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Charite University Hospital Berlin

9/10 from95 Votes

Being the medical school for both Humboldt University and Free University of Berlin and having a long experience, the Charite Hospital has gained wide recognition. It is regarded as one of the most research-intensive medical facilities in Germany and the largest university medical center in Europe.

Diagnostic tests for facet syndrome
2681
Treatment of facet syndrome with facetectomy (resection of facet joints)
15553
Treatment of facet syndrome with radiofrequency denervation
12232
location_onCountry: Germany
location_searchingCity: Berlin
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University Hospital Rechts der Isar of the Munich Technical University

10/10 from70 Votes

The Rechts der Isar Hospital is the University Hospital of the Technical University of Munich. There is intensive cooperation between the research facilities of the TU and the hospital in numbers of areas.

Diagnostic tests for facet syndrome
1645
Treatment of facet syndrome with facetectomy (resection of facet joints)
9524
Treatment of facet syndrome with radiofrequency denervation
7082
location_onCountry: Germany
location_searchingCity: Munich
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University Hospital of the Ludwig-Maximilians-University Munich (LMU)

9.2/10 from40 Votes

The Hospital of the Ludwig-Maximilians-University (LMU) Munich is a center of high-end medicine, medical innovation and medical and technical progress, which enables an individual and safe patient care.

Diagnostic tests for facet syndrome
2115
Treatment of facet syndrome with facetectomy (resection of facet joints)
11532
Treatment of facet syndrome with radiofrequency denervation
8978
location_onCountry: Germany
location_searchingCity: Munich
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University Hospital Frankfurt am Main

10/10 from97 Votes

The University Hospital Frankfurt is part of the Johann Wolfgang Goethe University Frankfurt am Main. The hospital was founded in 1914 and today it is a famous German medical institution with rich traditions. The hospital treats about 49,000 inpatients and 220,000 outpatients every year.

Diagnostic tests for facet syndrome
1675
Treatment of facet syndrome with facetectomy (resection of facet joints)
9709
Treatment of facet syndrome with radiofrequency denervation
7080
location_onCountry: Germany
location_searchingCity: Frankfurt am Main
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University Hospital Oldenburg

10/10 from33 Votes

The University Hospital Oldenburg is the Teaching Hospital of the University of Oldenburg. It offers a wide range of medical services that meet the highest medical standards. The hospital has 832 beds.

Diagnostic tests for facet syndrome
1514
Treatment of facet syndrome with facetectomy (resection of facet joints)
7421
Treatment of facet syndrome with radiofrequency denervation
6246
location_onCountry: Germany
location_searchingCity: Oldenburg

Hospital Neuwerk Maria von den Aposteln Moenchengladbach

10/10 from8 Votes

The Hospital Neuwerk “Maria von den Aposteln”, which is in Mönchengladbach, has over 10 specialized operating departments. Located in the northern part of the city, the Hospital has been a coordination center of the whole region for already many years.

Diagnostic tests for facet syndrome
1480
Treatment of facet syndrome with facetectomy (resection of facet joints)
7456
Treatment of facet syndrome with radiofrequency denervation
6215
location_onCountry: Germany
location_searchingCity: Moenchengladbach

Werner Wicker Clinic Bad Wildungen

9.8/10 from27 Votes

The tradition of Werner Wicker clinic dates back to the German orthopedist, Dr. med. Klaus Zielke, a pioneer in the field of surgical treatment of scoliosis and kyphosis. It was founded in 1978 as a private orthopedic clinic with an emphasis on treatment of spinal diseases.

Diagnostic tests for facet syndrome
1670
Treatment of facet syndrome with facetectomy (resection of facet joints)
9483
Treatment of facet syndrome with radiofrequency denervation
7082
location_onCountry: Germany
location_searchingCity: Bad Wildungen

HELIOS Clinic Krefeld

9.7/10 from38 Votes

Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently.

Diagnostic tests for facet syndrome
1565
Treatment of facet syndrome with facetectomy (resection of facet joints)
9285
Treatment of facet syndrome with radiofrequency denervation
6637
location_onCountry: Germany
location_searchingCity: Krefeld

Hospital Waldbrol Oberberg

9.7/10 from23 Votes

The Waldbröl District Hospital has the state-of-the-art medical equipment and is the certified Cancer Center. The key goal of the Hospital is to provide patients with a competent individual medical care and nursing.

Diagnostic tests for facet syndrome
1494
Treatment of facet syndrome with facetectomy (resection of facet joints)
8620
Treatment of facet syndrome with radiofrequency denervation
6297
location_onCountry: Germany
location_searchingCity: Waldbrоl

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from23 Votes

As an Academic Hospital of the University of Hamburg, the Asklepios Barmbek Hospital offers a wide range of medical services in the field of conservative and surgical treatment. The hospital was opened in 2005 and today it is one of the best and modern medical centers in Europe.

Diagnostic tests for facet syndrome
1679
Treatment of facet syndrome with facetectomy (resection of facet joints)
9591
Treatment of facet syndrome with radiofrequency denervation
7016
location_onCountry: Germany
location_searchingCity: Hamburg

PAN Clinic Cologne

9/10 from14 Votes

The PAN Clinic has gained universal recognition due to highly professional doctors and their responsive and careful approach to the treatment.  A team of experienced doctors specialized in 25 medical focuses takes care of the patients' health.

Diagnostic tests for facet syndrome
1649
Treatment of facet syndrome with facetectomy (resection of facet joints)
9578
Treatment of facet syndrome with radiofrequency denervation
7099
location_onCountry: Germany
location_searchingCity: Cologne

Alfried Krupp Hospital in Essen-Ruettenscheid

7.4/10 from42 Votes

With 900 beds and approximately 2,050 employees in two branches, the Alfried Krupp Hospital is one of the larger hospital institutions in Essen.

Diagnostic tests for facet syndrome
1666
Treatment of facet syndrome with facetectomy (resection of facet joints)
9777
Treatment of facet syndrome with radiofrequency denervation
6981
location_onCountry: Germany
location_searchingCity: Essen
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St. Vincentius Clinic Karlsruhe

9.8/10 from23 Votes

The St. Vincentius Clinic is the largest multidisciplinary medical institution and academiс hospital of the Albert Ludwig University of Freiburg. Treatment and diagnosis of patients is conducted by doctors with a scientific degree. They are introducing the latest progressive techniques.

Diagnostic tests for facet syndrome
1504
Treatment of facet syndrome with facetectomy (resection of facet joints)
9860 help8660
Treatment of facet syndrome with radiofrequency denervation
7769 help6269
location_onCountry: Germany
location_searchingCity: Karlsruhe

ATOS Orthopedic Clinic Braunfels

10/10 from3 Votes

The ATOS Orthopedic Clinic Braunfels offers high-quality orthopedic care. The clinic is staffed with a highly qualified medical and nursing team. In the process of treatment, doctors of the clinic apply the latest technologies ensuring a seamless, speedy recovery.

Diagnostic tests for facet syndrome
1675
Treatment of facet syndrome with facetectomy (resection of facet joints)
9470
Treatment of facet syndrome with radiofrequency denervation
7077
location_onCountry: Germany
location_searchingCity: Braunfels

ATOS Fleetinsel Clinic Hamburg

10/10 from23 Votes

The Fleetinsel Clinic Hamburg is one of the leading German clinics specializing in orthopedics and orthopedic surgery. Located on the historical Fleetinsel in Hamburg, the clinic is renowned for many years of experience and expertise. Spinal, joint and foot surgeries are the main orthopedic focuses for the clinic.

Diagnostic tests for facet syndrome
1656
Treatment of facet syndrome with facetectomy (resection of facet joints)
9463
Treatment of facet syndrome with radiofrequency denervation
7038
location_onCountry: Germany
location_searchingCity: Hamburg

University Hospital Cologne

9.8/10 from82 Votes

The University Hospital Cologne is included in the Focus magazine rating of top German hospitals 2017 and offers patients first-class medical care meeting the latest medical advancements.

Diagnostic tests for facet syndrome
1501
Treatment of facet syndrome with facetectomy (resection of facet joints)
8687
Treatment of facet syndrome with radiofrequency denervation
6314
location_onCountry: Germany
location_searchingCity: Cologne
certificatecertificatecertificate

About the disease

The first thing you need to know about facet syndrome is that it affects facet joints responsible for function of nerve endings in the back and for spinal motion. Facet joints are located in the lumbar spine and they prevent excessive spinal motion and its rotation. Facet joint fixates  lumbar and cervical spine and ensures its proper function. Facet joints support person when he bends and rotates.

As a result, there are two types of this disease:

  • Lumbar facet syndrome
  • Cervical facet syndrome

Approximately 60% of facet syndrome originate in the cervical vertebrae and another 40% - in the lumbar.

If not treated, facet symptom may result in osteoarthritis and other spinal diseases. Osteoarthritis is also called spondylosis. Facet syndrome is more common in elderly, who were leading sedentary lifestyle. It happens because a does not move enough, his muscles stiffen and without exercise an inflammatory process can begin. Scientist and doctor Ghormley was the first one to describe and identify cause of this disease. He then stated that the cause of facet syndrome is abrasion of muscles and nerve endings. Such “irritation” usually happens either because of age or spinal trauma, when spinal canal was damaged.

From anatomic point of view facet joints have a bilateral location, which means that they face each other. They contain a special synovial fluid, which lubricates and protects spine against abrasion. 

Symptoms

  • Unsystematic and unpredictable pain attacks in the back and thigh muscles
  • Person can not normally bend
  • Fatigue
  • Pain during the palpation
  • Fervor in severe cases
  • Swelling of affected joints
  • Red skin on the back

Back pain may be either local or spread to other parts of the back and affect ear, hand and leg ligaments.

Diagnosis

Diagnosis is formed on the basis of patient's complaints, his initial medical history, examination and palpation of the inflamed areas. During examination, doctor looks at the range of person`s ability to bend and rotate. He also tests his reflexes and location of painful areas. It is important to determine muscle strength and stretching ability.  If the period of severe pain occurs more often than once per month, patient needs to have X-ray of the back, so that doctor can examine state of facet joints. He can also use the contrast radiography to see facet joints more clearly and to track any changes of the nerve endings. 

Treatment

Treatment for facet syndrome has a multi-faceted character. In order to reduce swelling and inflammation,  doctor administers small doses of local anesthetics and corticosteroids. If pain was removed by anesthetics, it means that the diagnosis was right. Nevertheless, such anesthetics are unable to remove pain for longer periods of time, that why you need to undergo more substantial treatment options for full recovery. Such options include:

  • Radiofrequency denervation uses radiofrequency energy to enervate damaged nerves. According to Northernpaincenter.com, this procedure rarely has no considerable side effects and you will fully recover in a matter of several weeks. This treatment is especially good for people who had whiplash injury and developed Facet syndrome as a result of it. 
  • Thermocoagulation, also known as rhizotomy, blocks facet joints nerves with cold or heat. Cold and heat are transmitted to the joints with the help of X-ray equipment. Doctors can use Botox to reduce the spasms, as Botox cements the nerve endings. If the intervertebral discs are damaged, doctors also perform surgery on them to diminish the number of affected nerve endings.
  • Facetectomy is a surgical procedure, when a doctor removes facet joint.
  • Laminectomy removes lamina, which is a part that covers spinal canal. This is done in order to create more space in the back.
  • Physiotherapy is a more conservative facet syndrome treatment. To have a beneficial effect it must be practiced for a long period of time systematically and regularly. Different physiotherapy techniques can not only relieve pain and inflammation, but also improve the state of nerve endings, so that in future there will no remission. Physiotherapy as facet syndrome treatment is usually conducted with other preventive measures, such as correction of lifestyle, normalization of the day regime and reduction of long shifts at work. Physiotherapy also includes special exercises in the swimming pool, where spine can stretch and relax in water. Such sessions in the swimming pool must be conducted at least twice per year, so that they could bring visible result. Patients with facet syndrome may also choose to sleep on orthopedic mattress. If their condition is too severe, they can use neck collar to fixate neck muscle. It can help reduce the degree of discomfort and tiredness and to bring pain relief, so that patient`s mobility will be bigger.



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