Alternative Treatment Methods for Facet Disease
The symptoms of facet disease, which is the deterioration of joint cartilage in the spine, normally respond well to mainstream treatment techniques such as non-steroidal anti-inflammatory drugs and stretching exercises. In some cases, however, patients may continue to experience stiffness, pain, and other symptoms associated with the condition, even after several weeks or months of conservative (nonsurgical) treatment. Before resorting to surgery, many of these patients choose to explore alternative treatment methods.
A Few Alternatives
Facet disease, like all forms of arthritis, is not considered curable. Treatment is geared toward managing the symptoms. These symptoms may be a result of irritated nerve endings within the facet joint itself, or related to nerve compression that can arise if a reduction in joint stability leads to the production of osteophytes (bone spurs) that press upon the spinal cord or a nerve root.
Regardless of the nature of the underlying cause of symptoms, surgery is almost always considered the last resort. In fact, patients for whom surgery is not an option - whether because of another health issue or advanced age - might turn to one or more of the following alternative methods in an attempt to reduce discomfort:
- Herbal supplements - also known as "botanicals," anecdotal evidence suggests that these plant-based compounds might have some palliative effect.
- Pulsed radiofrequency neurotomy (PRFN) - uses heat produced by radio waves to temporarily disrupt the ability of certain nerves to conduct pain signals.
- Homeopathy - an alternative medical system that attempts to stimulate the body's ability to heal itself through the use of extremely small doses of highly diluted substances.
- Pain patches - these exist in prescription strength and as over-the-counter medication and may provide temporary relief from localized pain.
- Chiropractic manipulation - a chiropractor attempts to reduce neck or back pain by making physical adjustments to the spine.
But Do They Work?
The efficacy of most alternative or complementary medicine remains up for debate, mainly due to a dearth of scientific research. However, many facet disease sufferers swear by these treatment methods, and it may be worth asking a doctor's advice about non-traditional ways to relieve pain and other symptoms.
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