ChiroACCESS Clinical Review

Lumbar Facet Pain: Therapy

This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.

Lead Author(s): 

Dwain M. Daniel, D.C.


How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)

Published on

August 11, 2008

Text Size:     
The difficulties of arriving at an accurate diagnosis for lumbar facet mediated pain (LFMP) were previously described in the diagnosis section of this monograph. These difficulties lead to critical shortcomings in the process of determining the best course of treatment available. Very few studies, if any, relating to conservative care have provided the method used to arrive at an accurate diagnosis. An example of this weakness is found in a 2003 study on the diagnostic profiles of 1018 patients. Although lesions of the vertebral facet constituted 47% of the diagnoses, diagnostic procedures were not reported in this study (1). One must be sure an accurate diagnosis was made when one is evaluating the efficacy of a therapy. Consequently, all studies on conservative treatments were given C ratings due to this shortcoming.

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