Facet Joint Pain Treatment in Gorey
Facet joint pain is a common cause of lower back pain that we treat regularly at Physio Solutions in Gorey. It often presents as either a sudden sharp pain following movement or sport, or a gradual build-up of stiffness and discomfort over time.
You can also visit our Back Pain Treatment page for a broader overview of lower back pain.
What Is Facet Joint Pain?
Facet joints are small joints located at the back of the spine. They help guide and control movement, particularly bending backwards, twisting and rotation. When these joints become irritated or stiff, they can cause localised back pain and restriction of movement.
Symptoms of Facet Joint Pain
Common symptoms include:
- Pain in the lower back (often on one side)
- Pain when bending backwards
- Discomfort with twisting or turning
- Stiffness after sitting or resting
- Pain that eases slightly with movement
Unlike sciatica or disc-related pain, facet joint pain is usually more localised and does not travel far down the leg.
Pain When Leaning Backwards
A key feature of facet joint pain is discomfort when bending backwards (extension). People often notice pain when standing up straight after sitting, discomfort when arching backwards, sharp or localised pain in the lower back, and stiffness when trying to fully straighten.
This movement places more load on the facet joints at the back of the spine. If these joints are irritated or stiff, this movement can become painful – and this pattern can help identify that the facet joints may be contributing to your symptoms.
Acute Facet Joint Injury (Sudden Pain)
Facet joints can become irritated suddenly during movement or sport. This often happens with twisting movements, awkward bending, sudden changes in direction, or lifting and reaching. People often describe a sudden “catch” or sharp pain, difficulty straightening up, and pain when trying to move or turn. This type of injury can feel severe, but often settles well with the right treatment.
Degenerative Facet Joint Pain (Stiffness & Recurring Pain)
Facet joints can also become more sensitive over time. This may lead to recurring lower back pain, morning stiffness, discomfort after sitting and pain with prolonged standing. These changes are often described as “wear and tear”, but are a normal part of ageing and do not always cause pain.
What Causes Facet Joint Pain?
Facet joint pain is usually caused by a combination of factors: sudden or repetitive movement, prolonged sitting, reduced mobility, muscle tension and general changes in the spine over time. In many cases, it is not caused by one single event.
We See This Every Day
Facet joint pain is a very common cause of localised back pain and stiffness. We regularly see patients with symptoms like a “catch” in the back or pain when straightening up – and these symptoms usually improve well with the right treatment and movement-based approach.
Physiotherapy Treatment for Facet Joint Pain
Treatment focuses on reducing irritation in the joint and restoring movement.
- Early stage – reduce pain and stiffness, restore gentle movement and help you stay active.
- Recovery phase – improve mobility in the spine, reduce sensitivity in the joint and restore normal movement patterns.
- Strength & rehabilitation phase – strengthen the back and surrounding muscles, improve control and reduce the risk of recurrence.
Exercise for Facet Joint Pain
Exercise plays a key role in recovery. This may include mobility exercises, stretching, strengthening work and general activity. The aim is to restore movement and reduce stiffness.
Hands-On Treatment Options
Facet joint pain often responds well to hands-on treatment. Treatment may include spinal mobilisation, spinal manipulation, soft tissue therapy, dry needling and laser therapy.
When Should You Seek Treatment?
You should consider physiotherapy if your back feels stiff or restricted, pain is not improving, you have recurring episodes, or your movement is limited. Early treatment can help prevent ongoing problems.
Who This Treatment Is For
Physiotherapy can help if you:
- Have localised lower back pain
- Feel stiff when bending or twisting
- Have had a sudden “catch” in your back
- Experience recurring back stiffness
- Want to return to sport or activity
Book a Back Pain Assessment
Facet joint pain can be uncomfortable and restrictive, but most people improve well with the right treatment. We help you restore movement and guide you through your recovery. When booking, select “Initial Physiotherapy Appointment”.
