Therapy of facet syndrome
therapy
The therapy facet syndrome is almost always conservative.
Since there is no causal (=causal) Therapy for advanced vertebral joint arthrosis is available Pain therapy and physiotherapy in the foreground of the treatment of a Facet syndrome.
These include:
- Medicinal pain therapy (NSAIDs, Opiate derivatives Etc.)
- Natural remedies, special is the Devil's claw to call. The devil's claw can be used alone for mild pain and to support the existing therapy for more severe pain. The devil's claw is said to be the symptoms of Back pain Reduce.
- Pain patches
- Physical pain therapy (Electric therapy, ultrasound, heat, etc..)
- Infiltration therapy (Vertebral joint infiltration, nerve blocks, Periradicular therapy, Trigger point infiltration)
- Coagulation treatment of the vertebral joints (Heat sclerotherapy of the pain fibers)
- Mobilizing, stabilizing physiotherapy / Physical therapy
- Back school
- Delordosing bodice and bandages
An exact diagnosis, the sounding out of the optimal therapy for the facet syndrome and an adequate one Pain therapy, are best possible during an inpatient stay in advanced cases.
Injections (syringes) that are injected directly into or onto the small vertebral joints have the greatest, non-invasive pain therapeutic effect.
Appointment with a back specialist?
I would be happy to advise you!
Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)
The spine is difficult to treat. On the one hand it is exposed to high mechanical loads, on the other hand it has great mobility.
The treatment of the spine (e.g. herniated disc, facet syndrome, foramen stenosis, etc.) therefore requires a lot of experience.
I focus on a wide variety of diseases of the spine.
The aim of any treatment is treatment without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
You can find me in:
- Lumedis - your orthopedic surgeon
Kaiserstrasse 14
60311 Frankfurt am Main
Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
Further information about myself can be found at Dr. Nicolas Gumpert
Therapeutic facet injection
Analogous to the procedure for the diagnostic facet injection, a mixture of local anesthetic and cortisone is injected into or on the diseased vertebral joints. The local anesthetic has an immediate analgesic effect, the cortisone has a long-term anti-inflammatory effect.
As an alternative to cortisone, hyaluronic acid can also be injected. Hyaluronic acid is a naturally occurring substance in the cartilage that gives the cartilage its elasticity and has a significantly longer lasting effect than cortisone.
Alternatively, it is also possible to orientate yourself using anatomical landmarks and still hit the area of the vertebral joints.
If the injection is to be made directly into the vertebral joint in the case of facet syndrome, only small volumes (0.5-1 ml) may be injected, as otherwise the maximum absorption volume of the joint will be exceeded and the joint capsule will tear.
An injection around the vertebral joint is sufficient for a therapeutic effect, however, since the drugs diffuse into the joint capsule of the vertebral joints and can unfold their effect just as well. Another advantage of this therapy for facet syndrome is that other structures that may cause pain are treated at the same time.
The pain-reducing effect is very difficult to predict, which is not least due to the difficulty in delimiting pain. It can last for a few days, weeks or even months.
You might also be interested in: CT-guided pain therapy
Thermocoagulation of the vertebral joints (facet coagulation)
This therapy for facet syndrome is a minimally invasive surgical procedure.
Under CT or image converter control, an electrode is placed on the vertebral joint and, after ensuring correct position, is applied 75-80 ° C For 90 Seconds heated by a radio frequency device. As a result, the (Transmission of pain), small nerves overcooked.
After the normal deep wound pain has passed, freedom from pain or poverty of different lengths is achieved.
Success is also difficult to predict with this therapy for facet syndrome. The pain relief can Months to Years persist, whereby a decrease in the therapeutic effect can generally be seen with increasing time. The therapy can be repeated. The frequency of pain recurrence is particularly pronounced in the first 6 months.
Unfavorable prognostic factors are:
- Ongoing insurance process
- Previous spinal surgery
- Ineffective facet injections
DIAM (Device for Intervertebral Assisted Motion)
Are conservative therapeutic measures of the Facet syndrome The implantation of a dynamic implant that supports the function of the vertebral joints cannot be considered successfully.
This therapy is a relatively new procedure, which has repeatedly proven its suitability. The surgeon should make a final assessment of the very specific conditions under which the implantation is promising. A general recommendation may seem too early.
The DIAM implant is a H-shaped polyethylene mesh with a silicone core.
In this therapy, it is placed and attached between the spinous processes of two vertebral bodies in a relatively small open spinal surgery. The function of this implant is to restrict the range of motion of the vertebral joints in flexion and extension. Since the implant is implanted under pretension between the spinous processes, the pressure in the vertebral joints is relieved at the same time.
