Table of contents
Share Post

Experiencing persistent lower back pain? If your discomfort extends from your lower back through your buttocks and down the back of your thighs, and gets worse during cold or rainy weather, you may have facetogenic low back pain. Here’s what you need to know:

What is Facetogenic Low Back Pain?
Facetogenic pain originates from the facets, the joints connecting the back of our spine. Like other body joints, they may degenerate, become arthritic, and cause pain as we age. Symptoms include pain when leaning backwards or twisting and possibly an association with arthritis in other parts of the body.

How to Address Facetogenic Pain:

  1. Conservative Treatment: Initial treatments often involve NSAIDs like ibuprofen, lidocaine patches, and physical therapy.
  2. Interventional Pain Techniques:
    1. Facet Joint Injections: Administering steroids directly into the facet joint to reduce inflammation.
    2. Lumbar Medial Branch Blocks: This involves numbing the Medial Branch Nerves responsible for facet joint sensations. The procedure is:
      1. Diagnostic: The local anesthetic provides immediate pain relief and helps determine the cause of the pain.
      2. Therapeutic: Steroids are injected, offering pain relief for weeks to months.

For those whose pain relief from Lumbar Medial Branch Blocks is temporary or unsatisfactory, a follow-up treatment is available:

Medial Branch Radiofrequency Ablation (RFA)

  • A specialized needle targets the lumbar medial branch nerves.
  • The needle tip heats to desensitize these nerves, offering longer-lasting pain relief.

Curious about lumbar medial branch blocks or RFA treatments? Need more information? Contact us at

This field is for validation purposes and should be left unchanged.

Stay in the loop

Subscribe to our free newsletter.

Related Articles