The typical symptoms of facet syndrome are:
• acute, chronic or episodic back pain
• stronger pain during exertion and movement
• sometimes radiating pain to the buttocks, hips and legs (spondylogenic)
• painfully restricted movement in the lower back
• painfully cramped deep back muscles (Musculi Multifidi)
• it is not uncommon for there to also be radiating pain along the sciatic nerve (pseudoradicular) 

Facet syndrome can be diagnosed very well as the cause of deep back pain. Magnetic resonance imaging (MRI) in particular, and rarely also computed tomography CT, are used to identify and assess arthritis or activated arthrosis of the lumbar vertebrae and sacral joints, lumbar spine and SI joint, in the case of persistent lower back pain and deep hip pain. The vertebral joints of the lumbar spine can only be palpated indirectly. In a physical exam, special tests can provide good information. If there is justified suspicion by an osteoarthritis and rheumatism specialist for the diagnosis of "activated facet syndrome" or "ISJ syndrome", a special magnetic resonance MRI is mostly commonly used today. For further confirmation of the diagnosis and also for the treatment, a diagnostic and therapeutic test infiltration by means of targeted injection of a drug that is only effective there can be carried out under image control with modern ultrasound or image converter devices suitable for this purpose.

Painkillers often only relieve symptoms temporarily. Painkillers are usually unable to adequately cure the sometimes extremely painful swelling of the vertebral joints caused by osteoarthritis, arthritis and myofibrosis. Recurring facet syndromes often result in significant permanent restrictions of movement due to scarring of the vertebral joints and the deep fasciae and atrophy of the muscles of the lower back. The goal is to break this vicious circle. Very effective therapeutic interventions are available today to treat facet joint and/or SI joint syndrome. The prerequisite, however, is that a facet syndrome must be confirmed as the cause of pain and located with certainty. Image-controlled facet infiltrations of various drugs, such as cortisone or biostimulative substances, into the facet joints and around the sciatic nerve roots with its ganglia of the deep fascia. Other methods include neurostimulation and neuromodulation, electrophysiologically controlled neurolysis of the medial branches of the lumbar and sacrum joints. A controlled and adapted personalised reconditioning according to the above-mentioned procedures is used to restore as much agile and resilient mobility as possible. During the consultation, the indications and therapeutic interventions are of course explained in detail! They can almost always be carried out on an outpatient basis.