Back
Injury & Football

Facet Syndrome Injury
(Back Injury) Introduction
A not so common pain in the back, Facet Syndrome
is a severe short episode of joint pain caused by an abrupt
movement traumatizing the joint. It is naturally secondary
to chronic changes in the joint that is often accompanied
by progressive diseases of the disc.
The facet joints are located on either side
of the spinal column. Each vertebra has a bony prominence
on each side; this forms a facet joint.
Excessive abrupt movements traumatize the joints
which may cause severe episodes of back pain.
Chronic type of facet joint pain does not go
away in a few days. It is often accompanied with degeneration
within the joints causing problems that resembles arthritis.
How do we know it’s
Facet Syndrome?
A typical covert sign of Facet Syndrome is pain
on one side of the spine that generally worsens by bending
towards the affected side of by stretching the back. Stiffness
of the back in the morning is another clue.
In cases where irritation of the nerve root
is present, there would be Sciatica. This is a condition where
pain is felt at the buttocks, the groin or the hamstring region.
This situation worsens by prolonged sitting or standing. The
diagnosis of this condition is done by examination and confirmed
by an x-ray of the spine, MRI or CT scan.
Treating Facet Syndrome
In severe attacks rest is advised along with
Non- Steroidal Anti- Inflammatory Drugs and a postural correction
back support is recommended. In relieving pain and muscle
stiffness, warm compress can be applied for no more than fifteen
minutes per application.
In problems lasting more than a week, limitation
of movement is observed. The Physiotherapist may do some joint
manipulation by controlling a thrust into spinal rotation.
This opens the facet joints and disrupts early scar tissue
that limits movement. This is followed subsequently by a warm
compress and massage. A back brace may also be worn
for back support.
How do we prevent Facet
Syndrome?
The number one prevention is developing a good
posture. The player should practice exercises than maintain
a stronger spine muscles. A lumbar roll at the bottom of the
back or a seat support will aid while sitting.

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