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Conditions and Diseases > Back Pain Forum > facet arthritis and running
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Q: facet arthritis and running
asked by: middistance on November 30th, 2008
New User
I am a 49 year old competitive runner with left L5-S1 facet arthritis.

The facet joint on the affected side has an abnormal angle (more sagittal) compared with the unaffected right side. About 8mos ago I developed severe pain while training. Initially it was dx'd as disc herniation (no imaging done) although pain was atypical as it did not radiate below the buttocks, and maneuvers that often produce discogenic pain were negative.

MRI eventually done showed normal discs but facet arthritis as mentioned. Subsequent CT scan showed arthritis with hypertrophied joint capsule, osteophytes, probable ostephyte fx as a cause for sudden pain, and abnormal sagittal joint orientation. I had no pain for the previous 49 years here. I have no pain at rest or while walking. Can run up the stairs with no pain. I obviously want to return to running but am weighing the risk of worsening the problem against refraining from my passion and being miserable. Life is short. Anyone with similar history have a successful return to running .
Thank you.
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littleonefb
replied on December 1st, 2008
Extremely eHealthy
I haven't been in your situation, so can't help on that part for you

Some questions for you though to help in getting some answers.

Is your diagnosis based only on the results of an MRI and CT scan and the radiologists interpretation?

Has the information been given to you by your regular doctor only?

Have you been evaluated and properly diagnosed by a spine specialist?

If you have not seen a spine specialist, it would be best for you to to see one.

Either an orthopedic surgeon who specializes in spines only or a neurosurgeon that specializes in spines only is the doctor you should see.

Once you have been fully evaluated and diagnosed by a spine surgeon, it will be the spine surgeon that would answer the questions for you about your future in running.

Also what is the best treatment for you for the pain and what your diagnosis is.

Good luck

Fran
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