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Lumbar facet arthropathy

(Keywords: lumbar facet arthropathy, low back and leg pain, chiropractic help, help for sciatica)

There are some very strange people in this world. Like my cousin. She sent me this picture, and then said that (if I publish it) then I'm the dirty old man! Hmph! Maybe, but I anyway I couldn't resist it. Thought: do you get dirty old women?




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What is a " Lumbar Facet "?

Between the bones of the lumbar spine (the vertebrae) there are three joints:

  1. A disc joint that is a sort of shock absorber.

  2. Two facet joints.

On either side, between the disc joint and the facet joint lies the foramen where the nerve exits from the spine. That's where the drama begins.




These are the facet joints, fairly healthy ones. They control how far you can bend and twist your spine. In particular they determine how far you can extend your spine. Those girls have healthy facets! Extension - backward bending - doesn't cause pain obviously.

Here you can see the relation between the facet on one side, the foramen with its nerve, and the disc...



What is Arthropathy?

We quacks like to use big words to impress you! Like "lumbago". Sounds impressive. It's just "sore back" in Latin, nothing more!

Try breaking big medical words down into their constitutent parts:

Arthr-opathy

  • Arthr simply means to do with a joint and is the root of the word arthritis. Arthr-itis. An itis (inflammation) of an arthr (joint)

  • opathy simply means "a condition of". Sometimes if we want to sound really impressive and scare you we would say "a disease of". Don't be frightened of that word "disease". It simply means a lack of ease.


So, arthr-opathy simply means a condition to do with a joint.

Lumbar Facet Arthropathy

So Lumbar Facet Arthropathy is simply a condition (disease) of the lumbar facets.

Mostly, it's an OSIS not an ITIS. It's non-inflammatory, so taking anti-inflammatories certainly won't help. Lumbar Facet ArthrITIS may be inflammatory, but even then we Chiropractors are not in favour of NSAIDS (Non Steroidal Anti Inflammatory Drugs) except perhaps for a very short period as they have such nasty side-effects. ANTI INFLAMMATORY DRUGS ...

Sometimes an arthropathy is highly inflammatory (like America's fastest growing disease - gout - thanks to the great all-American diet! GOUT ... hospitalisations for gout have increased by 400% in the last 20 years. There are other less common inflammatory arthritides caused by example by inflammation of the bowel (avoid ALL wheat products if you have colitis), joint infections, diabetes and a particuarly nasty one where the nerve to a joint becomes inflammed.

But most Lumbar facet arthropathy is non-inflammatory. In one sense it's a normal part of aging. Like grey hair. As the facets joints get older wear-and-tear sets in, and they get thicker. Extension of the spine gradually becomes more limited.

IMMOBILISATION ARTHRITIS

New research proves though that arthropathy progresses much faster in fixated joints. The cartilage in the joint is starved of nutrition and oxygen: arthopathy.
  • IMMOBILISATION ARTHRITIS ...


    Hence Chiropractic. This elderly man has lumbar facet arthropathy, he can't stand up straight because it causes pain in his facet joints, and perhaps down his leg. This is what those pretty young things will be like in fifty odd years if they don't keep those lumbar facets healthy.

    Get those joints moving before they turn prematurely to concrete like these in the next CT scan. Notice how the facets have grown out of all proportion and are invading both the spinal canal and the foramen where the nerve exits.

    This is Lumbar Stenosis and it eventually causes pain running down the leg when you stand up straight, extend your spine, and bend to the side.

    The result? You walk in a slumped, flexed position, it's the only posture that relieves the pain in the back and leg. LUMBAR STENOSIS CaseFile ...

    Lumbar Facet Arthropathy - the Cobra

    The Cobra is an excellent Yoga exercise to maintain healthy lumbar facets and help prevent lumbar facet arthropathy. But... you won't be able to do if you have a lumbar facet syndrome. LUMBAR FACET SYNDROME ... pain in the low back with extension and side-bending.


    Tsk! To think I wrote this whole page just so I could show you those pretty young women. And my cousin will be telling me, to tell the whole world what a dirty old man Bernard Preston is! In his darker moments... yes, maybe. CHRISTIAN HYPOCRISY ...


    LUMBOSACRAL TRANSITIONAL SEGMENT

    The last lumbar segment is fairly frequently associated with various anomolies that can contribute to lower back pain. Pseudojoints sometimes form and lumbar spine stenosis can occur. It may also be the cause of scoliosis... SACRALIZATION OF L5 Casefile ...

    CHIROPRACTIC TREATMENT FOR SCOLIOSIS ...

    USEFUL LINKS

    Go from Lumbar facet arthropathy to LOWER BACK AND LEG PAIN home page …

    Go from Lumbar facet arthropathy to BERNARD PRESTON home page …

    MONTHLY NEWSLETTER

    Chiropractic-Help.com and Bernard-Preston.com send out a joint monthly newsletter. It covers an overview of a health topic (December 2010 issue #19: Retirement Sentiments), always a nutritional corner (such as Mussels, loaded with anti-oxidants), and a piece from Bernard Preston.

    Sign up at the bottom of any Chiropractic Help Page, for example this one on Pubic Bone Pain , The newsletter is free, and one click cancels it if you find it boring or irrelevant. PUBIC BONE PAIN ... very disconcerting particularly for women.



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