What are the Differences Between a Disc Problem and a Facet Problem? | Expert Physio Review

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Can this cause loss of sensation in the heel?

I have a disc bulge as well as L3-L5 facet spinal osteoarthritis, so I really have to stretch/ extend up (a lot)

Great, what if I have both?

What about sacroiliac joint disorder? How does that fit in with bending forward and backward?

thank you so much!!

Absolutely brilliant as always Khalid – thank you for your work

Both could be the case as well 😉

Rather than using the terms “extension” and “flexion”, why not simply say bend backward and bend forward, respectively. Better to keep things simple. Mnemonics – FADEF = Forward Aggravate Disc Ease Facet; BAFED = Backward Aggravate Facet Ease Disc.

After years of back pain 'management', you've explained in 7 minutes more than I've learned in those years. Thank you for your post!

What if you have both?

Great explanation, but what if you have both? I have facet joint athritis and foraminal stenosis, but also extruded disks at L3/L4 and L4/L5 compressing the nerve roots. Waiting for nerve root block at L4/L5 but also medial branch blocks for the facet joints. I am in so much pain I’m going out of my mind.

What about if you jave degenerative disc disease and facet joint arthropathy i believe it was called with severe sciatica with pain radiating down the leg

hello dear Dr. I have thoracic spine pain in the T6 region. The pain increases when driving on a bumpy road, riding a bicycle, wearing stiff shoes, carrying a 10 kg load, and similar activities. I had an MRI, but the results were normal. I struggle with this issue every day. I often have to cancel plans to avoid pain.

and if both..

Is an inversion table good for both? Thanks

if you have a facet mainly problem, but do mckenzie cobra stretches etc, can you make it worse? i have facet hypertrophy and bulging discs

Exceptionally well illustrated and explained. Thank you.

I get feeling of heat in lumbal and hips region after walka and my walk is poor, is it a facet?

Best explanation of these 2 sources of pain.

I have both 😢😂. L5 l4 and l3 bulges and narrowing with facet joint issues . Chronic pain is a bitch

Excellent video, one tip, instead of flexion and extension talk about bending forward or back because ordinary people usually forget which is flexion in the lower back.

Thank you for this video 📹 , nice information

I agree with most of your viewers, GREAT video and excellent commentary!

I wish someone had told me that playing sports, especially at a heavy weight, was going to tear up my back. I have facet joint problems with endplates, L3 to S1 degenerative disc, traped nerve, and stenosis. So "the risks with surgery outweigh the benefits." They say they can't fix one issue because they don't believe that it will stop ghe pain. Add the hip damage from sports and t-bone car accident. So much fun😐

Not all facet joint syndrome is lower back btw people i have i5 in the cervical area aswell so it my neck thay the worst and when my neck not hurt then lower back does dont get a rest either way haha 😅

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Very helpful thank you!

Do how to reverse facet joint syndrom??

My compliments to you for pronouncing "facet" properly! You are only one of 2 out of 3-4 dozen doctors and PT's I've listened to on YT that understand that they call it a "fa'-sit" because we're dealing with 2 adjacent surfaces that should normally move across one another in a complimentary fashion. Spread the word to other dipstick doctors who only got "C"'s in English class, that the word has been in existence for hundreds of years before our modern medical anatomists named them!!
But I am here because I believe arthropathy is what is causing my foraminal stenosis of L4, L5, and S1. Possibly at my L3 facets or vertebral endplates as well. Had 24 non-surgical decompression treatments with little improvement. But a week ago I went back to one of my DC chiropractors who has a lumbar traction/flexion table. Oh my God! The relief is so much more pronounced than with the prior vertical decomp sessions I had! I have MRI's but need a trained doctor or clinician to look whether it could be a facet joint or a vertebral endplate with some moderate spurring going on. The clinical pathology report states such. The evidence you confirmed here says it may be both somewhat; but by going on the flexion table he's achieving a hydrating of the first few discs in a more effective way. I hope it continues to improve; but I've got surgeon's phone numbers waiting if push comes to shove.
And I would only consider an endoscopic laminotomy or decompression by removing osteophytes with their endoscopic ultrasonic drills now available to spine surgeons. Wish me luck and Godspeed! Thank-you!

I've got 3 minor disc bulges,and facet joint irritation in my lumbar region.L5/S1 for the facet joint problem.But according to my Occupational health 'expert' I shouldn't have been feeling any pain? Probably going to lose my job, because they think I'm not actually injured So frustrating.

Thank you for explanation.
Sample and clear to understand.
In my case I have facet and disc issues for more than 20 years. I have tried everything and still in pain…
It’s horrible.

Great explanation
Thank you so much

Is facet arthritis corrected by surgery?

My pain is caused in lumbar flexion and relieved in lumber extension. Yet, my physio told me it's a facet problem. I think I need to change physio.

What if you have both, disc and facet? Or a myriad of other issues like myself? I have Neurofibromatosis, scoliosis, lordosis, bulging discs, osteoarthritis, facet disease, and spina bifida occulta.

Hi haveing a lot of pain when i sit down could this be facet joint problems 😢

Hello sir in one of my pateint both flexion n extension is painful so no bias seen, radiculpathu ruled out , n its more like LS strain rt more than left…still wigh 3 days of session he is not feeling any better, have also seen SI jointbtest r positive as mentioned….so wt possible test left if u coudl share sum knowledge on this. Thanku