Dr. Goyle’s Pain Perspective

Integrated Spine, Pain & Wellness Blog

facet joint arthritis

Lower Back Pain When Bending Or Lying Down: What Causes It And How To Find Relief

Experiencing sharp or aching lower back pain when bending forward or lying flat often signals underlying spinal conditions like disc degeneration, spinal stenosis, or facet arthritis that compress nerves or stress worn joints. This guide explains how these structural problems cause positional pain, outlines diagnostic approaches combining physical exams and advanced imaging, and reviews evidence-based non-surgical treatments, from targeted physical therapy and anti-inflammatory injections to regenerative therapies like PRP, that address root causes rather than just masking symptoms.

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Facet joint injections

Epidural vs. Facet Joint Injection: Which Spine Treatment Is Right For Your Specific Pain?

You’ve tried physical therapy. You’ve given anti-inflammatories months to work. Your back pain persists, and now your doctor mentions injections, but which type? If you’re confused about whether an epidural or facet joint injection makes sense for your situation, you’re not alone. The distinction matters because these procedures target fundamentally different pain sources. Epidural steroid…

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