[1] In conjunction with degenerative disc disease, a distinct but functionally related condition, facet arthropathy is believed to be one of the most common causes of lower back pain.
[citation needed] Additionally, in symptomatic facet arthropathy the location of the degenerated joint plays a significant role in the symptoms that are experienced.
Typically, the pain is worsened by stress on the facet joints, e.g. by lumbar extension and loading (the basis of the Kemp test) or lateral flexion but also by prolonged standing or walking.
[citation needed] Over time, the body will naturally respond to the instability within the spine by developing bone spurs, thickened ligaments or even synovial cysts that contact nerve roots exiting the spinal column.
[6] While primarily caused through natural wear and tear and degeneration, facet syndrome can also occur as a result of injury to the spine, or lifestyle choices.
[citation needed] Facet arthropathy or 'facet syndrome' can typically be diagnosed through a physical examination, MRI, x-rays and/or a diagnostic block into the suspected joint.
For long-term relief in more severe cases, Radio-frequency ablation or Rhyzotomy, where the anterior and posterior spinal nerve root is burnt may be performed.