What are the treatment options for facet joint syndrome?

Facet joints are small joints at the back of the spine that guide movement. Irritation or wear can contribute to local neck or back pain, often with stiffness and discomfort during extension or rotation. A clinician considers the pain pattern, examination and imaging, while also checking for other causes. Physiotherapy can work on spinal movement, posture, trunk or neck strength and activity tolerance. A facet joint injection places medicine near a suspected pain source and may have both diagnostic and symptom-relieving purposes. If pain returns after temporary relief and the facet joint nerves are considered involved, radiofrequency ablation may be discussed.

Keep moving within tolerable limits and break up positions that reliably increase symptoms. Note the location of pain, triggers, sleep disruption and any leg or arm symptoms before an appointment. Follow exercises at the prescribed pace rather than pushing through sharp or spreading pain. Read about [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/), [Facet Joint Injection](/treatments/spine-care/facet-joint-injection/) and [Radiofrequency Ablation](/treatments/spine-care/radiofrequency-ablation/).

Seek urgent medical care for new loss of bladder or bowel control, numbness around the saddle area, rapidly worsening weakness, inability to walk safely, fever with severe spinal pain, or pain after major trauma. Arrange review for persistent or progressive pain, or new arm or leg symptoms. See [Facet Joint Syndrome](/conditions/facet-joint-syndrome/) for condition information.

Ask what findings support facet-related pain, what other causes have been considered, and which movement goals therapy should address. If an injection or ablation is suggested, ask what it is intended to test or treat, how success will be judged, and what aftercare is needed.