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Reported prevalence rates range from 4.8% to over 50% among patients with mechanical low back pain, with diagnosis heavily dependent on the criteria employed. In well\u2010designed studies, the prevalence is generally between 10% and 20%, increasing with age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The literature on the diagnosis and treatment of lumbar facet joint pain was retrieved and summarized.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There are no pathognomic signs or symptoms of pain originating from the lumbar facet joints. The most common reported symptom is uni\u2010 or bilateral (in more advanced cases) axial low back pain, which often radiates into the upper legs in a non\u2010dermatomal distribution. Most patients report an aching type of pain exacerbated by activity, sometimes with morning stiffness. The diagnostic value of abnormal radiologic findings is poor owing to the low specificity. SPECT can accurately identify joint inflammation and has a predictive value for diagnostic lumbar facet injections. After \u201cred flags\u201d are ruled out, conservatives should be considered. In those unresponsive to conservative therapy with symptoms and physical examination suggesting lumbar facet joint pain, a diagnostic\/prognostic medial branch block can be performed which remains the most reliable way to select patients for radiofrequency ablation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Well\u2010selected individuals with chronic low back originating from the facet joints may benefit from lumbar medial branch radiofrequency ablation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/papr.13287","type":"journal-article","created":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T03:06:33Z","timestamp":1693278393000},"page":"160-176","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["3. Pain originating from the lumbar facet joints"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8292-1692","authenticated-orcid":false,"given":"Sandra A. 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