Various treatments may be prescribed to treat facet disease including water therapy, posture correction, diagnostic facet injections, strength training and nonprescription medication, according to Laser Spine Institute. Treatments for facet disease help decrease discomfort and pain in the facet joints.
Additional treatments for facet disease may include rest, low-impact stretching exercises, using a back brace, activity modification and chiropractic treatments, according to Laser Spine Institute. It may be helpful for the individual to lie back on a firm mattress with the knees bent and supported or to lie in a curled position, according to Houston Methodist Orthopedics & Sports Medicine.
If these treatments are not sufficient for the individual’s pain, additional injections may be required, according to Houston Methodist Orthopedics & Sports Medicine. Medication is injected into the facet joint or the small nerves associated with the joint.
If more intensive treatment is needed for the individual, surgery may be an option, according to Houston Methodist Orthopedics & Sports Medicine. The main surgical options are facet rhizotomy and posterior lumbar fusion. In facet rhizotomy, a nerve associated with the facet joint is severed so that it does not continue to send pain impulses. With posterior lumbar fusion, two or more vertebrae are fused together into one bone to stop the pain caused by facet joint movement.
Some medical facilities offer minimally invasive procedures to treat facet disease, according to Laser Spine Institute. These procedures generally allow the individual to have decreased pain and increased mobility.