Chapel Hill, NC

Facet Joint
Pain Relief

Sharp back pain when you twist or arch? Facet joint arthritis is a common cause of spine pain. Our regenerative therapies can help restore joint health and reduce inflammation.

What are Facet Joints?

Facet joints are small joints located at each level of the spine, connecting one vertebra to the next. You have two facet joints at each spinal level, one on each side. These joints allow your spine to bend, twist, and extend while providing stability.

Like other joints in the body, facet joints are lined with cartilage and surrounded by a capsule filled with lubricating fluid.

The same inflammatory cytokines that cause osteoarthritis in knees and hips also affect facet joints. This is why regenerative therapies that address cytokine imbalance can be effective for facet joint pain.

Common Symptoms of Facet Joint Pain

Localized pain in the back or neck
Pain worse with extension (arching back)
Stiffness, especially in the morning
Pain with twisting or rotating
Tenderness over the spine
Pain radiating to buttocks (not usually past the knee)

Facet Pain vs. Disc Pain

Facet joint pain typically worsens with extension (leaning back) and rotation, while disc-related pain often worsens with flexion (bending forward) and sitting. Facet pain is usually localized and does not travel far down the leg, whereas disc herniations often cause sciatica that radiates below the knee.

Treatment Options

Our regenerative approach targets the underlying inflammation causing facet joint pain, rather than just masking symptoms.

Frequently Asked Questions

Dr. Buchheit uses a combination of history, physical examination, and imaging to identify facet joint pain.

Radiofrequency ablation (RFA) burns the nerves supplying the facet joints to reduce pain signals. While effective for some, the nerves typically regenerate within 6-12 months, requiring repeat procedures. Regenerative therapies aim to address the underlying joint inflammation rather than destroying nerve tissue.

Treatment plans vary based on the severity of arthritis and individual response. Some patients experience significant relief after one treatment, while others benefit from a series of injections. Dr. Buchheit will discuss a personalized treatment plan during your consultation.

Get Relief from Facet Joint Pain

Stop letting back pain limit your life. Schedule a consultation to learn how regenerative therapies can help your facet joint arthritis.