1.6 Lumbar Facet Joint Arthritis

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

60%

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

40 and above

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

Facet joint osteoarthritis

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

<p>L4-L5</p> Signup and view all the answers

According to research, what percentage of patients with chronic lower back pain present with facet joint osteoarthritis?

<p>40%</p> Signup and view all the answers

What remains controversial regarding the association between pain originating from facet joint osteoarthritis and its radiological characteristics?

<p>The radiological characteristics</p> Signup and view all the answers

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</p> Signup and view all the answers

Which approach is NOT commonly used in the non-pharmacological management of facet joint arthritis?

<p>Surgical fusion</p> Signup and view all the answers

What is the purpose of facet joint denervation using neurolysis approaches?

<p>To target nerve branches to relieve pain</p> Signup and view all the answers

In which clients is arthrodesis (surgical fusion) of the facet joint rarely used?

<p>Clients with spondylolisthesis and/or rheumatoid arthritis</p> Signup and view all the answers

What type of therapy involves using heat radiofrequency and/or cold cryoneurolysis on dorsal ramus nerve branches?

<p>Neurolysis approaches</p> Signup and view all the answers

Which of the following is NOT a common pain medication used in the management of facet joint arthritis?

<p>Corticosteroids</p> Signup and view all the answers

What is a common differential diagnosis of lumbar facet joint OA?

<p>Spondylolisthesis</p> Signup and view all the answers

Which condition commonly affects the sacroiliac joint and rarely affects the facet joints?

<p>Ankylosing Spondylitis</p> Signup and view all the answers

What differentiates Rheumatoid Arthritis (RA) from Osteoarthritis (OA) of the facet joint?

<p>All of the above</p> Signup and view all the answers

Which condition is characterized by intermittent focal pain that worsens at night?

<p>Osteoid Osteoma</p> Signup and view all the answers

What is the common route of infection in clients with facet joint septic arthritis?

<p>Hematogenous spread through surgical intervention</p> Signup and view all the answers

Which condition often manifests as a dense sclerotic bone growth with varying degrees of calcification?

<p>Osteoid Osteoma</p> Signup and view all the answers

Which radiological features are commonly presented in facet joint osteoarthritis?

<p>Synovial and subchondral bone cysts</p> Signup and view all the answers

What is a common feature that differentiates Ankylosing Spondylitis (AS) from Rheumatoid Arthritis (RA)?

<p>Ligamentous ossification and bridging syndesmophyte development</p> Signup and view all the answers

What can result from isolated osteophytes and synovial cysts encroaching the intervertebral foramen?

<p>Severe impingement of the spinal nerve</p> Signup and view all the answers

What is a distinguishing feature of Gout Arthritis compared to Ankylosing Spondylitis, Rheumatoid Arthritis, and Osteoarthritis?

<p>'Uric acid crystals around the facet joint'</p> Signup and view all the answers

What could foraminal stenosis from facet joint arthritis compress, leading to potential nerve damage?

<p>Small arterioles</p> Signup and view all the answers

What could cause progressive loss of cartilage in the facet joints resulting in secondary facet joint OA?

<p>'Spondylolisthesis related subluxation forces'</p> Signup and view all the answers

What pain pattern is common in lumbar facet joint arthritis?

<p>Referred pain to the buttock, groin, and thigh region</p> Signup and view all the answers

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</p> Signup and view all the answers

How can lumbar facet joint arthritis pain be aggravated?

<p>Prolonged standing</p> Signup and view all the answers

What kind of posture observation may be seen in lumbar facet joint arthritis?

<p>Increased kyphotic posture</p> Signup and view all the answers

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</p> Signup and view all the answers

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