Facet joint arthritis is a common cause of axial back pain that does not respond to disc-targeted treatments because the lesion is in a different structure. Non-surgical fusion alternatives for facet arthritis include facet injections, radiofrequency ablation, and rehab. The fibrin procedure does not address facet pathology directly.
Key Takeaways
- Facet arthritis is a different lesion than disc pathology.
- Facet pain commonly responds to facet-targeted interventions.
- Radiofrequency ablation can produce durable relief.
- The fibrin procedure does not address facet pathology.
- Layered drivers are common — disc plus facet.
What This Guide Covers
- What is facet joint arthritis?
- What non-surgical options exist?
- Why does the fibrin procedure not fit?
- What if I have both?
What is facet joint arthritis?
Facet joint arthritis is degenerative change in the small joints at the back of the spine that connect adjacent vertebrae. The joints contain cartilage that breaks down over time, producing inflammation and pain in the joint capsule.
What non-surgical options exist?
Options include facet joint injections (diagnostic and therapeutic), radiofrequency ablation of the medial branch nerve, and structured rehab. RFA can produce 6 to 18 months of relief in patients who respond.
Why does the fibrin procedure not fit?
The fibrin procedure addresses annular tears in discs. Facet pathology is in a different structure entirely. Treating the disc when the facet is the driver produces no benefit. Imaging plus exam distinguishes the two.
What if I have both?
Layered drivers are common. The plan addresses each — facet pain with facet-targeted intervention, disc pain with disc-targeted intervention. The Valor team coordinates with pain management when layered drivers are present.
Clinical Note
Patients with chronic back pain sometimes assume the procedure can address whatever is causing their pain. Our clinical staff is direct that it cannot. The procedure targets annular tears in discs — that is its mechanism. Facet pain, sacroiliac pain, and muscular pain need different interventions. The Valor evaluation surfaces what is actually driving the pain and recommends accordingly.
Frequently Asked Questions
How can I tell if my pain is facet or disc?
Imaging plus exam plus pain pattern distinguish them.
Can both be addressed in one care plan?
Yes. Coordinated care addresses each driver.
Is RFA permanent?
No. RFA effects last 6 to 18 months in patients who respond.
This content is for general informational purposes only and does not constitute medical advice, diagnosis, or treatment. It is not a substitute for evaluation by a qualified physician. Treatment decisions depend on your individual medical history and clinical findings. Schedule a consultation to discuss whether the procedure is right for you.
