Facet Syndrome

The hallmark presentation of a client with facet syndrome is antalgic posture. This condition occurs when the small posterior joints of the spine become fixated. The client is antalgic, or leaning over, unable to balance their weight evenly while walking. Leaning away from the side of the fixation somewhat relieves their symptoms. This is often the diagnosis when someone’s “back goes out,” one of the most acute and painful conditions that we treat. Facet syndrome does not respond well to muscle relaxers and anti-inflammatories. Left untreated it can persist, waxing and waning for months. The good news is that once we begin treatment facet syndrome typically resolves in five visits.