Currently accepting new patients
Address

170 Benney Ln Suite 203
Dripping Springs, TX 78620
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Office hours

Mon: 8AM – 5PM
Tues: 8AM – 5PM
Wed: Closed
Thur: Closed
Fri: Closed
Weekends: Closed

Phone

Phone: (512) 298-1645

Fax: (512) 298-1795

Accepted insurance

- Aetna
- Blue Cross/Blue Shield (BCBS)
- Champ VA
- Cigna
- CMS
- Connected Senior Care Alliance
- Friday
- GEHA
- Humana
- Medicare
- Multiplan
- Oscar
- Railroad Medicare
- Smarthealth
- Tricare
- Triwest
- United Healthcare
- WellMed
- Worker's Compensation
- Private Pay

What Is Facet Joint Syndrome?

Facet joint syndrome, also referred to as facet joint osteoarthritis or facet arthritis, is a condition that develops when the facet joints of the spine become inflamed, irritated, or damaged. Facet joints are small, paired joints located along the back of the spinal column. These joints connect adjacent vertebrae to one another, and they guide motion while providing stability throughout the spine. Because they are synovial joints, each is surrounded by a fibrous capsule and a joint capsule lined with cartilage that cushions the joint space during movement.

Facet joint syndrome occurs when that cartilage wears down or the joints become inflamed, disrupting normal motion and producing pain. The condition can develop in any region of the spine, though the lower back and neck are the most commonly affected areas. Like other spine conditions such as herniated disc, spinal stenosis, and disc degeneration, facet joint syndrome is a recognized source of chronic spinal pain that responds well to targeted, minimally invasive treatment.

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How Facet Joint Syndrome Affects the Body and Its Symptoms

Because the facet joints are active with nearly every movement of the spine, facet joint pain can interfere with everyday activities that most people take for granted, including sitting, standing, walking, and turning. For many patients, the discomfort is present at a low level most of the time and spikes with specific movements. In more significant cases, the pain caused by facet joint syndrome can limit daily life in meaningful ways.

The symptoms of facet joint syndrome vary depending on which region of the spine is affected and how advanced the joint changes are. Common symptoms include:

  • Dull, aching back pain in the lower back or neck pain in the cervical region, depending on which facet joints are involved
  • Stiffness and a limited range of motion when attempting to bend, rotate, or extend the spine
  • Pain that worsens with certain movements, particularly those involving excessive movement, heavy lifting, or prolonged positions
  • Radiating pain into the buttocks or the back of the thighs when the lumbar facet joints are affected, or into the shoulders and arms when the cervical joints are involved
  • Localized tenderness along the spine near the affected joints

The severity of these symptoms can range from mild, manageable discomfort to pain that significantly disrupts daily life. A thorough clinical evaluation helps distinguish facet joint syndrome from related spinal conditions such as herniated disc or spinal stenosis, which can produce overlapping symptoms.

How Facet Joint Syndrome Affects the Body and Its Symptoms

Because the facet joints are active with nearly every movement of the spine, facet joint pain can interfere with everyday activities that most people take for granted, including sitting, standing, walking, and turning. For many patients, the discomfort is present at a low level most of the time and spikes with specific movements. In more significant cases, the pain caused by facet joint syndrome can limit daily life in meaningful ways.

The symptoms of facet joint syndrome vary depending on which region of the spine is affected and how advanced the joint changes are. Common symptoms include:

  • Dull, aching back pain in the lower back or neck pain in the cervical region, depending on which facet joints are involved
  • Stiffness and a limited range of motion when attempting to bend, rotate, or extend the spine
  • Pain that worsens with certain movements, particularly those involving excessive movement, heavy lifting, or prolonged positions
  • Radiating pain into the buttocks or the back of the thighs when the lumbar facet joints are affected, or into the shoulders and arms when the cervical joints are involved
  • Localized tenderness along the spine near the affected joints

The severity of these symptoms can range from mild, manageable discomfort to pain that significantly disrupts daily life. A thorough clinical evaluation helps distinguish facet joint syndrome from related spinal conditions such as herniated disc or spinal stenosis, which can produce overlapping symptoms.

A physical therapist in blue scrubs examines a woman's lower back as she sits on an exam table in a clinic, lifting her shirt slightly to expose the area.

Facet Joint Syndrome Treatment Options at Greater Austin Pain Center

At Greater Austin Pain Center, the team takes an individualized approach to facet joint syndrome treatment, tailoring each treatment plan to the patient's specific symptoms, the location and severity of the affected joints, and their overall health and goals. The aim of treatment is to reduce inflammation, relieve pain, and restore functional motion so patients can return to their daily lives more comfortably.

Treatment options for facet joint syndrome at GAPC include:

  • Facet joint injections: Corticosteroid steroid injections, often combined with a local anesthetic, are delivered directly into the affected joints to reduce inflammation and provide pain relief. Facet injections can help confirm the diagnosis while also offering therapeutic benefit.
  • Radiofrequency Ablation: This minimally invasive procedure uses radiofrequency energy to disrupt the nerve fibers that transmit pain signals from the affected facet joints, and it is often considered when facet joint injections have confirmed the source of pain. Many patients experience significant relief that can last for an extended period.
  • Nerve Blocks: Medial branch nerve blocks using a local anesthetic are another minimally invasive option for identifying and interrupting the pain signals coming from specific facet joints.
  • Joint Injections: Targeted joint injections are used to relieve pain and reduce inflammation in the affected joints, supporting improved mobility and function.

When appropriate, your care team may also coordinate referrals for conservative treatment options such as physical therapy to support core strengthening and postural improvements alongside interventional procedures. The goal is a comprehensive treatment plan that addresses both immediate discomfort and the longer-term stability of the spine.

GAPC's pain specialists serve Dripping Springs and the surrounding Hill Country area, and the team is experienced in managing a wide range of spine conditions and spinal conditions that overlap with facet joint syndrome, including disc degeneration and spinal stenosis.

Woman at elevators in front of San Antonio Eye Specialists sign.

Getting Care for Facet Joint Syndrome at GAPC

1

Schedule an Appointment

The first step is scheduling a consultation with a GAPC pain specialist. Patients from Dripping Springs and the surrounding Hill Country area can contact the local clinic directly or call (512) 298-1645 to get started. GAPC is currently accepting new patients and accepts most major insurance plans.

2

Evaluation and Diagnosis

At your initial visit, the care team will review your medical history and conduct a physical examination to assess your symptoms, range of motion, and the location of your pain. Imaging studies such as x rays or CT scans may be ordered to evaluate the facet joints, joint space, and surrounding vertebrae. This evaluation helps distinguish facet joint syndrome from other related spine conditions such as herniated disc or spinal stenosis, and guides the development of an appropriate treatment plan.

3

Personalized Treatment Plan

Based on your evaluation, your provider will recommend treatment options for facet joint syndrome that fit your specific situation. This may include facet joint injections to reduce inflammation and provide pain relief, radiofrequency ablation to interrupt pain signals from the affected joints, or other minimally invasive procedures offered at GAPC. If conservative treatment such as physical therapy is appropriate, the team can coordinate a referral to support your recovery alongside any procedures performed in-clinic.

4

Ongoing Care and Follow-Up

Facet joint syndrome is often a chronic condition that benefits from ongoing monitoring and support. GAPC's care team will follow up with you after procedures to assess your response and adjust your treatment plan as needed. The goal is to help you maintain meaningful pain relief, protect the overall quality of daily life, and minimize the impact of facet joint syndrome on your everyday activities over the long term.

Testimonials

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"Dr. Jarzembeck is AMAZING. I HIGHLY recommend her for anyone suffering in pain. She goes above and beyond to make sure her patients pain has been dealt with."

Genia G.
5 gold stars

"Everyone is so friendly and helpful, Dr. Bednar came to me and explained the procedure and answered my questions. Highly recommend!"

Maggie G.
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"Dr. Julia is the best! The staff is professional and friendly to all. Best of all, Dr. Julia is finding solutions for my chronic pain! Never thought that it would be possible. It's a journey for me, but it seems like there is a solution."

Nancy M.

Frequently Asked Questions

What is facet joint syndrome?

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Facet joint syndrome, also known as facet joint osteoarthritis or facet arthritis, is a condition that affects the facet joints of the spine. These are small, paired joints located along the back of the spinal column that connect the vertebrae and help guide motion while providing stability. Facet joint syndrome occurs when these joints become inflamed, irritated, or damaged, resulting in pain and reduced mobility.

How does facet joint syndrome affect the body?

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Facet joint syndrome can cause pain in the neck or lower back with almost any movement of the spine, including routine daily activities such as bending, twisting, or even sitting for extended periods. The severity of pain varies from person to person. In some cases, the pain is manageable with conservative treatment, while in others it can significantly interfere with daily life.

What are the symptoms of facet joint syndrome?

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Common symptoms of facet joint syndrome include dull, aching back pain or neck pain, stiffness, a limited range of motion, and pain that worsens with certain movements such as bending, twisting, or extending the spine. Some patients also experience radiating pain into the buttocks or the back of the thighs when the lumbar facet joints are involved. Symptoms can vary in severity and location depending on which part of the spine is affected.

What are the causes of facet joint syndrome?

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The most common causes of facet joint syndrome are aging, trauma, and overuse of the spinal joints. Normal wear and tear over time leads to cartilage breakdown and degenerative changes in the facet joints. Injuries from accidents or falls can damage the joints directly, and repetitive activities involving heavy lifting, bending, or twisting can accelerate deterioration.

Am I at risk for developing facet joint syndrome?

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Several factors can increase the risk of developing facet joint syndrome, including older age, a history of spinal injury or trauma, occupations or activities that involve repetitive bending and heavy lifting, excess body weight, a sedentary lifestyle with poor posture, and smoking. Because the condition is often tied to the natural aging process, risk generally increases over time.

Is facet joint syndrome preventable?

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Facet joint syndrome often develops as a normal part of aging and spinal degeneration, which means it is not always preventable. However, maintaining a healthy weight, staying physically active, practicing good posture, avoiding smoking, and using proper body mechanics during daily activities may help delay the onset or slow the progression of the condition.

Lunch & Learn With Our Doctors

Curious about interventional pain treatments in Austin, TX? Join our doctors for an in-person lunch and learn session to find out more about these treatments and ask any questions you may have. This event will be 12–1pm, sign up below to receive more details and RSVP.

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Ready to Find Relief from Facet Joint Pain in Dripping Springs?

If facet joint syndrome is affecting your mobility and daily comfort, the team at Greater Austin Pain Center is here to help you explore your options. With offices in Austin, Kyle, San Marcos, and right here in Dripping Springs, our pain specialists are ready to develop a personalized treatment plan tailored to your needs. Call us at (512) 298-1645 or schedule an appointment online to take the first step toward relief.

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