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iSpine Discuss Medical terminology for "stuck" facet joints? in the Main forums forums; Hummm - stuck facets....I have never heard of that in my spiney journey or while in healthcare. However, it sounds ...

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Old 12-21-2006, 05:20 PM
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Hummm - stuck facets....I have never heard of that in my spiney journey or while in healthcare. However, it sounds painful.

Subluxation - it looks like it could fit the definition.

Another term could be spinal hyperextension injury - perhaps?

TTYL,
Poncho
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Old 12-21-2006, 07:46 PM
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From Steadman's medical dictionary:

luxation = dislocation

subluxation = "an incomplete luxation or dislocation; though a relationship is altered, contact between joint surfaces remains."

In my case it was easy to imagine moving the sliding surfaces of the facet far enough so that they caught on each other, putting intense pressure on a very small surface. Hold your hands together in front of your body like you are praying and press them together. They are like the sliding surfaces of the facets. Then move them so they are incongruent... the little finger on one hand moves towards, then past the thumb on the other... when you go too far, the joint surfaces are dislocated.... putting them back together will put intense pressure on a very small surface.
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Old 12-21-2006, 10:11 PM
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Thanks guys. Ya basically my right facet joints have been stuck in that position since about the end of September. And you are absolutely right about the pain being terrible - it sucks!
I'm seeing my doctor in the beginning of January to talk about 1) my original facet pain - the overrextension and then 2) why/how my right facet joints are stuck in that position and 3) why wont they go back!!!
There's not a lot of information out there about this problem in connection to ADR.
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Also Mark - I'm Blair, not Michelle
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Old 12-22-2006, 02:39 PM
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Blair,

It's hard for me to imagine a facet stuck in a subluxated position. If it were subluxated, I would expect the pain to be more than you could tolerate and that they would be resolving the subluxation with external manipulation.... possibly even manipulation under anesthesia. If it were to remain subluxated or continue to find it's way into a subluxated position, then I would suspect that there was a substantial instability and structural issue... possibly a fracture, blown ligament, blown facet capsule, or ??? My guess is that this would ultimately result in treatment that is a step further than ADR, like posterior stabilization or fusion.

I do know people who have required stabilization after ADR. Each case is quite unique... some have done well and some have not. In the cases where the indications were clear, they have done well.

Mark
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2000 L4-5 Microdiscectomy/laminotomy
2001 L5-S1 Micro-d/lami
2002 L4-S1 Charite' ADR - SUCCESS!
2009 C3-C4, C5-C6-C7, T1-T2 ProDisc-C Nova
Summer 2009, more bad thoracic discs!
Life After Surgery Website
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Founder: www.iSpine.org
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Old 12-23-2006, 12:05 AM
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Ya i know that this is something that isnt common. I'm going in to see my doctor in the beginning of January but the pictures from when they did the rhizotomy showed that my facet joint is stuck in that overextended position and basically I have been in terrible pain since late September/early October. I had direct orders to see my doctor asap from my doctor who did the rhizo. He said that it could go back by itself but that I needed to see my doctor.
I'm basically on pain killers all the time b/c of it.
Whatever the medical terminology is for it it sucks! ahha oh well. hopefully one day I wont be in a constant state of pain.
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2001 College Ice hockey injury
2002 DDD
2002-2004 epiderals
Spondylolisthesis
1/04 fall in Vegas
1/04-5/04 epiderals
6/24/04 Charite L5/S1
10/04-present new pain from facet joints caused by Charite; 10 facet blocks
12/06 rhizotomy left side
3/07 rhizotomy right side
5/10/2007 Charite removed, anterior IF, posterior instrumentation
180 mg MS-contin; Oxycodone; 16 mg Zanaflex
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Old 12-24-2006, 03:15 PM
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For the first two years after ADR I was always complaining on other forums about popping of my lumbar. I would be miserable for days or weeks, then as a result of some motion I could detect a pop or feel something suddently move at the surgery level. Right away I could feel relief starting to come on, like a good painkiller kicking in. I never got painfree but the pain came down from the higher levels. Just the opposite could happen too. There could be a pop and I could suddenly feel pain start to grow. I wonder if stuck facets are the same or related phenomena?
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Old 12-29-2006, 04:42 AM
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so i think that dislocation was the wrong term for what's going on with my facet joints but rather malalignment? I'm going in on the 3rd so I guess I can find out the actual medical terminology from Dr. Regan.
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2001 College Ice hockey injury
2002 DDD
2002-2004 epiderals
Spondylolisthesis
1/04 fall in Vegas
1/04-5/04 epiderals
6/24/04 Charite L5/S1
10/04-present new pain from facet joints caused by Charite; 10 facet blocks
12/06 rhizotomy left side
3/07 rhizotomy right side
5/10/2007 Charite removed, anterior IF, posterior instrumentation
180 mg MS-contin; Oxycodone; 16 mg Zanaflex
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