Lumbar Facet Arthropathy: Conservative Treatment Options


Q: I have a problem with, Minimal forward slippage of L4 over L5 secondary to facet joint arthropathy associated with L4-5 pseudo-disk bulge slightly encroaching upon ventral thecal aspect and neural foramen. They told me there's no need for any operation.  Do you have any other treatment suggestions so that I can continue my work in plastering ?


A:   Basically the conservative treatment of the Lumbar Facet Arthropathy is Physical Therapy aimed to recondition and stabilize the lumbar spine by re-educating the patient, teaching him/her a daily stretching routine for the lumbar area, strengthening of abdominal muscles, and other important general recommendations as follows: sleeping with a pillow between the knees lying on the side, avoid activities that place additional strain on the lumbar spine (example: weight lifting). All of the above, with the objective to keep the patient as far as possible from episodes of acute low back pain, and also to preserve his/her quality of life.

Related Q&A

Q: 23 y.o. female had lower right back pain for about 1 year following a burning pain from bending over (I thought it wa...

Q: Hello, I'm Adriana, I just received MRI results of my brain, I'm 40 yrs old, suffer from migraines, tension headaches...

Q: Hello I got liked in the chest 4days ago ( accident ) in the middle of the chest next to my left breast actually Righ...

Q: Hello, I had thoracic back pain (dully/achey) on my right side. This past Feb that lasted through May along with som...

Q: It began about three months ago. I would have lower back pain for a day and it would go away. Then it would happen a...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon