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Suffering from chronic back and neck pain? Surgeon warns of Facet Joint Syndrome: 'Worsens with bending...'

Find out what the chronic neck pain indicate towards and know the signs which may help you identify the ‘Facet Joint Syndrome.’

Updated on: Mar 10, 2026 5:05 PM IST
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Chronic back and neck pain are among the most common complaints today. Because it is so common, many people simply endure it or try to manage it with quick fixes such as hot water bags or balms. However, when the pain persists, it should not be overlooked. In fact, chronic pain can sometimes indicate an underlying ‘syndrome’ that requires proper attention.

We have asked Dr Neeraj Gupta, senior consultant spine surgeon at ISIC Multispecialty Hospital, New Delhi, to identify one possible issue that could be Facet Joint Syndrome.

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Chronic back pain indicates an underlying health issue. (Picture credit: Freepik)
Chronic back pain indicates an underlying health issue. (Picture credit: Freepik)

What are facet joints?


What are facet joints? “Facet joints are tiny stability joints which are found between the vertebrae of the spine. They are elastic and ensure the alignment of the spine,” the surgeon answered. So these joints help the spine properly stay aligned and allow smooth movements.

But these joints can degenerate, and as the surgeon added, whether from age, inflammation, injury or repeated stress, they can result in a condition called Facet Joint Syndrome.

The surgeon explained that this condition is actually a common cause of chronic back and neck pain, but it is often overlooked because many assume their discomfort is simply due to muscle strain or poor posture. Over time, ignoring such pain can worsen mobility and make everyday movements more challenging.

It is normally worsened with some movements like bending backwards or twisting and can be transferred to adjacent parts,” Dr Gupta alerted which movements can further worsen the syndrome.

Signs and symptoms:

Localised neck pain is a concern. (Adobe Stock)
Localised neck pain is a concern. (Adobe Stock)

For better understanding, let's look at how this syndrome feels. Here are some of the signs shared by Dr Gupta:

  • Localised pain in the neck, mid-back, or lower back
  • Pain that worsens with extension (leaning back) or rotation
  • Stiffness and reduced flexibility in the spine
  • Muscle spasms around the affected area
  • Pain radiating into the shoulders, buttocks, or thighs (without nerve compression)
  • Discomfort after prolonged standing or sitting

Why difficult to diagnose?

Turns out this condition is also difficult to diagnose accurately. According to the surgeon, facet joint pain can often mimic other spinal problems. This is why knowing the specific signs and symptoms are critical so that you can learn if your neck pain is more than just a posture issue.

Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.

  • Adrija Dey
    ABOUT THE AUTHOR
    Adrija Dey

    Adrija Dey’s proclivity for observation fuels her storytelling instinct. As a lifestyle journalist, she crafts compelling, relatable narratives across diverse touchpoints of the human experience, including wellness, mental health, relationships, interior design, home decor, food, travel, and fashion that gently nudge readers toward living a little better. For her, stories exist in flesh and bones, carried by human vessels and shaped through everyday endeavours. It is the small stories we live and share that make us human. After all, humans and their lores are the most natural and raw repositories of stories, and uncovering them, for her, is akin to peeling an orange under a winter afternoon sun. Always up for a chat, she believes the best stories come from unfiltered yapping, where "too much information" is kind of the point. A graduate of Indraprastha College for Women, University of Delhi, and an alumna of the Indian Institute of Mass Communication (IIMC), Delhi, Adrija spends her idle hours cocooned with herbal tea and a gripping thriller, scribbling inner monologues she loosely calls poetic pieces, often with her succulents in attendance. On lazier days, she can be found binge-watching, for the nth time, one from her comfort-show holy trinity: The Office (US), Brooklyn Nine-Nine, or Modern Family. Dancing by herself to her peppy playlists, however, is an everyday ritual she swears by religiously.Read More

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