Posterior Facet Syndrome
What it is:
Also referred to as “facet joint syndrome/arthropathy,” this condition involves the facet (zygapophyseal) joints of the spine — the small synovial joints at the back of each vertebra. When they degenerate (cartilage breakdown, osteophyte formation, inflammation) they can become a source of pain.
How it happens / risk factors:
Disc degeneration can increase load on facet joints, repetitive hyperextension/rotation, poor mechanics, age‑related osteoarthritis. Micro‑trauma to the joint capsule may lead to inflammation/synovitis.
Symptoms:
- ✅ Localized back or neck pain (often posterior)
- ✅ Pain may worsen with extension or rotation of the spine
- ✅ Often no nerve‑root radiation (unless secondary changes)
- ✅ Tenderness over the posterior joints (though not always easily localized)
Why it matters for chiropractic care:
Chiropractors can address facet joint dysfunctions with manual (mobilization/manipulation), exercise to support segmental stability, posture training, and may coordinate with other providers for advanced treatments (e.g., injections) if needed. Recognizing facet as source avoids mistakenly treating purely disc‑oriented protocols.