterated the osteo or pain.
The shrinkage of the disc also alters the alignment of the articular facets and vertebral bodies, leading to hypertrophy of the articular facets and may result in facet arthropathy and spur formation. Part of the remodeling process involves the inflammatory response, and that is likely why the cox-2 inhibitor has been helping you. Or it may also be confounded by a system disease you might have such as osteoarthritis (if you have a system disease).
I was finally put on Vicodin, which got rid of 20 minutes of pain per dose. Then I was switched to MSContin and then to Methadone. I have hit points of tolerance and have taken an extra pill only to get myself in trouble. I don't anymore for I finally learned my lesson. Tell me about the patch, would you. Where is it in the realm of strength? Have you had an increase? Sometimes I think the control should be taken out of my hands. I told my doc that she had to take control of my corticosteroids.
I am 56 years old. My question to you is your history of back problems that now brings you to this point. My neurosurgeon said from my MRI results my surgery would require going in from the front and back and 3-4 month recovery. I continue to gain weight because on my inability to be more mobile and am wits end what to do next.
so to speak that I can tell of. It's been going on longer, but less noticeable, now since I do not talk sleeping meds any more, it's all that I can notice... Symptoms are strange sensations on my skin. The sensation is it feels like there are "invisible bugs" crawling on, and/or biting my skin. No actual bites, rashes, bugs, sores, or anything of the nature is ever visible. Occurs more at night, while laying down than any other time.
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