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What is the treatment for facet hypertrophy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 28-year-old suffering from facet hypertrophy. I have continuous lower back pain. I cannot stand for more than five minutes. I am taking Nuroday daily. I would like to know the treatment.
Answered by Dr. Akshay Kumar Saxena

Education:

MBBS

Professional Bio:

Dr. Akshay Kumar Saxena is an Orthopedic surgeon, Traumatologist, and Spine Surgeon who examines patients to diagnose bone, joint, ligament, or other musculoskeletal problems, including diseases or injuries and is also trained to treat brain and spine conditions. He completed his MBBS from Hemwati Nandan Bahuguna Garhwal University in 2005. He studied DNB Orthopedics at the National Board of Examinations in 2010. He provides support and advice to patients receiving long-term care, and he researches defects, diseases, and disorders affecting the musculoskeletal system. He is currently practicing in Uttar Pradesh with 17 years of clinical experience.

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Hello,

Welcome to icliniq.com.

You have mentioned that you are 28 years of age and have continuous lower back pain which I think is not responding to the medications and conservative management. Normally at this age, conservative management in the form of anti-inflammatory medications, intensive physical therapy and adequate calcium and vitamin D intake should be fine. But, if it is not responding to this treatment protocol then there are options available depending upon the pain and facetal hypertrophy. So, we can give facet joint injections, radiofrequency ablation of facet on if that also does not help then a fusion surgery is done. But, a fair trial of conservative management usually should be sufficient at your age. Also, if you can send me the relevant MRI images and x-rays, I can then have a look at them and then get back to you accordingly.

Thank you.

The Probable causes

Degenerative disc disease.

Investigations to be done

MRI spine and x-rays of the affected part of spine.
Medically reviewed by iCliniq medical review team
Published At April 30, 2016
Reviewed At July 25, 2023

Education:

MBBS

Professional Bio:

Dr. Akshay Kumar Saxena is an Orthopedic surgeon, Traumatologist, and Spine Surgeon who examines patients to diagnose bone, joint, ligament, or other musculoskeletal problems, including diseases or injuries and is also trained to treat brain and spine conditions. He completed his MBBS from Hemwati Nandan Bahuguna Garhwal University in 2005. He studied DNB Orthopedics at the National Board of Examinations in 2010. He provides support and advice to patients receiving long-term care, and he researches defects, diseases, and disorders affecting the musculoskeletal system. He is currently practicing in Uttar Pradesh with 17 years of clinical experience.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Prep / Recovery Guide

Facet Hypertrophy Treatment Prep and Recovery Guide

How it works

Facet hypertrophy is a condition affecting your spine's facet joints, often causing lower back pain. Understanding your treatment options is key to managing it effectively.

1

Facet
Hypertrophy

2

Conservative
Options

3

Joint
Injections

4

RFA
Explained

5

Surgery
Considered

6

Imaging
Importance

Important Note on Medications

Medications should be taken after consulting a physician. The dosages will be prescribed by the physician. Do not alter, start, or stop medications without consulting a healthcare professional.

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.
Dr. Akshay Kumar Saxena
Dr. Akshay Kumar Saxena

Orthopedician and Traumatology

Education:

MBBS

Professional Bio:

Dr. Akshay Kumar Saxena is an Orthopedic surgeon, Traumatologist, and Spine Surgeon who examines patients to diagnose bone, joint, ligament, or other musculoskeletal problems, including diseases or injuries and is also trained to treat brain and spine conditions. He completed his MBBS from Hemwati Nandan Bahuguna Garhwal University in 2005. He studied DNB Orthopedics at the National Board of Examinations in 2010. He provides support and advice to patients receiving long-term care, and he researches defects, diseases, and disorders affecting the musculoskeletal system. He is currently practicing in Uttar Pradesh with 17 years of clinical experience.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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