1.6 Lumbar Facet Joint Arthritis

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Questions and Answers

What percentage of clients with lower back pain experience lumbar facet joint arthritis as a common source of pain?

  • 60% (correct)
  • 10%
  • 40%
  • 25%

At what age does the prevalence of lumbar facet joint arthritis increase significantly?

  • Under 20
  • 40 and above (correct)
  • 30-40
  • 50 and above

What is reported as the most frequent form of painful condition affecting facet joints of the spine?

  • Lumbar disc herniation
  • Facet joint osteoarthritis (correct)
  • Scoliosis
  • Rheumatoid arthritis

What segment of the spine shows the highest prevalence of facet joint osteoarthritis?

<p>L4-L5 (B)</p>
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According to research, what percentage of patients with chronic lower back pain present with facet joint osteoarthritis?

<p>40% (B)</p>
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What remains controversial regarding the association between pain originating from facet joint osteoarthritis and its radiological characteristics?

<p>The radiological characteristics (A)</p>
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What is an important role of symptom modification and active management in the non-pharmacological treatment of facet joint arthritis?

<p>Improving joint mobility and reducing pain (D)</p>
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Which approach is NOT commonly used in the non-pharmacological management of facet joint arthritis?

<p>Surgical fusion (D)</p>
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What is the purpose of facet joint denervation using neurolysis approaches?

<p>To target nerve branches to relieve pain (D)</p>
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In which clients is arthrodesis (surgical fusion) of the facet joint rarely used?

<p>Clients with spondylolisthesis and/or rheumatoid arthritis (C)</p>
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What type of therapy involves using heat radiofrequency and/or cold cryoneurolysis on dorsal ramus nerve branches?

<p>Neurolysis approaches (C)</p>
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Which of the following is NOT a common pain medication used in the management of facet joint arthritis?

<p>Corticosteroids (A)</p>
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What is a common differential diagnosis of lumbar facet joint OA?

<p>Spondylolisthesis (D)</p>
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Which condition commonly affects the sacroiliac joint and rarely affects the facet joints?

<p>Ankylosing Spondylitis (B)</p>
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What differentiates Rheumatoid Arthritis (RA) from Osteoarthritis (OA) of the facet joint?

<p>All of the above (D)</p>
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Which condition is characterized by intermittent focal pain that worsens at night?

<p>Osteoid Osteoma (B)</p>
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What is the common route of infection in clients with facet joint septic arthritis?

<p>Hematogenous spread through surgical intervention (B)</p>
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Which condition often manifests as a dense sclerotic bone growth with varying degrees of calcification?

<p>Osteoid Osteoma (A)</p>
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Which radiological features are commonly presented in facet joint osteoarthritis?

<p>Synovial and subchondral bone cysts (A)</p>
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What is a common feature that differentiates Ankylosing Spondylitis (AS) from Rheumatoid Arthritis (RA)?

<p>Ligamentous ossification and bridging syndesmophyte development (A)</p>
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What can result from isolated osteophytes and synovial cysts encroaching the intervertebral foramen?

<p>Severe impingement of the spinal nerve (B)</p>
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What is a distinguishing feature of Gout Arthritis compared to Ankylosing Spondylitis, Rheumatoid Arthritis, and Osteoarthritis?

<p>'Uric acid crystals around the facet joint' (B)</p>
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What could foraminal stenosis from facet joint arthritis compress, leading to potential nerve damage?

<p>Small arterioles (C)</p>
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What could cause progressive loss of cartilage in the facet joints resulting in secondary facet joint OA?

<p>'Spondylolisthesis related subluxation forces' (B)</p>
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What pain pattern is common in lumbar facet joint arthritis?

<p>Referred pain to the buttock, groin, and thigh region (C)</p>
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What feature is often found in clients with symptomatic disc herniation or degenerative spondylolisthesis at L4–5 or L5–1 level?

<p>Asymmetry between right and left facet joint orientation (D)</p>
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How can lumbar facet joint arthritis pain be aggravated?

<p>Prolonged standing (A)</p>
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What kind of posture observation may be seen in lumbar facet joint arthritis?

<p>Increased kyphotic posture (D)</p>
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What kind of palpation finding is common in lumbar facet joint arthritis?

<p>Focal tenderness and muscle spasm at inter spinous process and facet locations (D)</p>
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