A common problem in middle and old age is facet joint disease, causing uncomfortable, pulling-type lower back pain that can be sharp with certain movements. Usually, assuming a fetal position may provide temporary relief, but the pain can persist. The discomfort may intensify after increased physical exertion, during the night, or following prolonged periods of sitting, as if the back, lower back, and hips need to “warm up.”

Facet joint disease rarely occurs in isolation; it generally indicates a larger biomechanical dysfunction.

Similarly, a biomechanical dysfunction can develop in the cervical spine, often due to poor posture, chronic overuse (dentists, those sitting in front of computers), or accidents. Initially, physical therapy is recommended, but in cases of long-standing issues, it often does not bring sustained improvement. Regenerative therapy, such as stem cell or PRP (platelet-rich plasma) treatment, can be effective in managing facet joint disease. Numerous studies support the effectiveness of PRP or prolotherapy. Through these treatments, the body builds new tissues, addressing the root cause – instability.

With radiofrequency treatment, the nerve supply to the facet joints can be eliminated, resulting in a reduction of symptoms.4,5


4. Lee CH, Chung CK, Kim CH. The efficacy of conventional radiofrequency denervation in patients with chronic low back pain originating from the facet joints: a meta-analysis of randomized controlled trials. Spine J [Internet]. 2017;17(11):1770–80. Available from: https://doi.org/10.1016/j.spinee.2017.05.006

5. Falco FJE, Manchikanti L, Datta S, Wargo BW, Geffert S, Bryce DA, et al. Systematic review of the therapeutic effectiveness of cervical facet joint interventions: An update. Pain Physician. 2012;15(6):909–54.