BACK PAIN FACET DISEASE
Back pain can be caused by a variety of factors. One is facet disease, or degeneration of the joints of the low back. These joints allow the spine to rotate, flex, and extend. These joints are at risk of early degeneration due to a combination of extensive mobility and heavy loading with excessive activity and body weight.
Facet disease is one of the most common causes of back pain. Patients will experience pain in the middle of the back that often radiates down the buttocks and into the back of the thighs.
Regenerative injection therapy of stem cells or PRP into the facet joints can function to help restore any irritation and or inflammation of these joints.
BACK PAIN SCIATICA
Radiculopathy is a term describing an irritated or pinched nerve as it exits the spine. This opening is called the neural foramen. The nerve can be compressed by a bulging disc, an enlarged facet joint, or settling from degenerative disc disease. Bone spurs can also form, all of which can put pressure on the nerve.
Patients will complain of back pain and spasm, as well as pain that radiates through the lower buttock down the leg into the foot. This pain is described as burning and numb. Severe cases will cause weakness in the leg or foot as well.
BACK PAIN DEGENERATIVE DISC DISEASE
Discs in the spine serve as both shock absorbers and spacers that lie between the bones of the spine. They have a fibrous outer ring called the annulus and a jelly middle called the nucleolus pulposis. The outer ring is constructed like a tire with alternating crisscrossing fibers. Over time these radials can snap, and the disc begins to bulge.
The outer portion of the disc has pain fibers while the inside does not. As the disc degenerates it starts to expose the outer pain fibers to the inner jelly middle, which is full of inflammatory mediators. Once that occurs, the disc itself can become painful and is now known as discogenic pain. This can be treated with epidural steroid injections, physical therapy, core strengthening, and back bracing. Surgery has been performed for discogenic pain but the results have been less than optimal.
Relieving pain without surgery is possible with regenerative medicine like Stem Cell Therapy for back pain or Platelet Rich Plasma (PRP) procedures.
Please schedule a consultation where we can discuss if any of these options are right for you.