What is the prognosis of lumbosacral facet syndrome?

Updated: Nov 19, 2018
  • Author: Gerard A Malanga, MD; Chief Editor: Craig C Young, MD  more...
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Answer

With an active and focused spine rehabilitation program, the prognosis for these patients to achieve pain-free activity is good; however, the definitive diagnosis of Z-joint pathology is often difficult to make and challenging to confirm. For some patients, LBP may persist, and more aggressive interventions beyond conservative rehabilitation should be considered. Interventions such as medial branch blocks or neurolysis remain controversial, but they should be given consideration in the event conservative treatment remains inadequate and all other sources of LBP have been investigated.


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