Facet osteoarthritis is a condition that affects the facet joints of the spine and can significantly impact a patient's quality of life. appearance of facet pain It is important to go to a spine specialist traumatologist, who can apply the most appropriate treatment, especially if the pathology is very advanced and it is necessary to apply spinal microsurgery.
In this article, we'll delve deeper into facet osteoarthritis, addressing its symptoms, main causes, as well as its treatment and prevention guidelines.
What are the facet joints of the spine?
The Articular facets are the connections between the different vertebrae of the spine, which allow its mobility. Each facet joint is composed of a capsule, surrounded and reinforced by ligaments that provide resistance. Its primary function is to facilitate spinal movement while limiting rotation and anterior displacement of the vertebrae, thus helping to maintain the alignment and proper functioning of the spine.
What is facet osteoarthritis?
Facet osteoarthritis is a condition that affects the facet joints of the spine, characterized by the wear or degeneration of facet joint cartilage. This pathology is common in elderly patients.
He Wear of the facet joints is very similar to that of the intervertebral discsHowever, the disc usually undergoes earlier degeneration, which accelerates the degeneration of the facet joint.
Types of facet osteoarthritis
Depending on the area of the spine where it manifests, facet arthrodesis can be classified into different types:
- Cervical facet arthrodesis: It occurs in the cervical region and can cause neck pain, stiffness, and, in some cases, radiate to the arms and shoulders. It is often aggravated by rotational or tilting movements of the head.
- Lumbar facet arthrodesis: This is one of the most common forms. The wear and tear occurs in the lower back, causing lower back pain that can radiate to the buttocks or legs.
- Thoracic facet arthrodesis: This is less common due to the reduced mobility in this area. It can cause pain in the middle of the back and is often mistaken for muscle discomfort.
Causes of facet osteoarthritis
The The main cause of facet osteoarthritis is the wear and tear of cartilage in the facet joints of the spine. This wear is due to a decrease in the intervertebral disc, which produces an increase in pressure on the articular facets.
The Facet joint cartilage degeneration can cause joint laxity and subluxation, that is, instability in the joints. Additionally, it can cause facet hypertrophy, which refers to excessive inflammation of the facet joints, causing pain in the patient. The lumbar facet hypertrophy at l5-s1 It is one of the most common manifestations of this condition.
Symptoms of facet syndrome
Initially, facet osteoarthritis may not cause symptoms in the patient. However, as the wear of the cartilage and facet joints progresses, the patient may experience pain accompanied by stiffness and immobility.
One of the The most common symptoms of facet osteoarthritis are chronic low back pain., known as lumbar facet osteoarthritis, which can negatively impact the patient's quality of life. This pain can affect the patient's daily activities, such as walking or sitting for long periods of time.
In the most serious cases, facet osteoarthritis can lead to more serious pathologiesFor example, canal stenosis, that is, a narrowing of the spinal canal that can cause spinal cord compression. In these cases, the patient's symptoms will be different and more serious, since the patient will experience severe pain and, in many cases, immobility.
Diagnosis of facet osteoarthritis
When a patient presents symptoms of facet osteoarthritis and consults a specialist, a thorough evaluation is performed that includes a detailed physical examination and an analysis of the medical history, as well as family history.
In most cases, it will be necessary to perform diagnostic imaging tests, such as x-rays or MRIs, to obtain images of the affected area. In some cases, it may be advisable to perform a facet block or lumbar facet block to specifically locate the source of the patient's pain.
Once the diagnosis of facet osteoarthritis has been made, it is essential to perform periodic follow-up. This involves regular follow-up examinations to detect any degenerative changes in the facet joints or intervertebral discs, allowing treatment to be adjusted as necessary.
What degree of disability does facet osteoarthritis have?
Facet osteoarthritis can cause different degrees of disability, ranging from mild to severe limitations in mobility and quality of life. The severity of the disability is influenced by factors such as the severity of the condition and the intensity of the symptoms, which can significantly affect the patient's ability to perform daily activities.
It is essential that patients work from the first moment with a team of professionals who can provide them with the best treatments to manage and improve their condition, as well as prevent its progression.
Treatments for facet osteoarthritis
Once facet osteoarthritis has been diagnosed and the patient's symptoms and impact on their daily life have been evaluated, appropriate treatment is prescribed. Initially, it is usually started with analgesics or anti-inflammatories, which help relieve the patient's symptoms. Furthermore, it is recommended to follow a physiotherapy and rehabilitation treatment supervised by a specialist, which helps the patient regain mobility and flexibility in the spine, as well as improve stability.
In more severe cases of lumbar facet pain or facet osteoarthritis, minimally invasive chronic low back pain techniques specialized in lumbar facet osteoarthritis.
Lumbar facet block
This radiofrequency technique is called rhizolysis, through which corticosteroids will be injected through a lumbar facet infiltration or facet block. In these cases, the patient's symptoms will be different and more serious, since the patient will experience severe pain and, in many cases, immobility.
Recovery after a lumbar block offers very positive results accompanied by rehabilitation treatment.
Our doctors specializing in infiltration and radiofrequency of the spine in Madrid will be in charge of alleviating your lumbar facet syndrome through radiofrequency or infiltration of the lumbar facets. This treatment offers good results accompanied by rehabilitation treatment.
Radiofrequency for the treatment of facet osteoarthritis
In patients with facet osteoarthritis, radiofrequency treatment has very favorable results that help improve the patient's quality of life, especially in cases of chronic facet lumbar pain.
Radiofrequency helps treat possible nerve injuries in the area. The treatment is performed percutaneously and is a painless technique. The specialist inserts a needle and, guided by fluoroscopy, electrodes will be applied to the area to interrupt possible nerve signals that are reaching the brain.
Exercises to improve facet osteoarthritis
Exercise plays a crucial role in managing and improving symptoms associated with facet osteoarthritis. Some exercises that can strengthen supporting muscles and improve spinal flexibility:
- Lumbar stretching exercises: These exercises help maintain flexibility in the lumbar spine and relieve stiffness. Some examples of stretches include the cat and dog stretch, where you alternately arch and round your back.
- Low impact aerobic exercises- Activities like walking, swimming, or cycling are great options for improving health without putting too much pressure on your facet joints.
- Flexibility and mobility exercises: Practicing gentle exercises that encourage spinal mobility, such as yoga, can help maintain facet joint flexibility and reduce stiffness.
- Core strengthening- Strengthening the abdominal and lumbar muscles helps stabilize the spine and reduce pressure on the facet joints. Some examples of exercises may include sit-ups or glute bridges.
How to sleep with facet osteoarthritis?
Adopting a proper sleeping position can relieve discomfort caused by facet joint syndrome. For lumbar osteoarthritis, sleeping on your side with a pillow between your legs helps keep your spine aligned and reduces pressure on your facet joints.
In the case of cervical osteoarthritis, a pillow can be used to keep the neck in a neutral position, preventing flexion and extension during the night.
Regardless of the location of the pain, if the discomfort interferes with sleep, it is crucial to consult a trauma specialist who can offer personalized guidelines to improve quality of life and sleep.
Guidelines to prevent facet osteoarthritis
Although family history may increase the risk of developing facet osteoarthritis, There are preventive measures that can delay its appearance.
It is recommended to follow healthy lifestyle habits, including a balanced diet and regular practice of moderate, low-impact exercise. Maintaining an adequate body weight through these practices contributes significantly to the prevention of facet osteoarthritis.
Traumatology clinic for the treatment of facet syndrome
Adequate treatment for facet joint osteoarthritis is essential to reducing its impact on a patient's quality of life. To achieve this, it is advisable to seek diagnosis and evaluation from a spinal trauma specialist.
At our trauma clinic in Madrid, our minimally invasive spine surgery specialists have extensive experience in the diagnosis and treatment of spinal pathologies.
Whether through minimally invasive surgical techniques or conservative treatments based on lifestyle changes and physical therapy, our team will always seek the safest and most effective option for each patient.
Do not hesitate to ask for a date so that they can assess their situation and begin working on improving their condition as soon as possible.
244 thoughts on “Causas y síntomas de la artrosis facetaria”
Hello, good afternoon, it's a pleasure to be able to read about this. I have a friend with this very difficult disease, facet osteoarthritis. The hospital did a CT scan without a contract and the neurosurgeon told her that he couldn't operate on her and sent her to orthopedics for a foot and they didn't do anything else and she She goes through a lot of pain, they did not infiltrate her, they did not send her an MRI, how can we know if she can be prayed for, thank you
Good morning, Martha.
Thanks for your comment. We would have to carry out a prior medical examination to treat the pathology that your friend presents. Then, we would opt for the most effective treatment. You can make an appointment with our spine specialists and begin treating the trauma injury.
All the best!
Good afternoon, doctor, I was diagnosed with multi-level lumbar disc disease with facet osteoarthritis and small right conjevity scoliosis. Please, my diagnosis is very serious.
Hello Noraima,
It is not serious, it always depends on the symptoms it produces.
A hug.
Hello, good afternoon
I was diagnosed with bilateral coxarthrosis
L5/S1 facet atrophy
I haven't had quality of life for months, it hurts constantly, I feel very hot all over my body.
I have visited several neurosurgeons and they send me pills and therapies but I have not gotten relief, the doctors tell me that my problem cannot be operated on.
Hi Brenda,
We need more information to know your clinical profile and determine your diagnosis and possible treatments.
You can make an appointment at +34 91 005 39 00.
Greetings
Get ozone and find a doctor where you live.
Hello Doctors, good afternoon, I had an MRI with this diagnosis: Mild hypertrophy of the right facet L5-S1 and left foraminal protrusion, the trauma doctor sent me treatment consisting of: pregrabalin and a single injection of intramuscular corticosteroid, a week ago I am taking the treatment but the pain continues, what should I do, thank you.
Good morning, Johnny.
We are very sorry for your pain. It would be necessary for you to go to a specialist trauma doctor such as Prof. Dr. Elgeadi, who is an expert in cases like yours. It will offer you the best solution after carrying out a complete medical study. If necessary, a surgical intervention would be chosen.
All the best.
Hello, good evening, I am from Ecuador, how can I contact the doctor?
Hello Marcela,
You can call us at (+34) 910 053 900 or write to clinicaelgeadi@clinicaelgeadi.com to request an appointment online.
Greetings
Hello, I was diagnosed with lumbar facet hypertrophy, I would like to know how it is treated and if I can train with weight again. Thank you
Good morning, Natalia.
Thank you very much for writing on our blog. For questions like yours, it is best to consult with a spine expert traumatologist, so that you can make a complete diagnosis of your pathology and determine the most appropriate treatment for it.
All the best.
Good afternoon, I have been diagnosed with degenerative disc disease and overload in the interapophyseal joints as a result of persistent Covid. I work 12 hours sitting in front of three computer screens and at the end of my work day my whole body hurts. What should I do?
Good morning, Olga.
Thanks for your comment. In your case, it would be necessary for you to go to a specialist traumatologist to perform a complete medical study of the affected area. In this way, you can choose the treatment that best suits your pathology.
All the best!
Hello, I was diagnosed with the following: painkillers don't work for me and the sensation is having a lump on my back all day, the truth is that it prevents me from moving every day and I only find calm with stillness.
1. Phenomena of cervical osteochondrosis with facet arthrosis.
2. Cervical disc-osteophyte complexes with foraminal stenosis
Good morning Juan Carlos,
Thank you for visiting our blog.
According to what you tell us, it seems that the most appropriate treatment is RHB. You can request an appointment with our Madrid traumatologists through the link provided.
All the best.
Good afternoon
My husband was diagnosed with interfacet osteoarthritis with stenosis of lateral recesses at L4 and L5
Hello, is there scientific evidence that taking hydrolyzed collagen supplements improves chronic pain from facet osteoarthritis (by helping to regenerate cartilage)?
Hello José Daniel,
Some research suggests that hydrolyzed collagen may contribute to cartilage health and relieve symptoms in certain cases, but there is no solid evidence showing that it significantly regenerates cartilage. For pain management and joint protection, it is advisable to consult with a specialist who can offer evidence-based and case-specific options, such as Dr. Prof. Elgeadi.
If you wish, you can schedule an appointment at our center by calling 91 005 39 00 to receive the best treatment for your situation.
Greetings!
Hello, good afternoon. I want to know if Gakeno is available to do an intercondultation. Since a neurosurgeon for a grade 1 listhesis and posterior bilateral pseudoprotrusion of L5 REDUCES THE DIAMETER OF THE FORAMEN AND APHEMIA DIFFUSE FACET HYPERTROPHY AT THAT LEVEL WHICH NARROWS THE LUMBAR CANAK TO THAT LEVEL. ONE SURGEON OFFERS ME A LIGHTER 7TH SURGERY WHICH IS CLEANING THE CANAL AND S8N PLACING PLATES AND NAILS AND ANOTHER TOLD ME THAT THE LIDTHESIS IS GRADE 2 AND THAT I REQUIRE A MAJOR SURGERY WITH 0 LACQUERS AND NAILS. I HAVE MRI. TGC AND RX PLUS A TOTSL DENDITOMETRIS TO SHOW
Good morning, Silvia.
Since we have not seen your tests, we cannot make a definitive diagnosis or recommend treatment without seeing you first. If you wish, contact our team spine specialists and we will make an appointment to evaluate your injury.
All the best.
Good morning, I had an MRI and the result was:
1) Rectification of physiological lordosis
2 Cervicoarthritic changes
3 Degenerative disc disease with multilevel disc protrusions from C2-C3 to C5-C6 as described, with partial root involvement and causing slight narrowing of the spinal canal, as described to correlate with symptoms
4) Facet hypertrophy
Please I would like to know what your opinion is on this matter.
Hi Jailyn,
Our opinion is that you have to start treatment to recover and improve your quality of life.
To choose the best option, you must do a complete case study taking into account your background, physical composition, age, and other factors that are very influential.
Greetings
Hello, good morning, doctor, I tell you that I had an MRI of the lumbosacral spine, since I have numbness in the fingertips of my hands and difficulty walking since my legs feel numb. Apart from that, I feel unstable when walking and I lose my balance. .
Magnetic resonance imaging shows that a small disc swelling appears at L4 and L5, and discrete facet degenerative changes with facet hypertrophy and sclerosis.
What should I do when faced with this diagnosis, do I require any surgery or treatment.
thank you
Good morning, Martha.
If surgery is necessary, our specialist traumatologists are experts in advanced spinal endoscopy, a minimally invasive technique. Make an appointment at our trauma clinicand we will carry out a complete medical diagnosis to offer you the best possible treatments.
All the best.
Hello, good afternoon, doctors. I had an MRI and I have problems in L4 and L5, according to my traumatologist, I would have facet arthrosis. And he gave me a certificate that would better penalize me. I am in that procedure now, I am 54 years old. My consultation will have some remedy that will calm my pain. daily pain that I have. and the other I have some type of treatment... thank you very much in advance.
Hello Cristian,
Thanks for your comment. The most advisable thing in your case is to consult with a spine specialist so that they can study your case and determine the most appropriate treatment possible. You can contact the ICAC team at the following link: https://columna.com/contacto/
Greetings.
Good morning doctors, I had an MRI without contrast of the lumbar spine and I have been diagnosed with epicondyloarthrosis and osteoarthritis in the posterior facet part and a degenerative disc disease in L4-L5, the Dor radiates forward, but for a season it has been giving me pain all the time. the dorsal area as if they were nailing me. Knives especially in the right area where I can hardly even be in bed. What solution or treatment would I have? Thank you
Good morning, Mari Carmen.
We are very sorry for the pain you are suffering. It would be necessary for you to go to our trauma doctors so that they could offer you a complete medical diagnosis, opting for the most appropriate treatment.
All the best.
Good night
I would like to know if they work with private health insurance.
Thank you
Good morning, Rosario.
For questions like yours, contact our team via e-mail either telephone.
Thanks for your interest. All the best.
Hello, good morning, I have had many MRI and x-ray examinations performed, the result is rectification of the lordosis, lumbar spondylosis, dehydration of the discs, bulging
Good morning Antonio José,
Thanks for your comment.
In that case, you can request an appointment at our trauma center to be able to offer you the treatment that best suits your case.
All the best.
Good morning, I had a lumbosacral MRI and the report says (incipient hypertrophy of the posterior osteoligamentary elements. Neuroforamenes become permeable.) Ami, I am suffering from very strong lumbar pain. Right side that radiates to the left, just lying down for a few hours it takes me a strong analgesic.
Good morning, Noelia.
Thank you for reading and commenting on our blog. The most advisable thing is that you go to our specialist traumatologists, in this way they will offer you a complete medical diagnosis.
All the best.
GOOD AFTERNOON I AM JORGE ARMANDO. I AM 49 YEARS OLD AND I WAS DIAGNOSED WITH L5 S1 DISCOPATHY. AND LUMBAR FACET ARTHROSIS AND SPONDYLOSIS. I SUFFER FROM CONSTANT NUMBERSHIP IN MY LEGS TO THE POINT OF FALLING AND I HAVE SUFFERED SEVERAL. HOW SERIOUS CAN IT BE? I APPRECIATE YOUR ATTENTION AND RESPONSE TO TAKE THE REQUIRED TREATMENT.
Good morning, Jorge.
For cases like yours, it would be necessary for you to go to our trauma doctors. An accurate diagnosis cannot be made without a complete medical study, but based on what you have described, surgical intervention is probably required.
All the best.
Hello good evening. I wanted to say that I had 6 dozen leaks and I have no results, I still have pain. What can I do? The diagnosis they gave me was facet arthropathy with a sign of synovitis. What can I do if the leaks didn't give me anything? Thank you
Good morning, Solange.
If conventional treatments are not effective, you would need to see a specialist trauma doctor.
All the best.
Good afternoon, I had a CT scan and MRI and they diagnosed me with facet joint disease l3 downwards. Would I need surgery?
Good morning Josefina,
Thank you for reading our blog and commenting on it. We recommend, in this case, to follow the instructions of a spine specialist for a prior diagnosis and thus be able to determine the most appropriate treatment for your pathology. You can contact our team spine specialist traumatologists in the link provided.
All the best.
7 months ago I had a car accident. I didn't have any pain at all, but after 2 days I started having pain and I was in therapy with a chiropractor but I didn't feel better and they sent me to an orthopedist and they did an MRI and they diagnosed me with an annular lump. upper and facet arthropathy before the accident I had never felt any pain. Do you think the accident was the cause?
Good morning, Asucena.
We cannot offer you a complete medical diagnosis without first performing a thorough examination of the affected area. It would be necessary for you to come to our trauma team and thus begin treating your injury.
All the best.
Hello, good afternoon, yes, I had an MRI of the lumbrosacral spine, I had mild facet osteoarthritis, why can you explain to me what that is?
Good morning, Yajaira.
Thank you very much for commenting on our blog. In your case, we recommend that our experts carry out a prior diagnosis of the area so that they can offer you the most appropriate treatment. Can make an appointment with our spine experts.
All the best.
Good night. I was diagnosed with facet osteoarthritis, and I have a lot of pain, is surgery advisable, or is it useless.
Good morning, Mery.
Thank you very much for your comment on our blog. For questions as specific as yours, we advise you to ask appointment at our advanced spine center, so that our experts can carry out a thorough diagnosis of the area and provide you with the most appropriate treatment for your case.
All the best.
Hello: I have been diagnosed with grade 1 spondylolisthesis that can be done and facet and ligamentous hypertrophy bilaterally.
Hello Letzaida,
Your case should be evaluated to see if it can improve with conservative treatment or if facet joint decompression is needed.
You can contact us by calling 91 005 39 00 and our team of professionals will evaluate your case personally.
Greetings.
I had an MRI and it came out. The examination showed scoliosis of the lumbar spine with convexity towards the
left.
-Discreet rectification of the lumbar lordotic curve.
-The IV lumbar disc shows signs of partial dehydration. It protrudes slightly into
postero-medial and bilateral direction. It occupies the anterior epidural space, contacting and
bulging to the anterior surface of the thecal sac, with partial extension towards both recesses
lateral, predominantly right.
-The V lumbar disc presents a rupture of the posterior annulus fibrosus. Protrudes in direction
postero-medial. It contacts the anterior surface of the thecal sac, with laterality to the
left, insinuating towards the lateral recess on that side.
-Incipient signs of hypertrophy of the facet joints in the lower lumbar sector and
lumbosacral transition. The pain is unbearable. And it only heals me anti-inflammatory
Good morning, Maria.
Thank you very much for your comment. We are sorry for the situation you present. In your case, it would be advisable to carry out a prior study of the area and determine the most appropriate treatment. You can contact our Institute of Advanced Spine Surgery.
All the best.
:Hello good Morning. I currently have disc disease and facet osteoarthritis, foraminal stenosis l3,l4 and l4,l5 and disc protrusion l3 l4 right.
Good morning, José Manuel.
We are very sorry for your pain. Our specialist traumatologists They can offer you a complete medical diagnosis to treat these pathologies, thus improving your quality of life.
All the best.
Good afternoon, doctors, I tell you that I have already undergone surgery on my dorsal spine: element of dorsolumbar ostiosynthesis. Currently, these plates of the spine and pelvis, front and axial, were performed. The diagnosis is: facet hypertrophy with lumbar predominance, under preserved joint interlines. The sacroiliac joints seem preserved. I am for him. At the moment I am medicated with pregabalin 75mg but my pain is in the lumbosacral part. Greetings very attentive and I await a response. Thank you.
Good morning, Monica.
Thank you very much for your comment and we are sorry for your pathology. From ICAC, we recommend that you contact Contact our team of spine specialists, so that they can carry out a complete diagnosis of the area and determine the most appropriate treatment for it.
All the best.
Good morning
I had a fall in a puddle of water and fell on the left side of my hip due to the pain. I had an MRI in which they ruled that I had an annular fissure... edema in the ligaments and facet osteoarthritis (bactrum syndrome)... my question It's the following... could the fall worsen what I have?
Thank you very much. Sincerely
Good morning, Nativity.
Thank you very much for commenting on our blog. For cases as specific as the one you present, we most recommend putting yourself in the hands of an expert traumatologist, so that they can study your case and determine the most appropriate treatment for it. You can make an appointment with our team of spinal traumatologists at the following link: https://columna.com/cita-privada/
All the best.
Hello, good afternoon,
I just had a lumbar MRI because I have been experiencing lumbar discomfort for a long time. The issue is that I have undergone arthroscopy surgery on both hips at Clinica Cemtro and they have also reviewed both operations by MRI and they told me that everything was more or less within the normal. I am a 51-year-old man, I am 1.82 meters tall and weigh 83 kilos. I play sports and run regularly, but since March I have reduced this last activity to almost nothing. I am now swimming and cycling when I can.
They detected in my lumbar MRI Herniated Disc L5S1 what I had known for a long time, nothing new but what is new. There are facet hypertrophic changes at L4-L5, and they cite facet osteoarthritis at L4-L5 as a conclusion.
What types of treatment are common? Normally I go to a Physioacupuncturist who works quite well for me but I don't know if it will be enough and I also don't know if this type of injury is serious, limiting or not. In the case of the L5S1 hernia they told me not to pay attention to it if it didn't bother me.
Thank you.
Good morning, Alberto.
Thank you very much for commenting on our blog. We are sorry for the situation you are in. In your case, the most recommended thing is to consult with an expert spinal traumatologist for a complete professional diagnosis and accurate treatment of your pathology. At the following link you can make an appointment with our team of experts in minimally invasive surgery: https://columna.com/cita-privada/
All the best.
Good morning!!… My name is Silvia, I will be 55 years old very soon. In 2018 I was diagnosed with L3-L4 and L4-L5 degenerative disc disease and spondylozis. I have been taking treatment for a long time to be able to have a normal life. 6 weeks ago I fell from a height of 25cm and started pain in my back and facets with a lot of pain also in the dorsal area. The primary doctor ordered an MRI 3 weeks ago and the result as a diagnosis is not clear to me. The report states the following Conclusions: lumbar hyperlordosis secondary to sacral horizontalization. Mild hypertrophy of facet joints at L5-S1. AND BELOW WRITE FOLLOWING:RECOMMENDATIONS:»ACR CODED DIAGNOSIS. THE TRAUMATOLOGIST SENT ME TO THE PAIN UNIT AND PHYSIOTHERAPY. SOMETHING DOESN'T FIT ME I'M NOT A DOCTOR BUT THE CODED DIAGNOSIS GIVES ME A BAD FEEL BECAUSE I HAVE PAINS AND SOMETIMES I CAN'T WALK NORMALLY AS THEY ARE NOT MINE.
Good morning, Silvia.
Thank you very much for commenting on our blog. In your case, it would be advisable to consult with a spinal traumatologist to carry out an exhaustive study of the pathology and determine the most appropriate treatment. You can make an appointment with our team at the following link: https://columna.com/cita-privada/
All the best.
Hello, good day... I am 39 years old and I have just been diagnosed with Interfacetal Sclerosis between L4-L5 and L5-S1 due to osteoarthritis changes. I would be infinitely grateful if you could guide me on this matter.
Blessings…
Good morning, Silvia.
Thank you very much for your comment. In your case, after the diagnosis, it would be most advisable for the specialist to determine the best treatment for your pathology. You can contact our team of spinal traumatologists at the following address: https://columna.com/contacto/
All the best.
Hello, good morning, I had an MRI of the lumbar spine, the vertebral bodies showed outlines of predominantly anterior osteophyte formations. H mild subchondral sclerosis and discrete bilateral facet hypertrophy were observed in L5/S1 and the L5/S1 interbody disc had low intensity of signal at T2
Good morning, Andrea.
Thanks for writing on our blog. In your case, after this diagnosis by a specialist, it would be advisable to consult the most appropriate treatment for your case. You can contact our team of spinal traumatologists at the following address: https://columna.com/contacto/
All the best.
Hello, good evening... I am 31 years old and two years ago I was diagnosed with facet osteoarthritis in the spine in addition to a hernia in the L5 disc. One question, will the hernia affect the disease more? If it would be advisable to have surgery???
Good morning, Yuladis.
Thank you very much for writing on the ICAC blog. Since time has passed since your last diagnosis, it is best to study your case again through an exhaustive diagnosis and have the spinal traumatologist determine the appropriate treatment. You can contact our team of traumatologists at the following link: https://columna.com/contacto/
All the best.
Hello, Blessings, I had an MRI, this is what came out. L4/L5 discopathy with symmetrical disc bulging associated with facet hypertrophy with moderate bilateral foraminal stenosis. L5 transitional vertebra. Facet hydrarthrosis L3/L4 and L4/L5. My right leg and arms hurt a lot.
Good morning, Alexis.
Thank you for commenting on the ICAC blog. In your case, the most appropriate thing would be for the specialist, with this prior study, to determine the most appropriate treatment for your pathology. You can contact our team spine experts in the link provided.
Greetings and encouragement.
In Colombia it has headquarters to carry out the treatment
Good morning, Oscar.
Thank you very much for reading our blog and interesting in our services. Unfortunately, our team of spinal traumatologists only provide the service in Madrid, at Calle Corazón de María 78. If you need it, do not hesitate to contact our spine specialists in the link provided.
All the best.
Good morning, my sister who is 56 years old was diagnosed with degenerative interapophyseal hypertrophy 2 years ago, she had a treatment, which she decided to interrupt because the medications caused side effects, she developed ulcers on her legs, which are very difficult to cure and which also make her suffer a lot, she also had sessions with the physiotherapist, she feels very incapable of even going to any appointment, she has lost at least 20 centimeters of her height, I am 5 years older than her and I live in France and I am very Worried, I don't know what I can do to help her. The orthopedic surgeon recommended surgery, but she says she won't have surgery. I also think she has depression. Could there be something good for her? Thank you so much
Good afternoon Encarnacion,
Thank you very much for commenting on our blog. We recommend that you consult with an expert traumatologist so that he or she can evaluate your case through a thorough diagnosis of the pathology you present and determine the appropriate treatment you need to put an end to the symptoms. You can ask appointment with our spine experts in the link provided, we will be looking forward to helping you and putting an end to the symptoms.
All the best.
Good afternoon!!! I just started with a lot of lower back pain and functional impotence. I had an MRI and it showed L5s1 facet osteoarthritis, as well as L5s1 disc disease associated with annular fissure and disc protrusion. I'm worried because I'm 35 years old.
Greetings
Good morning Carolina,
Thank you very much for commenting on our blog. After having made a diagnosis with a specialist, it is most recommended that he or she determine the appropriate treatment for your pathology. Do not hesitate to contact our spinal traumatologists in the link provided, we will be looking forward to helping you.
All the best.
Good morning my name is glory
I had a CT scan and I have lumbar facet osteoarthritis.
My age is 58 years old, thank you for your attention.
Good morning Gloria,
Thank you very much for commenting on our blog. We recommend that you consult with a spinal traumatologist so that he or she can study your case in an exhaustive and personalized manner and thereby determine the most appropriate treatment for your pathology. You can contact our spinal traumatologists in the link provided.
All the best.
I had a spine x-ray and the diagnosis showed that I have interfacet sclerosis, I would like to know how delicate this is.
I am already waiting for them to refer me to a specialist so they can help me.
But I would like to have your opinion about this disease, I am only 34 years old.
Good morning, Jennifer.
We are very sorry for your pathology. You can contact our Madrid traumatologists through the link provided.
All the best.
Hello good morning
I had an MRI and I had facet hydrarthrosis in the L5 L4. I have had severe pain for days and the medications do not relieve the pain. The doctor who treated me did not send me anything at all.
Good morning Cami,
Thank you very much for commenting on our blog, in your case, the most recommended thing is to go to a trusted traumatologist so that they can assess the state of your pathology and determine the most appropriate treatment for it. You can make an appointment with our expert spine traumatologists in the link provided.
All the best.
Hello,
I had an MRI because I have had a lot of pain in my lower back, the diagnosis was lumbar facet hypertrophy, a problem in the L1-L2 L3-L4 L4-L5 and L5-S1 vertebra. The last one is pinching my spine and that's why I have pain. How could you help me since I am in the United States and I cannot leave the country. Can you recommend a treatment or a spine doctor in this country?
Thank you so much.
Good morning, Liv.
We are very sorry for your condition. Our specialized traumatologists They are located in Madrid, so it would be necessary for you to go to Spain to be able to offer you a complete medical study of the affected area.
All the best.
Good afternoon, I was diagnosed with facet osteoarthritis, L4 L5 and L 5 S1 with osteochondrosisl3,l4, and l4 l5 with small anterior and lateral osteophytes due to spondylosis L3 L4 I want to know how serious it is, and if it has a cure in my eps they only send me painkillers to pain, and they have not wanted to send me an MRI to find out the degree of pain, I will be attentive to your response, thank you
Good morning Yolanda,
Thanks for your comment. In order to offer you a complete diagnosis, it would be necessary for you to go to our Madrid traumatologists, where the treatment that best suits your pathology will be applied.
All the best.
Good morning.. Please, made me one
STUDY CARRIED OUT: SIMPLE AND CONTRASTED ABDOMEN MAGNETIC NUCLEAR RESONANCE (COLANGIO MRI)
And… Result is in part
Facet osteoarthritis in lower lumbar segments.
But… I have never had nonfunctional associated symptoms… What should I do? Thank you so much.
Good morning Ruben,
Thanks for reading our trauma blog.
If the osteoarthritis you have does not cause pain, there is absolutely nothing you need to do. Osteoarthritis and wear and tear are natural conditions of aging and are not treated if they do not cause symptoms.
All the best.
Hello, good afternoon, my sister underwent surgery for a spinal hernia a year ago and now she is in a lot of pain in her leg and spine. They did a contrast CT scan and it showed that she has multisegmented factorial osteoarthritis. What is advisable to do?
Good morning Jennifer,
Thank you very much for visiting our trauma blog.
First of all, the medical evidence would need to be reviewed, but in principle, you could benefit from laser treatment.
All the best.
Well,,,,...I have lower back pain...they did infiltration. blocking. neurolysis...and they didn't give me any relief...then shock waves, neural therapy and nothing...now they tell me I have facet osteoarthritis...the inflammation in the sacrum is chronic...no one has been able to reduce the inflammation. Please can you help me…the pain is strong…I am in Bogota, Colombia, thank you
Good morning Maria,
In order to offer you a complete diagnosis, it would be necessary for you to come to our trauma clinic, where our specialist traumatologists will perform the necessary medical studies.
All the best.
Good morning, doctor, they took an MRI and I had phase arthrosis and a decrease in the conjugation foramens. I had a fall 8 years ago, and for that reason, the fact that I'm sick can depend on the blow and I'm in a lot of pain. I can't work anymore. It hurts a lot to go down and Climbing stairs and mopping floors, they gave me infiltration, it calmed the pain for 6 days and it came back and followed me. The pain again. What should Asher do?
Good morning,
We are very sorry for your condition.
First, before offering you a diagnosis, you would have to undergo the necessary medical studies in our trauma center to be able to offer you the treatment that best suits your pathology.
All the best.
Good morning from Colombia. I have a concern and I would like to know if the doctor is right. Since I was 10 years old I have suffered from spinal pain and now that I am 40 it has gotten worse and my knees and left foot hurt a lot. The doctor tells me it is because I am overweight. They performed the following test on me
STUDY CARRIED OUT:
SINGLE PHASE LUMBOSACRAL SPINE MAGNETIC RESONANCE.
INDICATION: Low back pain. Images were obtained in the transverse, coronal and sagittal planes, using SET1, TSE T2, STIR,
TECHNIQUE: observed: FINDINGS:
The vertebral bodies show outlines of predominantly anterior osteophyte formations.
There are signs of facet osteoarthritis due to subchondral sclerosis and hypertrophic changes that protrude into the foramina with bilateral stenosis from L3/L4 to L5/S1. The interbody discs from L3/L4 to L5/S1 have loss of height and signal intensity on T2, showing central posterior protrusions that indent the dural sac without compression of the cauda equina or tracts.
roots in the neuroforamina.
The posterior components of the neural ring without other pathological signs.
What was observed of the spinal cord does not show pathological data, the conus medullaris at the level of L1.
Paraspinal tissues without abnormal signs.
CONCLUSION: SPONDYLOSIS AND FACET ARTHROSIS GRADE II WITH BILATERAL FORAMINAL STENOSIS FROM L3/L4 TO L5/S1.
DISC DEGENERATION FROM L3/L4 TO L5/S1 WITH HEIGHT LOSS AND DEHYDRATION OF THE PULPOSUS NUCLEI, WITH MILD COMPRESSIONS OF THE DURAL SAC WITHOUT MASS EFFECT ON THE HORSE'S TAIL OR ON ROOT PATHS AT THE FORAMINAL LEVEL.
The doctor's recommendation was to lose 20 kilos and eat healthy.
Is right?
Good morning Martha,
Thank you for visiting our blog.
In order to offer you a diagnosis, it would be necessary for you to go to our trauma center, where we can evaluate your case.
All the best.
Hello, I had an MRI and the report says this: There is slight retrolisthesis of L4 on L5.
The physiological lordosis of the lumbar spine is adequately preserved.
The height of the vertebral bodies is normal without signs of compression fracture.
Modic type 1 degenerative changes of the L4 and L5 vertebral platforms.
Mild degenerative spondylotic changes with some small osteophytes
marginals, hypertrophy and facet degeneration and normal size of the spinal canal.
Dehydration with loss of height of the intervertebral discs L1/2, L4/5 and L5/S1.
L4/5: There is a slight circumferential disc bulge that contacts the ventral surface of the sac.
thecal, lightly contacting both L5 descending nerve roots in the
lateral recesses.
L5/S1: There is slight circumferential disc bulging, which contacts the ventral surface of the
thecal sac, without contacting the nerve roots in an evaluable way.
The conus medullaris ends at the level of L1. There are no notable anomalies from the cone
terminal to the last ends of the ponytail.
CONCLUSION:
Conclusion: Facet degenerative arthropathy more marked at the joint level
distal. Degenerative disc changes as described.
I had a lumbar facet block and the improvement lasted 2 weeks. My left lumbosacral area, groin and gluteus, left tibia and both feet hurt. I'm bitter. I've been there for a year and a half, so they tell me what I have. It is mild but my level of pain I guarantee that it is not. Let's see if you can advise me. Thank you. Regards.
Hello José María,
It is very necessary to explore him, and evaluate the MRI studies, review the MRI sections to determine whether the degenerative changes described are important or not. In addition to exploring him and making sure where the pain comes from.
Visit our facilities or consult any reference doctor to address the problem as soon as possible.
All the best.
Good morning
In my MRI and radiography, as a diagnosis, I have facet osteoarthritis and the traumatologist from the medical commission tells me that my neurosurgeon doctor will perform a facet block to which my doctor is a little complicated since I am being treated for severe refractory major depression and He tells me that this treatment would not be of much help or would only relieve my discomfort for a short period and would make me spend more money... my question, is that true? What should I do because they did not assign me any percentage for osteoarthritis, they only saw my psychiatric issue...it is true that this influences my recovery.
I remain attentive to your answer
Thank you
Hello Karen,
With this data we cannot offer you much help, but there are specific treatments for osteoarthritis that will depend on its degree and evolution.
A hug.
Hello, Dr. My diagnosis according to MRI, in the L4-L5 disc a diffuse bulging of the anulus fibrosus is observed, contacting and compressing the L5 roots bilaterally with greater involvement on the right side. In the L5-S1 disc there is a diffuse bulging of the anulus fibrosus. Mild facet osteoarthritis. The rest of the discs show some dehydration. I have chronic lumbar pain and lumbar muscle tension, my way of walking has changed 6 months ago, every day I see that this is progressing more and deteriorating.
Hello Katherine,
We would have to evaluate the clinical examination and correlate it with the images to see if it requires medical treatment or not.
All the best.
Good afternoon, I had a spinal MRI, the diagnosis was multilevel degenerative disease.
I get severe pain in the lumbosacral area. Sometimes when the pain is very intense, I lose mobility in my legs. That pain makes me angry. My left leg grabs hard. Will this be bad?
Hello Janny,
We would have to review the radiological images and assess the degree of neurological compression, comparing it with the clinical examination and from there assess the best therapeutic option.
Thank you.
Good morning, I had surgery 3 months ago, I had a laminectomy but I'm having a lot of pain in the lower back that doesn't allow me to walk well. The doctor sent me another MRI, increased lumbar lordosis, inberterbral discs L3 and S1 show loss of signal on T2, like degenerative signs. L3L4 symmetrical disc bulge facet hypertrophy partially obliterates the literal recesses associated with hypertrophy and yellow ligaments with mild left foraminal stenosis I want to know if it is serious Karina here in Colombia
Hi Karina,
Apparently they are degenerative changes, they do not seem serious but it is necessary to review the images to see what they are and if they are related to the surgery or not.
A hug.
The diagnosis is: bilateral sacroiliitis, pain in both hips and joints, generalized inflammatory spondylopathy gluteal tendinitis - radiating to the right and left lower limb degenerative lumbar disc disease L4-L5 and L5-S1 left lumbosciatica and yesterday they gave me the result of the MRI of Lumbosacral spine
Diagnosis: moderate facet osteoarthritis L5-S1, I cannot do extended walks and I cannot stand or sit for more than 10 minutes.
Hello Cindy Joahanna,
It would be advisable to review it progressively in consultation and ask for the necessary tests to see to what extent we can help you.
All the best.
Good morning, in a cervical MRI I found rectification of lordosis, uncovertebral facet arthrosis generating a set of moderate foraminal stenosis at level 4,5,5,6, they only sent me a few sections of physiotherapy but the pain and mobility affect me What is the recommended treatment for these pathologies, thank you very much
Hello Monica,
Whenever possible, conservative physical therapy and cervical mobilization treatment should be performed. Only its failure and the persistence of symptoms will allow us to make surgical or somewhat more aggressive decisions.
All the best.
Hello.. After two years with a lot of pain in the lower back, they have done an infiltration and they have seen the state of the facet joint, the neurosurgeon's word was a fallen vertebra.. The infiltration has not done anything and they have done another second infiltration that also did not work. I am very limited. I have been in bed for a month without being able to take a step. The neurosurgeon wants me to do a radio frequency in the pain unit. But there is a 9-month waiting list and I can't take it anymore. I don't have any quality. of life.
What results do facet operations give?
Good morning Pili, first of all thank you for your question and for trusting us. Regarding the surgical indication, this is the one that always gives good results. It is usually a very valid option, although not definitive, in the case in which what you have is a listhesis with pedicle lysis.
Hello, I am writing from Chile, I would like to know, after the Facet block and the Facet rhizotomy, what treatment continues, I say this because I have already had both procedures performed and the pain and immobility continue, for the same reason I lost considerably in weight (from 85 kilos to 60) I was With physical therapy for more than 6 months, I learned to move again... but the pain continues, what else can I do???🙏🏻🙏🏻🙏🏻 my doctors say they should fix the Spine.
Hello Marcela,
Radiofrequency treatments have very favorable results that help improve the patient's quality of life, especially in cases of chronic facet lumbar pain.
We hope you get better. All the best.
Good evening, my diagnosis is mild arthropathy of the posterior facet of L4-S1. But the pain is daily and when I sleep and change position it is fatal, very strong pain, I am in therapy but I do not see improvement, I am 40 years old
Hello Marcela,
You can come to our clinic to evaluate your case and your treatment. It will be necessary to evaluate whether there are other treatments to improve your quality of life.
You can make an appointment by calling 910 053 900
Greetings.
Hello…after treatment for 3 years and surgery without success, I managed to have neurolysis performed on my spine…facet osteoarthritis…CAN I RETURN TO SHOCK WAVE THERAPIES? If YES...how long after neurolysis...thank you
Thank you very much for your comment Maria,
It is difficult to define this only with the data you provide me. We should evaluate the images and clinical examination to see what spinal configuration she has and how we can help her in the best way. We invite you to request an appointment to evaluate your case personally.
All the best
Hello, could you translate this for me and tell me which treatment would be the most recommended?
Low lumbar disc disease with protrusions according to description. Involvement of lower segments with contact with descending paths of the roots to the right L5, s1.
Mild left side hypertrona [5-S1
Anterior lumbar spondylosis.
Hello Stephanie,
It seems that you have nerve involvement due to degenerative changes in the lumbar spine. Surgery would have to be considered.
You can come to our office to review your case. Make an appointment by calling +34 910 053 900.
Greetings.
How are you. I'm from Uruguay. I am 39 years old and my diagnosis is Impingement of the L4_L5 spaces. L5-S1 that associates sclerosis and osteophytes. Disc protrusion at level L5_S1. Narrowing of the L5_S1 neuroforamens. Facet Osteoarthritis L5_S1. What step can I take? I worry about how many years of normal living or walking I will have. I always did a lot of sports. I don't know what I can continue doing 😑
Hello Miriam,
Yes, a priori you have to continue doing sports, if you have problems in the future we can propose a minimally invasive solution.
Greetings.
Best regards, the result of an MRI of the lumbosacral spine is the following:
MRI SIMPLE LUMBO-SACRAL SPINE
TECHNIQUE:
Sagittal sequences with T1, T2 and STIR turbo spin echo technique were performed on 3T equipment. Additionally sequences
axial over the last three lumbar interspaces with T1 and T2 turbo spin echo technique.
FINDINGS:
Central protrusion of the intervertebral disc at the L4-L5 level, associated with central extrusion with cephalic migration at L5-S1
already incipient arthritic-hypertrophic changes of the facet joints at levels L3-L4 to L5-S1
which does not produce signs of root compression.
Decrease in signal intensity of the intervertebral discs at levels L4-L5 and L5-S1 due to changes
chondrosics.
The morphology and signal intensity of the observed vertebral bodies and other intervertebral discs
They are normal. There are no spinal alignment defects.
The conus medullaris and roots of the cauda equina have normal distribution, morphology, and signal intensity.
The paravertebral soft tissues and the visualized portion of the retroperitoneum have usual characteristics.
CONCLUSION:
Central protrusion of the intervertebral disc at level L4-L5, associated with central extrusion with cephalic migration at L5-S1
and facet osteoarthritis at the L3-L4 to L5-S1 levels which does not produce signs of root compression.
Chondrotic changes at the mentioned levels.
IS MY MEDICAL CONDITION SERIOUS OR COMPLEX?
Hello Edison,
To answer you, we will have to send the results to a specialist doctor on our team. The best thing in these cases is that you request a private in-person consultation and the doctor can give you all the information personally.
Greetings
Good night,
I was diagnosed with facet osteoarthritis but I am only 33 years old. The symptoms are evident and the pain has been chronic for a few years. They will finally treat me with a diagnostic block and 7 days later with radiofrequencies. I would like to know what my life expectations may be considering the young age.
Thank you!
Beatriz
Hello Beatriz,
You will have to undergo periodic studies to monitor progress and manage pain, although everything will depend on your particular case and the rehabilitation, exercises and lifestyle you have, among other things.
Greetings
Good morning, I have been diagnosed with facet osteoarthritis, it has infiltrated me but the pain remains the same at night, it is exasperating, I cannot sleep or rest from the pain.
I am undergoing lumbar arthrodesis L4,L5 and partial sacralization of L5s1. There is some solution to alleviate this suffering.
Thank you
Hello Jesus,
There are different therapies to treat pain. At the same time, we recommend that you come to our specialized clinic so that a spine professional can give you a second opinion.
You can make your appointment by calling (34) 910 053 900.
We will wait for you
Good evening, today they gave me the result of my simple lumbar spine MRI and it says
Decreased signal intensity of the intervertebral discs l4 l5 and l5 s1 also says intervertebral disc l1 L2 minimal diffuse bulging L2 l3 minimal diffuse bulging l3 l4 diffuse bulging associated with facet and ligament hypertrophy that decreases the width of the lateral recesses intervertebral disc l4 l5 diffuse bulging of the annulus fibrosus associated with facet and ligamentum flavum hypertrophy that reduces the width of the lateral recesses with incipient contact of the left root of l4 at the foraminal level intervertebral disc l5 s1 diffuse bulging of the annulus fibrosus associated with facet and ligament hypertrophy that decrease the amplitude of the lateral recesses, I would like to know what the diagnosis is because I do not understand that study. I was MISSING (FOR PROBABLE DISABILITY PROCEDURE) because I already have an electromyography and the result was chronic radiculopathy in the left L5 dorsal branch with a slight axonal component It is worth mentioning that the pain is very strong and sometimes the pain goes down to the right leg.
Hi Brenda,
We do not know under what conditions they can become disabled.
Greetings
Hello, my rehabilitation doctor has told me that I have facet osteoarthritis and my primary doctor has told me that I have sciatica and that facet osteoarthritis is an inflammation and that is normal.
Hi Claudia,
It can be both. But what can help us determine what is the cause of the pain is a clinical examination.
Greetings
I am 52 years old, I have been diagnosed with hypertrophic spondylosis, hypertrophic facet joint disease!! The truth is I am devastated because I have read a lot about this and it refers to very little life, could it be?? Greetings
Hello Damaris,
I don't know the level of pathology you have. I think we need to study your medical tests and evaluate it in person. Spine pathology is a very complex pathology that requires very detailed study and assessment of both the tests and the symptoms.
Greetings
Good morning doctor, I suffer from chronic pain between the shoulder blades, it is a specific pain as a trigger and also during moments of rest, it is every day and from the back it reaches the sternum or part of the rib cage...what could it be? Thank you
Hello Rodrigo,
It may be a strong contracture, if it does not decrease over time, you should go to a consultation to check it out.
Greetings.
Hello, I was diagnosed with incipient invertebral osteochondrosis. Degenerative changes in interapophyseal L5-L1, they sent me postural rules and daily strengthening exercises, is it very serious?
Hello Eugenia,
It depends a little on your diagnosis (we don't know your medical history either). Although as the specialist recommended it does not seem serious since he has only indicated non-invasive treatments.
Greetings
Hello, I have lumbar facet osteoarthritis and I already had a blockade but a month passed and the pain returned. It is very difficult for me to do things. For two weeks I have had pain and with nothing it goes away and I also have scoliosis and radicular problems and discpathies.
Hello Nancy,
Your case should be reviewed in consultation to determine the causes and develop a rehabilitation plan.
Greetings
Good morning, my diagnosis was grade ll facet osteoarthritis with bilateral foraminal stenosis in L4, L5/S1, and disc degeneration in L3 and L4. With central posterior protrusion L4L5
Left lateral posterior protrusion
And the l5S1 with multidirectional bulge indented to the dural sac without mass effect on the cauda equina or on root tracts in the neuroforamenes
Hello, how are you? I had an MRI and it showed interface hypertrophy between L4 and L 5. What does it mean? it's bad? I'm just seeing a clinical doctor
Hello Tatiana,
In principle it doesn't have to be serious. The treatment depends on the severity, the symptoms and how much this pathology affects your daily life. Treatment can vary from anti-inflammatories and physiotherapy to minimally invasive intervention in more complex cases.
Greetings
Hello, after 3 years of intense pain and limitations, I had an MRI and was diagnosed with an anomaly of the lumbosacral transition, rectification of lumbar lordosis, in disc l4, l5 a diffuse disc bulging that causes mild, moderate bilateral foraminal stenosis, and in the l5, s1 diffuse disc bulging, moderate bilateral foraminal stenosis, and facet osteoarthritis with 6mm yellow ligament thickening. Let's see if you can interpret this for me because I don't understand anything, thank you very much...
Hello Nayib,
We would need to see the full report and images to be able to give you an interpretation of the result.
Greetings
Good morning, I am in Switzerland and I was diagnosed with the following, what treatments can I follow?
1. The examination does not show any root conflict at the lumbar level, particularly at L5 and SI.
left or right. We observed bilateral zygapophyseal osteoarthritis that is severe between I4 and S1, and which could be accompanied by referred pain in any case but which would poorly explain the symptoms of motor weakness.
2. Presence of an acquired posterior fusion from C2 to C5 at the cervical level, causing an interdependent blockage of these four vertebrae, and clearly a causal factor of a pronounced kyphotic inversion of the cervical spine between C4 and C7, with C5 discopathy. C6 severe and C6-C7. In this location, the spinal canal is not stenotic but the cord is in contact with the discovertebral structures anteriorly. There are no signs of radiographic myelopathy, but this level is probably very mobile and it is not impossible that irritation may nevertheless occur. Likewise, we observed a C5-C6 right foraminal stenosis that is only moderate, but could evolve during mobilization given the combined C2 to C5 block. Thank you
Maria Alejandra
Hello María Alejandra,
In these cases, it is best to make a consultation to find out about the case, see the tests and perform a clinical examination.
We cannot advise treatments without full knowledge of the case.
You could contact us to make a telematic or in-person consultation.
We remain 100% at your disposal.
Greetings
Hello, I was diagnosed with a slight decrease in joint space in l5 s1, is it serious? It doesn't hurt me at all
Hello Daniela,
In principle, it shouldn't be anything serious, although you have to be treated and checked by a specialist.
Greetings
Hello dr, I was diagnosed with a slight decrease in joint space in l5 s1, is it serious? I have no pain
Hello Daniela,
As your diagnosis indicates, it appears to be mild. Although it would be necessary to review it in detail to give you a second opinion on the degree and severity.
Greetings
Good evening, L4'L5 lumbar arthrodesis operation, Partial sacralization of L5 s1, I have been diagnosed with wear and tear on both sacroiliac cartilage joints.
What are my options?
I have been on medication for more than a year, they performed infiltration but the pain in the lower back, groin and buttocks remains the same.
At night the pain becomes unbearable, why is it that it affects more at night?
Hello, good morning, María Luisa from Chile writes to you. I was diagnosed with spondylosis and spondyloarthrosis.
Low lumbar.
Compromising L4-L5-and lumbosacral..
I see a general medicine doctor and he only gives me pregabalin for the pain... and tramadol with paracetamol but I don't take pp because it makes me tachycardia...
There are days when the pain is unbearable, even more so when I do a lot of things at home... reaching the point of not even being able to walk because the pain radiates to my right leg and buttock...
I must tell you that he has had transverse myelotis for more than 20 years... could that be the cause of what is happening or could it be many spinal injections since I also had many problems with a kidney...
I would appreciate if you could guide me
Thank you very much and God bless you
Hello María Luisa,
Spine cases are very difficult to diagnose, especially without access to tests and an in-person physical examination.
Therefore, in order to guide you, we would need to see you personally for a consultation. You can make an appointment by calling 91 005 39 00.
Greetings
Hello, I have been diagnosed with facet osteoarthritis of the l3-s1 without foraminal involvement, after having an MRI and an electromyelogram test of my right leg. I was having pain in my knee that I thought was pes toes tendinitis. What doesn't fit into the diagnosis is that if the nerve is not affected, how can they tell me it is osteoarthritis. Osteoarthritis itself is the degeneration of the vertebrae, right? That diagnosis can be feasible for everyone, right? Over the years we degenerate….
Hello Gorka,
Osteoarthritis is not "normal" in everyone, although it is a pathology whose main cause is aging. There are also certain factors that can contribute to its development, such as being overweight, family history, spinal injuries, among others.
Greetings
Hello Doctor. I am a 50 year old woman. A rheumatologist took some x-rays for continuous pain in my neck and lower back. He told me that the x-rays were fine and didn't show anything and he just discharged me.
But in the report he gave me it says: » – Lumbar C. X-ray: degenerative changes in facet joints of the posterior arch.
– C. Cervical X-ray: degenerative changes»
I don't understand medicine and I'm worried. Is it a serious diagnosis? Or is it a common condition at age 50?
Thanks a lot.
Hello Maria,
If you have facet degeneration you should evaluate the severity and undergo treatment.
We recommend that you make a second consultation.
You can make an appointment at our clinic by calling +34 910 053 900 and we will review the imaging tests.
Greetings
Hello, I have been diagnosed with facet hypertrophy l4, l-l5 and l5-s1. This was the result of an injury at work and I am 29 years old.
The doctor who checked me told me that it is reversible but I imagine in the sense of reducing inflammation.?? because what I have seen on the Internet is serious and will advance over time. it's right??
Hello Jose,
Column cases must be dealt with individually since each one has its particularities.
Probably, if your doctor has told you that it is reversible, it may be that way. In any case, it is always positive to make a second consultation.
You can make an appointment by calling 91 005 39 00.
Greetings
Good morning Maria, this is normal with the passage of time, since the vertebral structures degenerate if they are not used properly. For your case, an appropriate treatment for cervical pain , it would be physical therapy work combined with cervical stabilization work and cervical exercises.
All the best
Hello Doctors, good morning, I had an MRI of the Lumbar Spine with this diagnosis: Changes due to osteochondrosis of L5/S1 with left paracentral disc extrusion that compresses the descending nerve root
of S1.
Mild facet osteoarthritis from L2/L3 to L4/L5.
It is serious and what is its treatment to improve my quality of life.
Thank you ☺️ God 🙏 bless you always 🙏🤗🙏 greetings from Colombia.
Hello Fabian,
As we mentioned in our post, treatments depend on many factors: mainly the severity and pain that the patient has.
In general, a more conservative treatment is always tried first; the facet block and radiofrequencies usually have very good results.
If there is nerve compression, it would be necessary to evaluate whether minimally invasive surgery is needed to free it.
Greetings
Hello, good day, an MRI showed bilateral interface joint fluid in l 4 and l5 and I am a nurse, I follow the treatment, I will be able to work, I use a lot of force when working with patients, is there surgery?
Hello,
In principle it is not operated. Treatments are applied to improve your quality of life. Although we should evaluate your medical history in detail since spinal cases require a meticulous analysis before determining any diagnosis.
You can make an appointment by calling 91 005 39 00 so that one of our specialists can review your case and see the steps to follow.
Greetings
Hello, I live in Colombia and due to lumbar pain on the left side that lasted several weeks, I consulted with a general doctor from the EPS and they performed an x-ray of Columba lumbosacral, the result was: – Lumbar spondylodyscarthrosis.
Lumbar spondylosis changes.
Lumbar fascial osteoarthritis.
Please tell me what I can do to improve my quality of life, what type of treatment should I have? Thank you so much
Hi beautiful,
In order to give you treatment we would have to review your tests and carry out a review.
You can make an appointment by calling 91 005 39 00
Greetings
Good afternoon.
Today, after a CT scan two weeks ago, I was diagnosed with the following:
CONCLUSIONS
Clinical data: 47 years. Severe right lumbosciatalgia.
Intervertebral osteochondrosis at L5-S1.
Degenerative disc disease/incipient intervertebral osteochondrosis at L4-L5, with a small herniated disc fragment in a central/paracentral location.
They slightly imprint the ventral surface of the thecal sac.
Hypertrophy/incipient facet osteoarthritis in the lower lumbar spine.
The aforementioned findings also cause mild/moderate stenosis over the conjunction foramina of L3-L4, L4-L5 and L5-S1, predominantly right in L4-L5 (right L4 root).
My symptoms are numbness in the legs, lower back pain when standing and/or sitting for long periods of time.
What should I do?
Thanks for your comments
Hello Ruben,
The first thing you should do is go to the specialist to analyze the results and start treatment as soon as possible.
Whoever analyzes the results will determine the best treatment considered in your situation.
Greetings
I had an MRI of the spine and it showed bilateral facet sclerosis l1 to s5. Degenerative discopathy due to dehydration of the nucleus pulposus with disc bulging that contacts the dural sac. Partial foraminal compressive radiculopathy of roots of l5. Rectified lumbar lordosis. This is serious. I am 20 years old and there is a history of Cancer in my family.
Hi David,
A priori of course it is not cancer. But it does seem that you have disc pathology that should be checked. The normal thing is that you have something in your family that causes this type of deterioration in the structures of the discs.
Greetings
Good day sir.
For a job income they did an MRI of the lumbosacral spine, it came out
«Reduction of lateral recess due to facet hypertrophy in L4-L5 and L5-s1».
For a long time I have had pain if I stand or sit for long periods of time. I am 33 years old.
Good morning Jonathan.
It is best to contact a specialist to evaluate the best treatment and steps to follow according to your diagnosis.
Greetings
Good afternoon doctor, I was diagnosed through an x-ray with L5 S1 interface arthrosis, how difficult would it be for me to work as a driver?
Hello Liliana,
Since it is a lumbar problem, the driving position if it is for prolonged periods can cause discomfort.
The best thing would be to evaluate your situation personally and establish a treatment that will help you improve your situation.
Greetings
Good afternoon: I just collected the MRI of my 34-year-old daughter, the result is:
Facet joint hypertrophy at L4-L5. The spinal cord ends at the level of D12. Rest without alterations. They have sent him to rehabilitation, the pain is very intense, he has already taken corticosteroids, and tramadol, and there is no way, he gets better for a few hours and comes back. Apart from that, my right leg gets cramps and stays stiff. Is it okay to do rehabilitation first?
Hello isbael,
It is always advisable to try conservative treatments before moving on to more invasive treatments such as interventions.
Greetings
Good morning, I have been suffering from cervical pain that has been radiating to my left arm for some years and I recently had this MRI performed. Could you advise me what can be done? Signs of C5-C6 disc dehydration with minimal loss of thickness and with small diffuse disco-osteophytic protrusion
"which does not significantly compromise the canal or the foramina"
Signs of C6-C7 disc dehydration with loss of thickness, irregularity of the vertebral endplates and protrusion
Diffuse discoosteophyte that does not significantly compromise the canal. Along with the concurrence of uncovertebral hypertrophy
and facet conditions, advanced left and moderate right foraminal stenosis
Interapophyseal degenerative changes predominantly left with facet irregularity and hypertrophy.
Cranio-vertebral union and paravertebral soft tissues without visible alterations.
Conclusion:
Moderate-advanced degenerative disc disease C6-C7 and lower grade C5-C6. Moderate degenerative facet arthropathy
predominantly left. The degenerative changes mentioned cause advanced left foraminal stenosis and
moderate right in C&C7, without being able to exclude a certain degree of emerging root involvement (left), Rest of
findings in the report
Hello Pedro,
We see the most complex cases within an appointment. Thus we can evaluate and know the patient's medical history, history, age, tests performed, and perform a physical examination.
From there, our team proposes a possible treatment for the patient and we provide professional follow-up to achieve a complete recovery.
Call us at 91 005 39 00 and we will find a place for you to hear about your case.
Greetings
Hello, I'm José Manuel, I'm 61 years old and I've been out for 18 months due to a hernia, 1 year without an appointment at the Torrejon hospital. The traumatologist finally saw me and my surprise is that he tells me that he has to put a plate with screws on me. but I could DIE in the palmistry due to infection or stay in a wheelchair. Because I almost died of fright, I sent an MRI that I will provide and you can give me an evaluation. THANK YOU…
Magnetic resonance imaging of the lumbar spine.
A study is carried out with usual cuts and sequences
Reason for the study: For surgical evaluation. It is compared to RM dated 07/12/2022.
Ostcophytes
Ch lumbar spine.
Bilateral degenerative factual hypertrophy L3-L4, L4-L5 L5-$1.
Loss of signal from the discs in the lumbar spine in relation to dehydration that associates loss of height at the levels L3-L4 and L5-S1 in
relationship with degenerative changes
Modic type 2 degenerative changes of the endplates adjacent to the L2-L3 disc and Modic type 1 of the endplates adjacent to the L5-S1 disc.
At the L3-4 level, diffuse posterior bulging of the disc is observed, which together with the degenerative bone changes causes moderate stenosis.
of the right foramen of conjunction contacting the nerve root at this level and mild stenosis of the left/right foramen of conjunction.
At the L5-S1 level, diffuse posterior bulging of the disc is observed, which, together with degenerative bone changes, causes stenosis.
moderate – Severe of the right foramen of conjunction compressing the nerve root at this level
Rest of preserved spinal diameters
Conus medullaris located at the level of L1.
The roots of the cauda equina show a normal distribution within the thecal sac.
To say that I have a lot of pain in my buttock and left leg that reaches my calf. I walk 50 meters and I have to sit down with tingling in my left leg.
Hello José Manuel,
We have to see these types of private consultations in person to correctly evaluate the patient.
You can make an appointment by calling (+34) 910 053 900.
Greetings
Discopathies due to dehydration-desiccation L3-L4, L4-L5 and L5-S1 described. It is associated with annular fissure in
L3-L4 and L4-L5. Findings that, together with facet hypertrophy, reduce stenosis of the L4-L5 foraminal recesses and
L5-S1. There is no visible root involvement.
3. Levoconvex scoliotic attitude.
4. Tendency towards rectification of the physiological lordotic curve. Good morning doctor, this was my diagnosis, how serious is it?
Hello Mery,
We do not make inquiries through this means, but you can contact a professional from our team requesting a consultation at 91 005 39 00.
In consultation we will review your tests, perform a physical examination, as well as review your medical history to be able to give you accurate information about your condition.
Greetings
TECHNIQUE
Axial cuts with sagittal and coronal reconstructions were performed with multi-cut equipment in the vertebral bodies.
lumbar, with the following findings:
REPORT:
The vertebral bodies are normal in shape, size, number, and alignment with each other.
Small anterior marginal osteophytes in lumbar vertebral bodies.
Mild facet osteoarthritis L4-L5, L5-S1.
The height of the intervertebral spaces is preserved.
The dimensions of the spinal canal and the neural foramina without alterations by this study method.
Normal-appearing paraspinal muscles and soft tissues visible.
DIAGNOSTIC IMPRESSION:
– SLIGHT SPONDYLOSIC CHANGES DESCRIBED IN THE LUMBAR SPINE.
Hi Patricia,
The causes could be many, we would need to know the medical history, and many other factors in addition to the tests performed to be able to tell you something.
You can contact us with more information or for a consultation here.
Greetings
Hello, I have been diagnosed with degenerative lumbar spondylarthropathy and I would like to know if it is serious and if the pain could be a reason for sick leave.
Thank you so much
Hello Sonia,
It all depends on the degree of degeneration and the pain you have. We would have to see plates and perform an examination to give more details.
You can make an appointment by calling 91 005 39 00.
Greetings
Hello, my son had surgery for scoliosis but he was left with a scoliosis of 36 degrees. It has been 6 months since the surgery but his pain is very strong. They took an x-ray and it showed a DECREASE IN THE AMPLITUDE OF THE INTERVERTEBRAL SPACES OF THE THORACIC SPINE. I don't know if It's bad, the doctors say that it's normal but his pain is very bad. He's 14 years old, he's only on therapy, thank you.
Hello Marcela,
Spine cases are very complex and with this information we cannot give you a recommendation: we would need to perform an examination, see the tests and study the case.
You can make an appointment by calling 91 005 39 00.
Greetings
Good afternoon, doctor, I was diagnosed by MRI with facet syndrome grade 1 in l5yS1 osteochondrosis grade 7 in L4YL5 grade 3 in L1 YL2 L2YL3 and L3 L4 modified Pfirrmann classification and osteoporosis, how serious is it? Thank you
Hello jhon,
We would need to look at your tests and perform a physical examination to see what steps to take and how to improve your quality of life.
You can make an appointment with our expert medical team to receive the best care by calling +34 005 39 00.
Greetings
Hello.. Dr. I hope you can help me, they did an MRI and facet hypertrophy appears in L5-s1 which reduces the enlargement of the neural foramens. The orthopedic surgeon gave me treatment but I continue to have stronger pain every day.
Hello Lidian,
Spine cases are very complex and require great experience and a detailed and professional analysis of each case.
Our team of experts is widely trained to deal with complex cases, so I recommend that you make an appointment by calling 910 053 900 to study your case, see the evidence and see steps to follow.
Greetings
VERY GOOD, I HAVE BEEN OFF FOR 11 MONTHS FROM WORK, CAUSED IN A FIRST DIAGNOSIS BY A LUMBOSCIATIC PAIN SINCE THE PAIN CAME FROM MY RIGHT GLUTEUS AND RADIATED ME BEHIND THE THIGH UNTIL I REACHED THE BIG TOE. AN MRI WAS RECOMMENDED TO ME TO FIND OUT MORE ABOUT THE PAIN THAT DID NOT REMIT WITH MEDICATIONS SINCE THEY HAVE CHANGED MY TREATMENT SEVERAL TIMES, DESPITE THIS PROPOSAL I HAD TO COST FOR THE TEST ON MY OWN DUE TO THE REFUSAL OF MY GENERAL DOCTOR TO DO IT QUICKLY. WELL, I TOOK THE TEST AND THEY DIAGNOSED ME THAT I HAD A DIFFUSE POSTERIOR DISC PROTUSION WITH BIFORAMINAL EXTENSION TO A GREATER AMOUNT IN THE RIGHT FORAMEN WHICH DISCRETELY DECREASE THE CALIBER OF BOTH FORAMENS WITHOUT CONDITIONING ROOT COMPRESSION. SIGO, IT IS ALSO ASSOCIATED WITH SIGNS OF BILATERAL FACET ARTHROPATHY WITH WIDENING OF THE INTERARTICULAR SPACE WHICH CONDITIONS A STENOSIS OF BOTH RECESSAS WITH COMPRESSION OF THE LEFT L5 DESCENDING ROOT. IN THE L5/S1 SPACE. ANOTHER IMAGE IS DISPLAYED COMPATIBLE WITH A DIFFUSE POSTERIOR DISC BULGEMENT, AS WELL AS A MORE ACCUSED BILATERAL FACETARY ARTHROPATHIC PICTURE ON THE RIGHT WHICH CONDITIONS A DISCREET Narrowing OF THE RIGHT LATERAL RECESS AND OF THE PROXIMAL PORTION OF THE RIGHT L5 ROOT. SIGNS OF INTERVERTEBRAL OSTEOCHONDROSIS WITH MODIC TYPE II CHANGES ARE ALSO VISUALIZED AT L4/L5. IN THE REST OF THE VERTEBRAE DISCS AND THE MUSCLE LIGAMENTOUS STRUCTURES BELONGING TO THE LUMBAR SPINAL, NO SIGNIFICANT ALTERATIONS ARE SHOWN. THE DIAMETERS OF THE SPINAL CANAL ARE CONSERVED. MEDULAR CONE AND HORSE'S TAIL WITHOUT ASSOCIATED ALTERATIONS. SORRY FOR THE EXTENSION. AFTER 11 MONTHS THEY HAVE FINALLY DIAGNOSED ME, WELL, THAT DUE TO THE LOSS OF CARTILAGE AND THE CHUCKING OF THE BONES, BECAUSE THAT WAS THE CAUSE OF THE PAIN IN BOTH LEGS IN THE END, WHICH WHEN I GET OUT OF BED I HAVE A HARD TIME GETTING UP AND THEN I GO OUT I WALK AND THE PAIN GIVES AWAY BUT WHEN I SIT DOWN AND TRY TO REINCORPORATE AGAIN THE PAIN COMES BACK.
THE DOCTOR IN THE PAIN UNIT TELLS ME THAT I HAVE TO LOSE WEIGHT AND THAT IT IS DUE TO BEING OVERWEIGHT. DO AQUAGIM EXERCISES AND STRENGTHEN MUSCLES SUCH AS LUMBAR, DORSALS AND ABDOMINALS. WELL THIS IS MY CASE AND SORRY FOR MY EXTENSION. THANK YOU
Hello John,
Now that you have a diagnosis, it is best to follow your doctor's instructions to improve.
It is true that being overweight may be hindering improvement.
Greetings
MRI of the cervical and dorsal spine. Cervical protrusion c6 c7 and dorsal in t5 t6 and t6 and t7 you are last with spinal contact after having instituted medication he was referred to the pain unit taking enanplus the pain does not disappear what could be the next step thanks regards
Hello José Antonio,
Posterior facet ablation could be considered. Although we should review the case in consultation to tell you with greater certainty.
Greetings
Thank you very much for your article about this spinal condition, it contains a lot of useful information for everyone. I do have some experience with orthopedists, unfortunately I suffered an injury two years ago and found myself in need of an orthopedist. I have played baseball since I was a child, it is a sport that I am passionate about and I practice it to this day at 43 years old. Two years ago I began to have severe discomfort and pain in my knee. After home remedies and massages did not work, I went to my orthopedist Raúl Rodas https://ortopedistaraulrodas.com/ and he diagnosed me with a problem with the cartilage in my knee. , surgery was the best option to solve the problem and my orthopedist decided that arthroscopy was the best option instead of open surgery, arthroscopy is an outpatient and minimally invasive procedure, after a few hours I was already at home recovering, To this day I am still impressed by the problems that orthopedists can solve, I eternally thank God and the orthopedists for having restored my mobility and my health.
Thank you so much
Greetings!
Good morning,
Thanks for the article and the usefulness of your website! Honestly it is a joy to find a center like this.
My father has been given the following diagnosis: «XR: APPARENT L5 RETROLYSTHESIS ON S1 AND L4 ANTEROLISTHESIS ON L5 WITH DEGENERATIVE DISCOPATHY AT BOTH LEVELS. LUMBAR PAIN RADIATED TO MMII WITHOUT MOTOR DEFICIT WITH LASEGUE – WITH GAIT CLAUDICATION.»
You have been given a flyer for a “NON-CONTRAST LUMBAR SPINE MRI” and I would like to ask you the following questions:
1. Would an Open MRI be equally reliable as a reliable MRI? If not, what alternative would there be for a patient with claustrophobia?
2. In your center, could you treat this diagnosis? Waiting lists for Public Health are unviable.
Hi Diego,
1. Closed MRI is more reliable, so it is not the same. The only recommendation for a patient with claustrophobia is open MRI (although always keeping in mind that it is less reliable).
2. Of course. You just have to make an appointment and our team will evaluate the case to see steps to follow.
Greetings
Hello, I loved your explanation, my husband had some tests done for back pain and they found him advanced spondylosis with facet arthropathy at L5-S1 with thousand spondylosis at the remaining levels, they only prescribed him analgesics for the pain that they recommend, thank you
Hello Aida,
In addition to pain relievers, it would be ideal to try physical therapy treatments.
Greetings
HELLO DOCTOR.- I had a CT scan without contrast with the following report CERVICAL SPONDIILOARTHRIS WITH HYPERTROPHY OF THE FACETARY AND UNCIFORM JOINTS, PERIPHERAL OSTEOPHYTAL PROLIFERATIONS, SMALL GAS BUBBLES PROXIMAL TO THE DISC SPACES FROM C4 TO C6, DEGENERATIVES AND ALSO THE STERNOCL JOINTS AVICULARS.
pinching of the intervertebral spaces more extensive in C5-C6 more extensive in C5-C6 and C6-C7,
Hello Manuel,
We would have to see the test and study your medical history to see what is the best treatment you can perform according to your condition.
Greetings
Hello, good evening, my case was a diagnosis of L5-S1 disc herniation in which I underwent surgery in 2016, according to what they told me and I remember they only removed the piece of the disc that had moved or protruded.
In 2021 I ask for a review because even though I improve I always had crises, they performed an MRI and the traumatologist diagnosed me with mild degenerative disc changes and signs of degenerative arthropathy in posterior joints. Disc protrusions according to the description with greater involvement L5-S1. They prescribed corticosteroids and continue.
A few months ago, working, I had one more crisis and from then on it got worse and worse. My doctor referred me to the rehabilitator and did an MRI.
In this MRI the diagnosis is bilateral posteromeidal and foraminal providence L3-L4,L4-L5,L5-S1.
And a little higher up I read spondylosis. modic changes I II and moderate facet hypertrophy.
They have referred me to the pain unit.
In both reports there are things that coincide and others that do not.
I don't understand how serious it is, although they told me that it is important and even more so at only 40 years old, all of this has led me to depression.
I would like to know your opinion on this.
Thank you
Hello, Luz,
Spine cases are complex and sometimes require several opinions, it is important not to lose hope.
If you want, we can organize a consultation to study your case and see what we can do.
Greetings
Hello, my MRI shows moderate multiple intersynaptic impingement, hypertrophic sclerotic degenerative changes in facet joints.
Biforaminal osteophyte disc protrusion L3-L4-L5 displacing both emerging roots.
herniated disc L5-S1, I HAVE A LOT OF PAIN, I have been waiting for months for rehabilitation, what can I do, thank you very much
Hello Andrea,
The sooner you start rehabilitation, the sooner your pain will improve.
Contact our center for more information.
Greetings
Good night
I had a SIMPLE LUMBAR COLL MRI.
DIAGNOSTIC PRINT:
Degenerative discopathy L4-L5, L5-S1: Prominent fibrous ring that occupies foraminal holes and deforms nerve roots with associated facet arthropathy.
Hello, my name is Manuel, I had an MRI and they diagnosed me at L5-S1.
Endplate hypertrophy and facet arthropathy with canal stenosis and moderate narrowing of the foramen bilaterally and at L4-5. The canal is widely patent. Bilateral foraminal narrowing. You think I need surgery. I've been in a lot of pain for a while and the treatments don't help me. I'm 32 years old.
Hello Manuel,
We will be happy to review your case in consultation.
You can make an appointment by calling 91 005 39 00.
Greetings.
Doctors, good morning, I am a 70-year-old woman. I had an MRI with contrast and the result says: central protrusion of the intervertebral disc at the L5-S1 level and facet osteoarthritis at the L4-L5 and L5-S1 levels, which does not produce signs. of root understanding.
Osteochondrotic changes at pensioned levels.
Hi amanda
We need more information to know your clinical profile and see what the options are for moving forward.
You can make an appointment at +34 91 005 39 00.
Greetings
Good morning, I'm Marga and I had an MRI and the result is as follows:
Rectification of physiological hyperlordosis with sacro acutum
Degenerative disc disease L2 L3 L3-L4 and L4-L5 with global protrusion L2-L3, L3-L4 and disc protrusion with bilateral foraminal extension L4-L5
Fatty degeneration of the paravertebral muscles
Facet arthropathy
What does it mean? Thanks, best regards.
Good morning,
Your MRI shows degeneration of the discs between the L2-L5 vertebrae (degenerative disc disease), with small disc protrusions, which may compress nearby nerves. Receding of the lumbar curvature and facet arthrosis suggest changes in the spine due to wear and tear. There is also muscle weakness due to fatty degeneration in nearby muscles.
Greetings
Hello, good afternoon. After suffering several vertebral fractures and undergoing kyphoplasty in all my lumbar spines, I still have pain. My L1 is sunken by both plates, but I have been diagnosed with distal lumbar facet osteoarthritis as the possible cause of the pain. I am going to undergo rhizotomy. They tell me that there are no other solutions. Is it true that surgery is not possible? And if it doesn't work? Do I have to live with pain for the rest of my life?
Hello Teresa,
Rhizolysis may provide pain relief, but if it does not work, it is best to consult with a neurosurgeon or spine specialist to evaluate other options, as some surgeries may be possible depending on the case.
You can make an appointment with our medical team by calling 91 005 39 00.
Greetings
Good evening Doctor, I received the result of the resonance and it is
1. Incipient changes of bilateral interfacetary osteochondrosis L3-L4 to L5-S1
2. Bilateral interfacet osteoarthritis L4.L5 without compressive effect on emerging roots
3. Small cavernous emangioma in the L3 vertebral field.
I am dealing with very strong pain that is making it impossible for me to move and walk.
Thank you
Hello Gina,
The findings suggest joint degeneration and a small hemangioma. A spine specialist or neurosurgeon can offer you options to manage your pain and improve your quality of life.
You can make an appointment by calling 91 005 39 00.
Greetings
Good evening, I have had back pain for a year and my sciatic nerve is trapped because it runs down my entire leg. I am taking 3 Adolontas a day, 3 metamizole pills a day, 150 mg plegabalin pills, 1 in the morning and another at night, plus 1 more of 75 mg at night, and 3 arcrosia pills a week. I have had the block 8 times. I have been diagnosed with facet osteoarthritis in L2-L3, L3-L4, L4-L5.
And bulging towards the left side in the L4 disc, with a tear that slightly affects the nerve root. To my surprise, they see me in the pain unit to do the block again, when I have not obtained results in the blocks they have done to me. Right now it hurts a lot when I walk while standing too, when I sit I can't rest my left gluteus on the chair, I spend almost all my time sitting on the floor, in bed there are many times when I can't sleep at all. I have been to three neurosurgeons and they all tell me that I have nothing in my back, the truth is that I don't know what resonance they see.
Thank you.
Hello Jose,
I understand how frustrating it is to not get results with blocks. Since three neurosurgeons have found no significant problems, it may be helpful to seek a second opinion in pain medicine to explore alternatives to blocks. You can make an appointment with our spine experts by calling 91 005 39 00.
Greetings
Good afternoon… My name is Lorena Arboleda, I am 39 years old. Due to occasional lower back pain, I had an x-ray of my spine. The radiologist established that:
-The height, morphology and alignment of the vertebral bodies are normal.
-The width of the other intervertebral spaces is preserved.
-Decrease in the width of the L5-S1 intervertebral space, associated with sclerosis of the articular surface and vacuum phenomena, due to osteochondrotic changes.
-Bilateral facet osteoarthritis L5-S1.
-Normal paravertebral soft tissues and bone density.
I took the tests to the general doctor and he only sent me to physical therapy… my pain is not permanent and does not impede my mobility.
On the other hand, they tell me that my neck is rectified and in the last week I have felt tingling in my right arm, which is why I have again made an appointment with general medicine.
I would like an opinion on my case, because the subject scares me a lot.
Thank you so much.
Hi Lorena, I understand that these situations can cause a lot of concern. Regarding your spine, the decrease in the L5-S1 intervertebral space and facet osteoarthritis are common with age and are usually managed with physical therapy, as your doctor told you. This therapy is focused on strengthening the muscles that support the spine and improving mobility, which can help reduce pain.
Regarding cervical rectification and tingling in your arm, this may be related to a pinched nerve or compression in the cervical spine. It is good that you have made an appointment to have it further evaluated by a specialist.
Greetings
Hi Lorena, what did they tell you about the tingling? I had an MRI, and it came out exactly like yours... and the same symptoms and everything.
My dad had this on an MRI. Could you give me some context on what he needs to do? LUMBAR ~ GENERAL
A simple magnetic resonance imaging study of the lumbar spine was performed, with multiplanar, multisequence acquisitions; the following was observed:
Situation: Lumbar lordotic curvature with an angle of 29°. No evidence of scoliosis, antero or retrolisthesis.
Vertebral bodies: They retain their shape and height with incipient changes in signal intensity due to fatty replacement and anterolateral osteophytes at multiple levels. Minimal decrease in the intersomatic space in L1-L2 and L4-L5 with changes in signal intensity due to disc dehydration in L1-L5. Schmorl's node on the lower platform of L1.
Level L1-L2: Diffuse bulging of the intervertebral disc with facet osteoarthritis and yellow ligament hypertrophy, findings that decrease the anteroposterior diameter of the medullary canal (10 mm) and of both lateral recesses with probable bilateral radicular contact.
Level L2-L3: Diffuse bulging of the intervertebral disc with facet osteoarthritis and yellow ligament hypertrophy, findings that decrease the anteroposterior diameter of the medullary canal (8 mm) and of both lateral recesses with bilateral radicular contact predominantly on the left.
L3-L4 level: Diffuse bulging of the intervertebral disc with probable disc sequestration adjacent to the posterior column of the L3 vertebral body with a maximum diameter of 6 mm, facet arthrosis and yellow ligament hypertrophy, findings that decrease the anteroposterior and laterolateral diameter of the spinal canal (6 x 6 mm) and of both lateral recesses with bilateral radicular contact predominantly on the left.
Level L4-L5: Diffuse bulging of the intervertebral disc with facet osteoarthritis and yellow ligament hypertrophy, findings that decrease the anteroposterior and laterolateral diameter of the medullary canal (6 x 6 mm) and of both lateral recesses with bilateral radicular contact.
Level L5-S1: Minimal diffuse bulging of the intervertebral disc with facet osteoarthritis that decreases the anteroposterior diameter of the spinal canal (8 mm) and of both lateral recesses with bilateral radicular contact.
Spinal cord: Normal thickness and intensity.
Nerve roots: Normal thickness, distribution and intensity.
Subarachnoid space: Normal amplitude and intensity.
Paravertebral muscles and soft tissues: Soft tissue edema of the lumbar and interspinous region at L4-L5.
Comment:
Degenerative spondyloarthropathy of the lumbar spine with multilevel facet disease.
Good morning,
We are sorry to hear about your father's situation. It is not possible to provide an accurate diagnosis or recommend appropriate treatment with just a written report, which lacks a lot of information. We suggest you schedule an appointment by calling 91 005 39 00 to receive a complete professional evaluation.
Greetings
Bonjour,
Je suis polyarthrosique, opéré d'une PTG et d'une PTH. L'autre genou est très abîmé.
On m'a diagnostiqué la maladie de Forestier et il ya peu, suite à de fortes douleurs lombaires on a diagnostiqué une important arthrose facettaire traitée par infiltration et ensuite radiofréquence.
L'anesthésie a dit qu'il y avait tellement d'arthrose à droite qu'elle ne savait pas atteindre les nerfs.
Bref je souffre beaucoup du côté droit et ça devient invalidant.
Bonjour,
Our recommendations are for a physiotherapy treatment. Cela peut grandement améliorer la qualité de vie.
Greetings.
Good night
My name is Yuliet, I had a simple MRI. I need to know how the results came out…please…
INDICATION: 36-year-old patient with pain in the left lower limb
TECHNIQUE
With equipment operating at 1.5 T, axial and sagittal TSE T1 and TSE T2 series as well as sagittal STIR are performed.
FINDINGS:
The height, alignment and signal intensity of the vertebral bodies are within normal ranges.
Intervertebral discs of normal size and shape.
Central protrusion L5-S1 contacts the thecal sac, level in which facet arthritic changes are identified with decreased
width of the emergency foramen for the left LS root.
In the different segments evaluated, the amplitude of the central channel and the amplitude of the other lateral channels are preserved.
Normally implanted medullary cone. Roots of the cauda equina without thickening.
Atrophic changes in the lower lumbar paravertebral muscles.
CONCLUSION:
Central protrusion L5-S1 contacts the tocal sac, level in which facet arthritic changes are identified with a decrease in the width of the emergency foramen for the left L5 root.
Hello Yuliet Fernanda, thank you for sharing your case with us. In principle, the results show some findings that may require attention, but in order to offer you an accurate diagnosis, it is essential that one of our specialists evaluate your case in detail. If you wish, you can request an appointment by calling 91 005 39 00. We are at your disposal to help you.
Good afternoon, doctor. I was diagnosed with L5-S1 discopathy, dextroconvex scoliosis with a 15º angle, spondyloarthritis, facet osteoarthritis L3, L4, L5, S1. I have blocks every 5 months. The last one was done at the sacroiliac level as well, but they don't completely take away my pain or stiffness. Now my neck and shoulders hurt and the pain is getting more intense. I had spinal surgery 11 years ago and I have a 12mm Diam type interspinous spacer in L4 + application of Medidhield in the L5 and S1 foramina. Is my problem very serious? Will I suffer from degenerative wear and tear as the years go by? I'm 36 and I'm becoming more and more limited.
Hello Natyeli,
We are very sorry about the situation you describe and understand how difficult it must be for you to manage this type of pain and limitations. In order to offer you an accurate diagnosis and an appropriate treatment plan, it would be necessary for our specialists to evaluate your case in detail, including your studies and medical history.
Regarding the possible degenerative wear and tear that you mention, it is important to carry out a complete evaluation to determine its progression and how it could affect your quality of life in the long term.
If you wish, we can schedule a consultation to analyze your situation and explore options that can help you improve.
We remain at your disposal!
Kind regards.
Good afternoon doctor, I had a blow to the coccyx, they performed an MRI on me and diagnosed me with slight bulging of the intervertebral disc at the L4-L5 level and facet osteoarthritis at the L3-L4 to L5-S1 levels, which does not produce signs of radicular compression.
Osteochondrotic changes at the above-mentioned levels.
Slight curve of left lumbar scoliosis. The pain is permanent. Could this be degenerative as the years go by?
Hello Esperanza,
The diagnosis you mentioned shows some alterations in the lumbar spine, such as disc bulging and facet osteoarthritis, which are common with aging and can cause pain. However, they will not necessarily progress quickly or seriously if they are managed properly.
In order to provide you with a more accurate diagnosis and treatment, our specialists should evaluate your results and your specific situation. If you wish, you can request an appointment by calling 91 005 39 00 so that they can offer you a more detailed diagnosis and treatment.
Greetings.
Good morning, excellent page, very informative, I am 57 years old, through magnetic resonance results, I was diagnosed with facet osteoarthritis, facet: The vertebral bodies show outlines of osteophyte formations with predominant anterior appearance.
There are signs of facet osteoarthritis due to subchondral sclerosis and hypertrophic changes that protrude into the foramina.
with bilateral stenosis at L4/L5 and L5/S1.
The lumbar interbody discs have normal characteristics.
The posterior components of the neural ring without other pathological signs.
What is observed from the spinal cord retains its caliber shape and signal intensity, the cone located at the height of the
T12/L1 transition.
Paraspinal tissues without abnormal signs.
The paramedian region of the right lobe of the liver shows a partially included lesion on sagittal images.
hypointense on T1 and hyperintense on T2 with a multilobulated appearance of at least 7.6 cm in diameter.
CONCLUSION:
SPONDYLOTIC CHANGES AND GRADE II FACETARY ARTHROSIS WITH BILATERAL FORAMINAL STENOSIS IN
L4/L5 and L5/S1.
Asked:
I have a lot of pain, a burning sensation in the lower part of my lumbar spine and it radiates to both lower limbs with a strong burning sensation and intolerance to the friction of clothing or objects. Does this pathology require a surgical procedure? The only thing that controls the pain is 150 mg pregabalin and acetaminophen reinforced with tramadol.
Thank you very much for your kind attention
Hello Maria,
Facet osteoarthritis, along with the bilateral foraminal stenosis you describe, can cause symptoms like the ones you mention. As to whether this condition requires surgical intervention, that will depend on the severity of the symptoms and the response to conservative treatment. In some cases, it can be managed with physical therapy, medications, and other nonsurgical treatments. However, if the pain is very intense and does not improve with current treatments, or if there is a significant impact on quality of life, surgery might be an option to consider.
If you wish, you can schedule an appointment with our spine specialists so they can evaluate your case in detail and determine the best approach for your pathology by calling (+34) 910 05 39 00.
Greetings.
Hello, I have cervical osteoarthritis in C6/C7 with a labral disc and narrowing of the left foramidal joint, as well as degenerative facet changes with synovitis in the right C3/C4 joint. I wanted to know if trail running is compatible with me, as I have differing medical opinions. I feel better when I'm practicing it or moving than when it's something static or performing specific movements. Thank you.
Hello Coral,
While movement can be beneficial for your condition, trail running also involves impact and exertion that could aggravate some symptoms. Since you've received mixed medical opinions, it would be ideal to consult with a sports medicine or trauma specialist to assess your specific case.
Greetings
Hello, good afternoon. I was diagnosed with lumbar facet osteoarthritis L4-L5 and L5-S1, and wear of the L5 disc and cysts. The truth is, my doctor gave me medication to reduce inflammation, but my question is, is this dangerous? I'm 53 years old.
Hello Luisa,
Facet joint osteoarthritis and lumbar disc wear are relatively common findings after a certain age, and in many cases can be managed with conservative treatment. The most important thing in these cases is to assess how they affect your daily life: whether there is pain, movement limitations, or neurological signs.
Therefore, it would be ideal if a doctor on our team could review your tests and medical history to offer you more precise and personalized guidance. If you wish, we can help you schedule an appointment to assess your case in detail.
Greetings.
Good evening, I have facet osteoarthritis and I am in constant pain. I don't take any medication. I am 76 years old and I am trying to exercise and I usually walk several kilometres every day. I don't know what else I can do. I live in Vigo and I know that this climate is not good for me at all. I would be grateful if you could advise me on what else I can do. Thank you.
Hello Elena,
Physical activity, whether gymnastics or daily walks, is beneficial, as movement helps relieve the symptoms of facet joint osteoarthritis. You can complement this with specific exercises to strengthen the muscles that support the spine and improve mobility, always tailored to your condition and under professional supervision.
It may also be helpful to consult with a physical therapist, who can design a personalized plan and teach you pain management techniques. In some cases, treatments such as physical therapy, local heat therapy, or stretching exercises can provide relief. If the pain is severe, don't hesitate to consult your doctor to assess whether additional treatment is necessary.
Greetings.
Hello! Gaudy Espinoza from Costa Rica. My diagnosis: 1- Lumbar scoliosis
2- Degeneration of the intervertebral segment L4-L5 and L5-S1
3- Left foraminal stenosis L5-S1
4- Facet osteoarthritis.
5- Overweight fat 12kg
6- Sarcopenia.
All this at 45 years old. Currently, on the recommendation of a doctor, I've lost that 62 kg of fat and gone down to 57 kg. I go to assisted gym three times a week for an hour a day. I've improved a lot in terms of my disabilities. I don't take medication, but sometimes the attacks are severe: pain, contractures, inflammation, mainly in the neck, dizziness, headaches, and fatigue. What else can I do or take for this fatigue? Or if I should improve anything. I'm currently 48 years old and I don't know what awaits me. This worries me. Thank you.
Hello Gaudy,
Thank you for sharing your experience. The diagnoses you mention often require a comprehensive approach, and although exercise and weight control are very helpful, it's normal to still experience pain, cramps, or fatigue.
It's important to maintain follow-up with trauma specialists so they can adjust your exercise plan, assess complementary therapies, and prescribe medical treatments to control pain and inflammation during times of crisis.
The important thing is that you don't face this situation alone and that you continue to have medical support to adapt your treatment as your condition evolves.
Greetings.