Lumbar facet joint disorder in adolescents

Adolescents have lumbar facet joint disorder, which is a type of lumbar injury. For example, improper force or falls may cause this condition. Patients will experience severe pain and sometimes cannot straighten their bodies and dare not move. This condition is prone to misdiagnosis. This disease is also called posterior lumbar facet joint disorder and requires timely treatment and a clear diagnosis. Let's take a look at this aspect.

The posterior joint of the human lumbar vertebra is composed of the inferior articular process of the upper vertebra and the superior articular process of the lower vertebra. The small joint surface is covered with cartilage and has a small joint cavity, which is surrounded by a joint capsule. The inner layer is synovial membrane, which can secrete synovial fluid to facilitate joint movement. The articular surfaces of the lumbar vertebrae are arranged in semi-frontal and semi-sagittal positions, and their cross-section is approximately arc-shaped, which is flexible in extension, flexion, lateral flexion and rotation. Because the lumbar sacral region has a larger range of motion, the lumbar posterior facet joints are also relatively loose.

Manual therapy is an effective treatment for this disease. If the diagnosis is clear, the treatment can produce immediate results. A commonly used method is "diagonal reverse carrying", which means carrying the patient back to back with the affected part against the operator's buttocks. When the operator bends forward, the patient's feet are lifted off the ground and swung left and right, and then the buttocks are suddenly pushed up to release the entrapment. This method is suitable for cases where the doctor is tall and the patient is thin. Otherwise, the doctor cannot carry the patient and the effect cannot be achieved. In addition, the side-lying waist-twisting method or the sitting waist-pushing method can also relieve incarceration and strangulation.