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Facet Joint Syndrome

Request an appointmentColorado (720) 749-5599Arizona (602) 325-2024
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Facet Joint Syndrome Treatment Starts Here

Mountain View Pain Center Facet Joint Syndrome Pain Management

Facet joints are small joints in the spine that help guide movement. When they become irritated or arthritic, they can cause neck or back pain—often worse with certain positions or movements. At Mountain View Pain Center, we help identify what’s driving your symptoms and build a plan to reduce pain and restore comfortable motion.

Also known as: Facet Syndrome, Facet Arthropathy, or Facet Joint Arthritis (sometimes called Facet Joint Disease).

Next step

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Symptoms

Common Symptoms of Facet Joint Syndrome

  • Aching, stiffness, or soreness in the neck or low back
  • Pain that worsens with extension (leaning back) or twisting
  • Pain that’s worse after standing for long periods
  • Local tenderness along the spine
  • Reduced range of motion or “tight” feeling
  • Pain that may refer into the shoulder/upper back (neck) or buttock/hip (low back)
  • Symptoms that improve with changing positions or gentle movement
  • Radiating numbness/tingling is less common, but can occur if nerves are also irritated
Causes

Common Causes and Risk Factors

  • Age-related joint wear and tear (arthritis/degeneration)
  • Repetitive bending, twisting, or loading of the spine
  • Prior injury (including whiplash or car accidents)
  • Poor posture or prolonged sitting/standing patterns
  • Limited hip or thoracic mobility increasing spinal stress
  • Weak core/hip stability leading to compensation at the spine

When to Seek Urgent Care
Seek urgent evaluation if you have new or worsening weakness, loss of bowel or bladder control, saddle numbness, severe unrelenting pain after trauma, fever/chills, or rapidly worsening numbness/tingling.

Diagnosis

How We Evaluate Facet Joint Syndrome

Because spine pain can come from multiple sources, we focus on identifying patterns that suggest facet joint irritation. Your visit may include a review of symptom triggers, movement testing (especially extension and rotation), and assessment of spinal mobility, posture, and surrounding muscles. If symptoms include radiating pain, numbness, or tingling, we may also perform a basic neurologic screen. We also check for red flags to determine whether imaging or referral is appropriate.

Treatment

How We Treat Facet Joint Syndrome

At Mountain View Pain Center, our multidisciplinary team combines evidence-based care to reduce joint irritation and improve movement:

Pain Management

Targeted diagnostic injections and image-guided procedures when appropriate to reduce inflammation and calm irritated joints or nerves.

Physical Therapy

Movement-based care to improve mobility, strengthen supporting muscles, and build stability to reduce stress on the facet joints.

Chiropractic Care

Hands-on care to support joint mobility and reduce muscle tension, tailored to your symptoms and comfort.

Acupuncture

A natural option to support pain relief and relaxation, often combined with your broader plan.

Treatments We Commonly Recommend

  • Mobility and movement retraining (especially for extension/rotation tolerance)
  • Core and hip strengthening to support spinal stability
  • Posture and ergonomic coaching (sitting, standing, lifting)
  • Manual therapy to reduce stiffness and muscle tension
  • Graded activity plan to return to normal movement
  • Image-guided injections (when appropriate)
  • Home program to reduce flare-ups and build consistency
At home

Home Care & Quick Relief

  • Stay gently active (short walks, light movement) and avoid prolonged rest
  • Ice for 10–15 minutes at a time, especially during flare-ups
  • Avoid repeated extension (leaning back) or painful twisting during flare-ups
  • Take movement breaks if standing/sitting triggers symptoms
  • Gentle mobility work as tolerated and recommended by your care team
Next step

Find Facet Joint Syndrome Relief Today

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  • Conditions We Treat
  • Our ServicesPain ManagementPhysical TherapyChiropractic CareAcupuncture
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Read next

Related Conditions

Lower Back PainNeck PainDiscogenic PainSpinal StenosisHerniated DiscSacroiliac Joint (SI) Pain
By metro

Where to be treated for Facet Joint Syndrome

Every clinic below has Chiropractic, Physical Therapy, Acupuncture and Pain Management on one chart, so care can move between them without a new referral.

Denver metro

Downtown out through the north, west, south and east suburbs.

  • Downtown Denver
  • Central Park, Denver
  • Lowry, Denver
  • Northglenn
  • Lakewood
  • Littleton
  • Highlands Ranch
  • Lone Tree
  • SE Aurora
  • Southlands, Aurora
  • Lafayette

Colorado Springs

Academy, Interquest and Tenderfoot cover the north, central and south of the city.

  • Academy
  • Interquest
  • Tenderfoot

Northern Colorado

Harmony in Fort Collins and our Greeley clinic serve Larimer and Weld counties.

  • Harmony, Fort Collins
  • Greeley

Arizona

Across the Valley, from the West Valley through Phoenix to the East Valley.

  • Deer Valley, Phoenix
  • NW Phoenix, Dunlap
  • Glendale, Westgate
  • Peoria
  • Mesa
  • Chandler
Before you come in

Facet Joint Syndrome FAQs

What is facet joint syndrome?

It’s pain that comes from irritation or arthritis in the facet joints—small joints in the spine that guide movement.

How is it different from a herniated disc?

Facet pain is often worse with leaning back or twisting and may feel more localized. Disc issues more commonly cause radiating nerve symptoms, though symptoms can overlap.

Do I need imaging?

Not always. If your symptoms or exam suggest imaging would help guide care, we’ll recommend the appropriate next step.

What treatments help facet joint pain?

Many people improve with mobility, strength, and movement retraining—often combining PT, Chiropractic care, Acupuncture, and, when appropriate, Pain Management procedures.

Can injections help?

In some cases, targeted diagnostic injections or image-guided procedures can help reduce inflammation and confirm pain sources. We’ll discuss options if appropriate.

Do I need a referral to schedule?

Often, no. Some insurance plans require a referral or authorization—if you’re unsure, we can help verify.

How do you know the facet joints are the source rather than a disc?

The examination points one way or the other, and where it matters, a diagnostic block is used to confirm it. The answer decides whether radiofrequency ablation is worth considering.

Can it be treated without injections?

Often, yes. Chiropractic care and Physical Therapy aimed at restoring motion and unloading the joint are the first step, and the interventional route is considered when that does not settle it.

You do not have to live with this while it sorts itself out.

Facet Joint Syndrome is treated at every Mountain View Pain Center clinic in Colorado and Arizona — see the full clinic map, Colorado or Arizona.

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Mon: 8:00 am - 6:00 pm
Tue: 8:00 am - 6:00 pm
Wed: 8:00 am - 6:00 pm
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