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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

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.

Answered byDr. Akshay Kumar Saxena

Medically reviewed byiCliniq medical review team

Published At April 30, 2016
Reviewed AtJuly 25, 2023

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Akshay Kumar Saxena
Dr. Akshay Kumar Saxena

Orthopedician and Traumatology

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