The therapy of the facet syndrome is almost always conservative. Since there is no causal therapy for advanced vertebral joint arthrosis, pain and physiotherapy is the main focus of treatment for facet syndrome. This includes: An exact diagnosis, the fathoming of the optimal therapy for facet syndrome and a sufficient pain therapy are best possible in advanced cases during an inpatient stay.
The greatest non-invasive pain therapy effect is achieved by injections (syringes), which are injected directly into or onto the small vertebral joints.
- Medication-based pain therapy (NSAIDs, opiate derivatives etc. )
- Natural remedy, especially the devil’s claw is to be called here.
The Devil’s Claw can be used alone for mild pain and for stronger pain to support the existing therapy. The Devil’s Claw is supposed to reduce the symptoms of back pain.
- Pain Patch
- Physical pain therapy (current therapy, ultrasound, heat etc. )
- Infiltration therapy (vertebral joint infiltrations, nerve blocks, periradicular therapy, trigger point infiltrations)
- Coagulation treatment of the vertebral joints (heat sclerotherapy of pain fibers)
- Mobilising, stabilising physiotherapy
- Back school
- Entlordosierendes bodice and bandages
Therapeutic Facet Injection
Analogous to the procedure for diagnostic facet injection, a mixture of local anesthetic and cortisone is injected into or onto the diseased vertebral joints. The local anesthetic has an immediate pain-relieving effect, the cortisone has a long-term anti-inflammatory effect. Hyaluronic acid can also be injected as an alternative to cortisone.
Hyaluronic acid is a substance that occurs naturally in cartilage, which gives the cartilage its elasticity and has a significantly longer lasting effect than cortisone. Alternatively, it is also possible to orientate oneself by anatomical landmarks and still hit the area of the vertebral joints. If the injection is to be injected directly into the vertebral joint in the case of facet syndrome, only small volumes (0.5-1 ml) may be injected, as otherwise the maximum absorption volume of the joint is exceeded and the joint capsule ruptures.
However, an injection around the vertebral joint is sufficient for a therapeutic effect, since the drugs diffuse into the joint capsule of the vertebral joints and can unfold their effect just as well. Another advantage of this therapy of the facet syndrome is that other structures that may cause pain are also treated at the same time. The pain-reducing effect is very difficult to predict, not least because of the difficulty in differentiating between the pain. It can last for several days, weeks or even months.
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