{"id":2190,"date":"2024-05-04T11:00:05","date_gmt":"2024-05-04T08:00:05","guid":{"rendered":"https:\/\/samerpainclinic.com\/posts-en\/lower-back-pain-originating-from-the-small-joints-in-the-spine\/"},"modified":"2026-06-29T15:16:19","modified_gmt":"2026-06-29T12:16:19","slug":"lower-back-pain-originating-from-the-small-joints-in-the-spine","status":"publish","type":"post","link":"https:\/\/samerpainclinic.com\/en\/posts-en\/lower-back-pain-originating-from-the-small-joints-in-the-spine\/","title":{"rendered":"Lower Back Pain Originating from the Small Joints in the Spine"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" 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.av-special-heading.av-lvweuxzm-52352430bb5745bc1807e06bf1aa74a6 .av-special-heading-tag{\nfont-size:40px;\npadding:0px 0px 0px 0px;\n}\n.av-special-heading.av-lvweuxzm-52352430bb5745bc1807e06bf1aa74a6 .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-lvweuxzm-52352430bb5745bc1807e06bf1aa74a6 .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-lvweuxzm-52352430bb5745bc1807e06bf1aa74a6 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-lvweuxzm-52352430bb5745bc1807e06bf1aa74a6 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-lvweuxzm-52352430bb5745bc1807e06bf1aa74a6 av-special-heading-h1 custom-color-heading blockquote modern-quote  avia-builder-el-2  el_before_av_textblock  avia-builder-el-first  av-inherit-size'><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Lower Back Pain Originating from the Small Joints in the Spine<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lvwf3bb1-12f17118bd316a37952a4d477839e021\">\n#top .av_textblock_section.av-lvwf3bb1-12f17118bd316a37952a4d477839e021 .avia_textblock{\nfont-size:20px;\ncolor:#ffffff;\n}\n<\/style>\n<section  class='av_textblock_section av-lvwf3bb1-12f17118bd316a37952a4d477839e021 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock av_inherit_color'  itemprop=\"text\" ><p>Dr. Samer Abdel-Aziz<\/p>\n<\/div><\/section><\/p><\/div><div  class='flex_column av-1h55l9-de34e129a0e636e8d9c6bafb11977d56 av_one_third  avia-builder-el-4  el_after_av_two_third  avia-builder-el-last  flex_column_div  '     ><\/div><\/div><\/div><\/main><!-- close content main element --><\/div><\/div><div id='av_section_2'  class='avia-section av-17cjx1-825a8f3226990c0cbad5e82cb3678889 alternate_color avia-section-default avia-no-border-styling  avia-builder-el-5  el_after_av_section  el_before_av_section  avia-bg-style-scroll container_wrap sidebar_left'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small units'><div class='post-entry post-entry-type-page post-entry-2190'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-124lpp-5a65be8fc0a5cd94f98941abe67e8aed av_one_full  avia-builder-el-6  el_before_av_two_third  avia-builder-el-first  first flex_column_div  '     ><section  class='av_textblock_section av-lvwd7a5i-06b40c9064ea5526fd7c21c14762f9d4 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Back pain is one of the most common issues people face, with one in two individuals experiencing back pain every year. However, thankfully, pain improves naturally in about 90% of cases. But when back pain persists without improvement for 3 months or more, we need to identify the source of the pain for proper treatment. Some of the key sources of lower back pain include:<\/p>\n<ul>\n<li>The small joints in the spine (The Facet Joints)<\/li>\n<li>The intervertebral discs (The Intervertebral Discs)<\/li>\n<li>The sacroiliac joint (The Sacroiliac Joint)<\/li>\n<\/ul>\n<\/div><\/section><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-njtql-591dbf2ba2ff3fdd1aeab2df4ebcee67\">\n#top .flex_column.av-njtql-591dbf2ba2ff3fdd1aeab2df4ebcee67{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n.responsive #top #wrap_all .flex_column.av-njtql-591dbf2ba2ff3fdd1aeab2df4ebcee67{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n<\/style>\n<div  class='flex_column av-njtql-591dbf2ba2ff3fdd1aeab2df4ebcee67 av_two_third  avia-builder-el-8  el_after_av_one_full  el_before_av_one_third  first flex_column_div  column-top-margin'     ><p><section  class='av_textblock_section av-h8zud-af1e321706f428fb849591bfa8e84323 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>In this article, I will discuss back pain caused by the degeneration of the small joints in the lower back (Facet Joints).<\/p>\n<p><strong>What are these joints?<\/strong><\/p>\n<p>They are small joints located on both sides between each pair of vertebrae in the spine. The degeneration of these joints can lead to back pain, just like how the degeneration of any joint, such as the knee joint, can cause pain.<\/p>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-lvwdb1kz-f5edd3d398a56e0f391b2009a935299c '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>How do we diagnose and treat back pain caused by the Facet Joints?<\/strong><\/p>\n<p>First, to diagnose and determine if these joints are the source of the pain, we numb these joints to see if the pain improves with local anesthesia. As a first step, we inject the nerves responsible for sensation in these joints (The Medial Branches) with a local anesthetic similar to what a dentist uses to numb teeth. If the pain improves for 2-6 hours after this local anesthesia, we move to the next step on another day, which is to destroy these nerves using radiofrequency ablation to numb the joints for a longer period, which can last from 6 to 15 months.<\/p>\n<\/div><\/section><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-yqna5-05ce3649a3bf6b6ebe465659adcb94f9\">\n#top .flex_column.av-yqna5-05ce3649a3bf6b6ebe465659adcb94f9{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n.responsive #top #wrap_all .flex_column.av-yqna5-05ce3649a3bf6b6ebe465659adcb94f9{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n<\/style>\n<div  class='flex_column av-yqna5-05ce3649a3bf6b6ebe465659adcb94f9 av_one_third  avia-builder-el-11  el_after_av_two_third  el_before_av_one_full  flex_column_div  column-top-margin'     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-rkp0l-0a91fe7b60f340318919376fae78024d\">\n.avia-image-container.av-rkp0l-0a91fe7b60f340318919376fae78024d img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-rkp0l-0a91fe7b60f340318919376fae78024d .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-rkp0l-0a91fe7b60f340318919376fae78024d av-styling- avia-align-center  avia-builder-el-12  avia-builder-el-no-sibling '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-1813 avia-img-lazy-loading-not-1813 avia_image ' src=\"https:\/\/samerpainclinic.com\/wp-content\/uploads\/2024\/03\/\u0622\u0644\u0627\u0645-\u0623\u0633\u0641\u0644-\u0627\u0644\u0638\u0647\u0631-\u0627\u0644\u0635\u0627\u062f\u0631\u0629-\u0645\u0646-\u0627\u0644\u0645\u0641\u0627\u0635\u0644-\u0627\u0644\u0635\u063a\u064a\u0631\u0629-\u0641\u064a-\u0627\u0644\u0639\u0645\u0648\u062f-\u0627\u0644\u0641\u0642\u0631\u064a.jpg\" alt='' title=''  height=\"616\" width=\"706\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/samerpainclinic.com\/wp-content\/uploads\/2024\/03\/\u0622\u0644\u0627\u0645-\u0623\u0633\u0641\u0644-\u0627\u0644\u0638\u0647\u0631-\u0627\u0644\u0635\u0627\u062f\u0631\u0629-\u0645\u0646-\u0627\u0644\u0645\u0641\u0627\u0635\u0644-\u0627\u0644\u0635\u063a\u064a\u0631\u0629-\u0641\u064a-\u0627\u0644\u0639\u0645\u0648\u062f-\u0627\u0644\u0641\u0642\u0631\u064a.jpg 706w, https:\/\/samerpainclinic.com\/wp-content\/uploads\/2024\/03\/\u0622\u0644\u0627\u0645-\u0623\u0633\u0641\u0644-\u0627\u0644\u0638\u0647\u0631-\u0627\u0644\u0635\u0627\u062f\u0631\u0629-\u0645\u0646-\u0627\u0644\u0645\u0641\u0627\u0635\u0644-\u0627\u0644\u0635\u063a\u064a\u0631\u0629-\u0641\u064a-\u0627\u0644\u0639\u0645\u0648\u062f-\u0627\u0644\u0641\u0642\u0631\u064a-300x262.jpg 300w\" sizes=\"(max-width: 706px) 100vw, 706px\" \/><\/div><\/div><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-98fq5-a1419edb402609c3dfd40fd4147545bd\">\n#top .flex_column.av-98fq5-a1419edb402609c3dfd40fd4147545bd{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n.responsive #top #wrap_all .flex_column.av-98fq5-a1419edb402609c3dfd40fd4147545bd{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n<\/style>\n<div  class='flex_column av-98fq5-a1419edb402609c3dfd40fd4147545bd av_one_full  avia-builder-el-13  el_after_av_one_third  avia-builder-el-last  first flex_column_div  column-top-margin'     ><section  class='av_textblock_section av-h0w6d-f34b33e47f448fabc49ed91d342a4025 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>How do we anesthetize these joints?<\/strong><\/p>\n<p>The procedure to anesthetize the nerves responsible for sensation in the small joints of the spine is simple, precise, and quick. You will be taken to the interventional procedure room in our clinic, where we will assist you in lying on your stomach on the operating table. Using X-ray guidance, we direct the needles to the nerves around the joints in the spine. After confirming the precise location of the needles, we inject a small amount of local anesthetic and then remove the needles.<\/p>\n<p>After the procedure, you can leave, and we will provide you with a form to track your pain level and improvement during the first six hours. If there is an improvement of more than 50%, we will proceed with the next step, which is performing radiofrequency ablation on a later day.<\/p>\n<p><strong>How do we perform radiofrequency ablation?<\/strong><\/p>\n<p>Radiofrequency ablation for the lower back joints is done in our clinic under X-ray guidance and takes about 20 minutes. In the interventional procedure room, we assist you in lying on your stomach on the operating table. We disinfect the back area and apply local anesthesia to the skin. Then, under X-ray guidance, we direct special needles that have a tip which can be heated using a radiofrequency device. After confirming the accurate position of the needles under X-ray, we heat the needle tips to 80\u00b0C for 90 seconds using the radiofrequency device to destroy the nerves after applying local anesthesia. After the procedure, the nurse will provide post-procedure instructions, and you can leave.<\/p>\n<p>After the procedure, you may experience back pain, but it typically improves within two days, and you can return to your daily activities immediately.<\/p>\n<p><strong>What is the likelihood of pain improvement after radiofrequency ablation? Is the improvement permanent?<\/strong><\/p>\n<p>Many studies indicate that about 70% of patients who experience significant pain relief after the local anesthesia procedure also show good improvement after radiofrequency ablation. This means there is about a 30% chance that back pain may not improve after radiofrequency ablation, even if pain improved during the first anesthesia procedure. This could be due to the pain source not being from these joints but from another source.<\/p>\n<p>Improvement after radiofrequency ablation can last from 6 to 15 months, but it is not permanent. The pain usually returns within a year because the nerves regenerate, and a repeat radiofrequency procedure may be necessary.<\/p>\n<p><strong>Are there any risks with radiofrequency ablation?<\/strong><\/p>\n<p>Any medication or procedure carries risks. In our clinic, we use the safest methods for all procedures, and the likelihood of complications after radiofrequency ablation is very low. Potential risks include bleeding, bruising on the back, a side reaction to one of the medications used, nerve damage, or no improvement after the procedure. For pregnant women, there is a risk to the fetus due to the use of X-rays, so we delay the procedure until after delivery.<\/p>\n<\/div><\/section><\/div>\n<\/p>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av_section_3'  class='avia-section av-92l2t-b82a4dcf8b2a7a4bde9448366ffc00d4 alternate_color avia-section-no-padding avia-no-border-styling  avia-builder-el-15  el_after_av_section  avia-builder-el-last  avia-bg-style-scroll container_wrap sidebar_left'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small units'><div class='post-entry post-entry-type-page post-entry-2190'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lvwftqzc-3fe58cc52be8429239a58a8513d903f4\">\n.flex_column.av-lvwftqzc-3fe58cc52be8429239a58a8513d903f4{\nborder-radius:8px 8px 8px 8px;\npadding:20px 20px 20px 20px;\nbackground-color:#fafafa;\n}\n<\/style>\n<div  class='flex_column av-lvwftqzc-3fe58cc52be8429239a58a8513d903f4 av_one_full  avia-builder-el-16  el_before_av_hr  avia-builder-el-first  contact-footer-column first flex_column_div av-animated-generic bottom-to-top  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lvwfv1x4-831425c29bf7e9f1d92f4bca5c8615da\">\n.av_font_icon.av-lvwfv1x4-831425c29bf7e9f1d92f4bca5c8615da{\ncolor:#01796f;\nborder-color:#01796f;\n}\n.avia-svg-icon.av-lvwfv1x4-831425c29bf7e9f1d92f4bca5c8615da svg:first-child{\nstroke:#01796f;\nfill:#01796f;\n}\n.av_font_icon.av-lvwfv1x4-831425c29bf7e9f1d92f4bca5c8615da .av-icon-char{\nfont-size:30px;\nline-height:30px;\n}\n<\/style>\n<span  class='av_font_icon av-lvwfv1x4-831425c29bf7e9f1d92f4bca5c8615da avia_animate_when_visible av-icon-style- avia-icon-pos-center avia-iconfont avia-font-entypo-fontello'><span class='av-icon-char' data-av_icon='\ue854' data-av_iconfont='entypo-fontello' aria-hidden=\"true\" ><\/span><\/span><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lvwfd11d-be45186464a57e6a0bf7a424af245cfa\">\n#top .av_textblock_section.av-lvwfd11d-be45186464a57e6a0bf7a424af245cfa .avia_textblock{\nfont-size:18px;\n}\n<\/style>\n<section  class='av_textblock_section av-lvwfd11d-be45186464a57e6a0bf7a424af245cfa '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>For more information, you can contact us at the clinic number: <a href=\"tel:+962790922204\">+962 79 09 222 04<\/a><\/p>\n<\/div><\/section><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lvwg6nng-820c69d8bbfcb90aa567c8c11af03858\">\n#top .hr.hr-invisible.av-lvwg6nng-820c69d8bbfcb90aa567c8c11af03858{\nheight:70px;\n}\n<\/style>\n<div  class='hr av-lvwg6nng-820c69d8bbfcb90aa567c8c11af03858 hr-invisible  avia-builder-el-19  el_after_av_one_full  avia-builder-el-last '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='after_section_3'  class='main_color av_default_container_wrap container_wrap sidebar_left'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small units'><div class='post-entry post-entry-type-page post-entry-2190'><div class='entry-content-wrapper clearfix'>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":5018,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[116],"tags":[],"class_list":["post-2190","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-posts-en"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Lower Back Pain from the Small Joints in the Spine<\/title>\n<meta name=\"description\" content=\"Discover how small spinal joints can cause lower back pain at Dr. Samer Abdel-Aziz\u2019s Pain Clinic. 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