Conditions We treat
Facet Arthritis
Understanding your joint pain and exploring motion-preserving treatment options
Living With
Facet Arthritis
If you experience localized back pain or neck pain that worsens with certain movement, face arthritis, also known as facet joint degeneration, may be the cause.
At Spine Motion Specialists, we focus on identifying the true source of your pain and offering motion-preserving solutions that relieve symptoms without sacrificing mobility or long-term function.
What Is It?
Facet degeneration, also called facet arthritis, affects the small joints located at the back of the spine. These joints guide movement and provide stability.
Over time, cartilage within the facet joints wears down, leading to inflammation, stiffness, and pain—similar to arthritis in other joints.
Facet degeneration most commonly affects the cervical (neck) and lumbar (lower back) spine.
What Causes Facet Arthritis?
Common causes include:
- Age-related wear and tear (osteoarthritis)
- Repetitive stress on the spine
- Disc degeneration causing increased load on facet joints
- Poor posture
- Prior spine injuries
As discs lose height, more pressure shifts to the facet joints, accelerating degeneration.
Common Symptoms
Patients with facet arthritis may experience:
- Localized neck or low back pain
- Stiffness, especially in the morning
- Pain that worsens with extension (leaning back)
- Discomfort with twisting or side-bending
- Pain relief when bending forward
How Facet Arthritis Is Diagnosed
Diagnosis typically includes:
- Detailed medical history
- Physical exam
- X-rays to assess joint space
- MRI or CT scans to evaluate cartilage and inflammation
- Diagnostic facet joint injections (in some cases)
These help confirm whether the facet joints are the primary pain source.
When to Seek Care
You should consider evaluation if:
- Pain lasts more than a few weeks
- Movement becomes increasingly limited
- Pain interferes with daily activities
- You develop radiating pain or numbness
Why Spine Motion Specialists?
Your care plan is built around your goals, your movement, and your lifestyle, never a protocol.
Dr. Scott Hodges brings 35+ years of experience and a deep understanding of spine biomechanics to every patient visit.
Fusion-free philosophy
Motion-preserving expertise
Concierge, one-on-one care
Extended 60–90 minute consults
Virtual visits available for travel patients
Facet Arthritis
Frequently Asked Questions
Can facet arthritis get worse over time?
Yes. Like other forms of arthritis, facet degeneration can progress. Early treatment can help manage symptoms.
Will I need surgery?
Not always. Many patients improve with non-surgical care. Surgery is considered when pain persists or function is limited.
Is the TOPS procedure a fusion?
No. TOPS is a motion-preserving facet replacement that stabilizes the spine while allowing natural movement.
Can I stay active?
Yes. Staying active helps maintain flexibility and strength. Dr. Hodges will guide you on safe activities.
What if I’ve been told fusion is my only option?
Many patients come to us for a second opinion. In some cases, fusion-free alternatives may be available.
Start Your Path to Relief
Not sure if facet degeneration is causing your pain?
A consultation can help you get clarity and explore motion-preserving options.
