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</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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