How is facet pain recognized?
Facet pain is usually mechanical back pain that worsens with standing, walking and leaning backward, and eases when sitting. Unlike a herniated disc, it usually does not radiate strongly into the leg. The diagnosis is supported by examination and, when needed, a diagnostic test block.
Conservative approach first
Physiotherapy, core-muscle strengthening, posture adjustment and medication are the first step. When pain persists despite this, interventional procedures become an option.
Radiofrequency (RF) denervation
If a test block temporarily relieves the pain, RF denervation can give longer-lasting relief: under imaging guidance, the small nerve carrying pain from the joint is 'switched off' with heat. It is an outpatient, incision-free procedure and the patient usually returns quickly to activity.
What to expect and what not
RF does not 'repair' the joint but reduces the pain signal; the effect can last months and the procedure can be repeated if pain returns. It is not a solution for every back pain — so correct patient selection is essential.