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The facet joints, along with the intervertebral discs, allow for motion in the spine. These joints are visible at the back (posterior) of each motion segment in the spine. Facet joints help the spine to bend, twist, and extend in different directions. The facet joints restrict excessive movement such as hyperextension and hyperflexion (e.g., whiplash). Each segment has two facet joints, one on each side. The superior articular facet faces upward and works like a hinge with the inferior articular facet (below). Like other joints in the body, each facet joint is surrounded by a capsule of connective tissue and produces synovial fluid to nourish and lubricate the joint. The surfaces of the joint are coated with cartilage that helps each joint to move and glide smoothly.

Depending upon your genetic risk factors, everyday wear and tear, and/or trauma to the joint, the facet joints can develop arthritis just like any other joint. Arthritis of the facet joint (arthropathy) can be painful and lead to other issues in the spine including instability and facet joint cysts that can pinch nerves.

Lumbar Facet Cyst Treatment


Not all patients with facet cysts have symptoms. As the fluid builds up, it can cause spinal stenosis and pressure on the spinal nerves which may cause leg pain, numbness, tingling, or weakness (radiculopathy).

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Lumbar Facet Cyst Treatment

Diagnosis is made from your symptoms, history, physical exam, and MRI imaging. Treatment is dependent on the severity of symptoms, but often initially includes non-operative treatment such as formal physical therapy, anti-inflammatory medications, and activity modifications.

If your condition does not improve with conservative treatment, Dr. Stieber can suggest surgical solutions to relieve pain and increase level of function. If surgery is required, Dr. Stieber offers expertise and a variety of treatment options utilizing minimally invasive techniques.

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Dear Patients:

Our patients' health and safety is our number one priority. Our office continues to be open for all email, telephone, and online inquiries. You can call us at 646-916-3962 or contact us via email to schedule your virtual telemedicine or in-person visit. Our doctors will be holding regular office hours for virtual video consultations and follow-up visits that permit you to stay in the comfort of your own home, utilizing your computer, tablet, or mobile device.

Additionally, we will continue to see select patients in the office for consultation and follow-up visits, including preoperative and postoperative appointments. Our doctors continue to perform procedures in our private, free-standing surgery center that offers an array of outpatient surgical services to treat spinal issues such as acute back pain, disc herniations, sciatica, and pinched nerves in the back or neck. We are also able to offer clean and efficient on-site x-ray capabilities in our office.

Please know that we join our community in taking all advised precautions* to limit the spread of the Coronavirus and ensure the safety of patients and staff.

Call today to schedule a consultation and explore your options with the Spine Center at OrthoManhattan.

The following precautionary measures have been established to ensure the safest environment possible:

  • All patients are screened both prior to and on the day of their office appointment. Patients will not be permitted in the office and will be asked to reschedule their appointment if:
    • You or anyone in your household are experiencing flu-like symptoms, such as fever, cough, congestion, runny nose, or shortness of breath.
    • You have been in contact with anybody who has tested positive for coronavirus or have traveled (both domestically and internationally) within the last 14 days.
  • We have updated our patient and visitor policies:
    • Only a limited number of patients will be permitted on the office hour schedule.
    • No additional visitors or family members are allowed to accompany the patient during their office visit, unless the patient is in need of an aide or a translator
    • Infants, children, and adolescents are asked to stay home and will not be permitted to accompany the patient to their appointment.

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