U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Lumbar facet joint pain

MedGen UID:
630754
•Concept ID:
C0458225
•
Disease or Syndrome
Synonyms: Facet syndrome of lumbar spine; Lumbar facet syndrome; Lumbar zygapophysial joint pain
SNOMED CT: Lumbar facet syndrome (279063004); Facet syndrome of lumbar spine (279063004); Lumbar facet joint pain (279063004); Lumbar zygapophysial joint pain (279063004)

Professional guidelines

PubMed

Comparison of Radiofrequency and Corticosteroid Injection for Treatment of Lumbar Facet Joint Pain: A Meta-Analysis.
Wardhana A, Ikawaty R, Sudono H
Asian J Anesthesiol 2022 Jun 1;60(2) Epub 2022 Mar 1 doi: 10.6859/aja.202206_60(2).0003. PMID: 35279973
Consensus practice guidelines on interventions for lumbar facet joint pain from a multispecialty, international working group.
Cohen SP, Bhaskar A, Bhatia A, Buvanendran A, Deer T, Garg S, Hooten WM, Hurley RW, Kennedy DJ, McLean BC, Moon JY, Narouze S, Pangarkar S, Provenzano DA, Rauck R, Sitzman BT, Smuck M, van Zundert J, Vorenkamp K, Wallace MS, Zhao Z
Reg Anesth Pain Med 2020 Jun;45(6):424-467. Epub 2020 Apr 3 doi: 10.1136/rapm-2019-101243. PMID: 32245841Free PMC Article
Pathogenesis, diagnosis, and treatment of lumbar zygapophysial (facet) joint pain.
Cohen SP, Raja SN
Anesthesiology 2007 Mar;106(3):591-614. doi: 10.1097/00000542-200703000-00024. PMID: 17325518

Recent clinical studies

Etiology

A comparison of pulsed radiofrequency and radiofrequency denervation for lumbar facet joint pain.
Li SJ, Zhang SL, Feng D
J Orthop Surg Res 2023 May 5;18(1):331. doi: 10.1186/s13018-023-03814-5. PMID: 37143095Free PMC Article
Radiofrequency Denervation on Lumbar Facet Joint Pain in the Elderly: A Randomized Controlled Prospective Trial.
Chen YS, Liu B, Gu F, Sima L
Pain Physician 2022 Nov;25(8):569-576. PMID: 36375186
Consensus practice guidelines on interventions for lumbar facet joint pain from a multispecialty, international working group.
Cohen SP, Bhaskar A, Bhatia A, Buvanendran A, Deer T, Garg S, Hooten WM, Hurley RW, Kennedy DJ, McLean BC, Moon JY, Narouze S, Pangarkar S, Provenzano DA, Rauck R, Sitzman BT, Smuck M, van Zundert J, Vorenkamp K, Wallace MS, Zhao Z
Reg Anesth Pain Med 2020 Jun;45(6):424-467. Epub 2020 Apr 3 doi: 10.1136/rapm-2019-101243. PMID: 32245841Free PMC Article
Inciting Events Associated With Lumbar Facet Joint Pain.
Odonkor CA, Chen Y, Adekoya P, Marascalchi BJ, Chaudhry-Richter H, Tang T, Abruzzese C, Cohen BK, Cohen SP
Anesth Analg 2018 Jan;126(1):280-288. doi: 10.1213/ANE.0000000000002242. PMID: 28704245
An update of the effectiveness of therapeutic lumbar facet joint interventions.
Falco FJ, Manchikanti L, Datta S, Sehgal N, Geffert S, Onyewu O, Zhu J, Coubarous S, Hameed M, Ward SP, Sharma M, Hameed H, Singh V, Boswell MV
Pain Physician 2012 Nov-Dec;15(6):E909-53. PMID: 23159980

Diagnosis

3. Pain originating from the lumbar facet joints.
Van den Heuvel SAS, Cohen SPC, de Andrès Ares J, Van Boxem K, Kallewaard JW, Van Zundert J
Pain Pract 2024 Jan;24(1):160-176. Epub 2023 Aug 28 doi: 10.1111/papr.13287. PMID: 37640913
A comparison of pulsed radiofrequency and radiofrequency denervation for lumbar facet joint pain.
Li SJ, Zhang SL, Feng D
J Orthop Surg Res 2023 May 5;18(1):331. doi: 10.1186/s13018-023-03814-5. PMID: 37143095Free PMC Article
Consensus practice guidelines on interventions for lumbar facet joint pain from a multispecialty, international working group.
Cohen SP, Bhaskar A, Bhatia A, Buvanendran A, Deer T, Garg S, Hooten WM, Hurley RW, Kennedy DJ, McLean BC, Moon JY, Narouze S, Pangarkar S, Provenzano DA, Rauck R, Sitzman BT, Smuck M, van Zundert J, Vorenkamp K, Wallace MS, Zhao Z
Reg Anesth Pain Med 2020 Jun;45(6):424-467. Epub 2020 Apr 3 doi: 10.1136/rapm-2019-101243. PMID: 32245841Free PMC Article
Inciting Events Associated With Lumbar Facet Joint Pain.
Odonkor CA, Chen Y, Adekoya P, Marascalchi BJ, Chaudhry-Richter H, Tang T, Abruzzese C, Cohen BK, Cohen SP
Anesth Analg 2018 Jan;126(1):280-288. doi: 10.1213/ANE.0000000000002242. PMID: 28704245
Pathogenesis, diagnosis, and treatment of lumbar zygapophysial (facet) joint pain.
Cohen SP, Raja SN
Anesthesiology 2007 Mar;106(3):591-614. doi: 10.1097/00000542-200703000-00024. PMID: 17325518

Therapy

Radiofrequency Denervation on Lumbar Facet Joint Pain in the Elderly: A Randomized Controlled Prospective Trial.
Chen YS, Liu B, Gu F, Sima L
Pain Physician 2022 Nov;25(8):569-576. PMID: 36375186
Comparison of Radiofrequency and Corticosteroid Injection for Treatment of Lumbar Facet Joint Pain: A Meta-Analysis.
Wardhana A, Ikawaty R, Sudono H
Asian J Anesthesiol 2022 Jun 1;60(2) Epub 2022 Mar 1 doi: 10.6859/aja.202206_60(2).0003. PMID: 35279973
An update of the effectiveness of therapeutic lumbar facet joint interventions.
Falco FJ, Manchikanti L, Datta S, Sehgal N, Geffert S, Onyewu O, Zhu J, Coubarous S, Hameed M, Ward SP, Sharma M, Hameed H, Singh V, Boswell MV
Pain Physician 2012 Nov-Dec;15(6):E909-53. PMID: 23159980
Systematic assessment of diagnostic accuracy and therapeutic utility of lumbar facet joint interventions.
Datta S, Lee M, Falco FJ, Bryce DA, Hayek SM
Pain Physician 2009 Mar-Apr;12(2):437-60. PMID: 19305489
Pathogenesis, diagnosis, and treatment of lumbar zygapophysial (facet) joint pain.
Cohen SP, Raja SN
Anesthesiology 2007 Mar;106(3):591-614. doi: 10.1097/00000542-200703000-00024. PMID: 17325518

Prognosis

3. Pain originating from the lumbar facet joints.
Van den Heuvel SAS, Cohen SPC, de Andrès Ares J, Van Boxem K, Kallewaard JW, Van Zundert J
Pain Pract 2024 Jan;24(1):160-176. Epub 2023 Aug 28 doi: 10.1111/papr.13287. PMID: 37640913
The clinical ability of contrast-enhanced magnetic resonance imaging to predict treatment outcomes for lumbar facet joint pain.
Chang MC, Yi YG, Yang HE, Lee JH, Kim JH, Do KH
Ann Palliat Med 2021 Feb;10(2):1431-1437. Epub 2020 Oct 26 doi: 10.21037/apm-20-313. PMID: 33183040
Consensus practice guidelines on interventions for lumbar facet joint pain from a multispecialty, international working group.
Cohen SP, Bhaskar A, Bhatia A, Buvanendran A, Deer T, Garg S, Hooten WM, Hurley RW, Kennedy DJ, McLean BC, Moon JY, Narouze S, Pangarkar S, Provenzano DA, Rauck R, Sitzman BT, Smuck M, van Zundert J, Vorenkamp K, Wallace MS, Zhao Z
Reg Anesth Pain Med 2020 Jun;45(6):424-467. Epub 2020 Apr 3 doi: 10.1136/rapm-2019-101243. PMID: 32245841Free PMC Article
Randomized prospective trial of cooled versus traditional radiofrequency ablation of the medial branch nerves for the treatment of lumbar facet joint pain.
McCormick ZL, Choi H, Reddy R, Syed RH, Bhave M, Kendall MC, Khan D, Nagpal G, Teramoto M, Walega DR
Reg Anesth Pain Med 2019 Mar;44(3):389-397. doi: 10.1136/rapm-2018-000035. PMID: 30777903Free PMC Article
Inciting Events Associated With Lumbar Facet Joint Pain.
Odonkor CA, Chen Y, Adekoya P, Marascalchi BJ, Chaudhry-Richter H, Tang T, Abruzzese C, Cohen BK, Cohen SP
Anesth Analg 2018 Jan;126(1):280-288. doi: 10.1213/ANE.0000000000002242. PMID: 28704245

Clinical prediction guides

3. Pain originating from the lumbar facet joints.
Van den Heuvel SAS, Cohen SPC, de Andrès Ares J, Van Boxem K, Kallewaard JW, Van Zundert J
Pain Pract 2024 Jan;24(1):160-176. Epub 2023 Aug 28 doi: 10.1111/papr.13287. PMID: 37640913
Radiofrequency Denervation on Lumbar Facet Joint Pain in the Elderly: A Randomized Controlled Prospective Trial.
Chen YS, Liu B, Gu F, Sima L
Pain Physician 2022 Nov;25(8):569-576. PMID: 36375186
Consensus practice guidelines on interventions for lumbar facet joint pain from a multispecialty, international working group.
Cohen SP, Bhaskar A, Bhatia A, Buvanendran A, Deer T, Garg S, Hooten WM, Hurley RW, Kennedy DJ, McLean BC, Moon JY, Narouze S, Pangarkar S, Provenzano DA, Rauck R, Sitzman BT, Smuck M, van Zundert J, Vorenkamp K, Wallace MS, Zhao Z
Reg Anesth Pain Med 2020 Jun;45(6):424-467. Epub 2020 Apr 3 doi: 10.1136/rapm-2019-101243. PMID: 32245841Free PMC Article
Inciting Events Associated With Lumbar Facet Joint Pain.
Odonkor CA, Chen Y, Adekoya P, Marascalchi BJ, Chaudhry-Richter H, Tang T, Abruzzese C, Cohen BK, Cohen SP
Anesth Analg 2018 Jan;126(1):280-288. doi: 10.1213/ANE.0000000000002242. PMID: 28704245
An update of the effectiveness of therapeutic lumbar facet joint interventions.
Falco FJ, Manchikanti L, Datta S, Sehgal N, Geffert S, Onyewu O, Zhu J, Coubarous S, Hameed M, Ward SP, Sharma M, Hameed H, Singh V, Boswell MV
Pain Physician 2012 Nov-Dec;15(6):E909-53. PMID: 23159980

Recent systematic reviews

Radiofrequency ablation for chronic low back pain: a systematic review of randomized controlled trials.
Leggett LE, Soril LJ, Lorenzetti DL, Noseworthy T, Steadman R, Tiwana S, Clement F
Pain Res Manag 2014 Sep-Oct;19(5):e146-53. Epub 2014 Jul 28 doi: 10.1155/2014/834369. PMID: 25068973Free PMC Article
An update of the effectiveness of therapeutic lumbar facet joint interventions.
Falco FJ, Manchikanti L, Datta S, Sehgal N, Geffert S, Onyewu O, Zhu J, Coubarous S, Hameed M, Ward SP, Sharma M, Hameed H, Singh V, Boswell MV
Pain Physician 2012 Nov-Dec;15(6):E909-53. PMID: 23159980
An update of the systematic assessment of the diagnostic accuracy of lumbar facet joint nerve blocks.
Falco FJ, Manchikanti L, Datta S, Sehgal N, Geffert S, Onyewu O, Singh V, Bryce DA, Benyamin RM, Simopoulos TT, Vallejo R, Gupta S, Ward SP, Hirsch JA
Pain Physician 2012 Nov-Dec;15(6):E869-907. PMID: 23159979
Systematic assessment of diagnostic accuracy and therapeutic utility of lumbar facet joint interventions.
Datta S, Lee M, Falco FJ, Bryce DA, Hayek SM
Pain Physician 2009 Mar-Apr;12(2):437-60. PMID: 19305489
Systematic review of the role of sedation in diagnostic spinal interventional techniques.
Smith HS, Chopra P, Patel VB, Frey ME, Rastogi R
Pain Physician 2009 Jan-Feb;12(1):195-206. PMID: 19165304

Supplemental Content

Table of contents

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Related information

    • PMC Articles
      Related information in PubMed Central Links
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...