Sloucher’s Relief: The Surprising Source of Low Back 'Catch' Pain - The Facet Joints
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Sloucher’s Relief: The Surprising Source of Low Back 'Catch' Pain - The Facet Joints
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This episode explains a common but confusing low back problem where leaning back causes a sharp, catching pain while slouching briefly relieves it — a pattern typical of irritated facet joints (the spine's "door hinges"). Using a three-legged stool analogy, the hosts describe how these joints guide and stabilize movement and how wear, inflammation or arthritis can make them painful when compressed.
They discuss why MRI often doesn’t match symptoms (the diagnosis paradox) and describe the gold-standard diagnostic medial branch nerve block. Treatment starts with movement and physical therapy rather than bed rest; for persistent cases, radiofrequency ablation (RFA) can temporarily disable the tiny pain nerves for about 6–12 months, providing a pain-free window to rehabilitate and break the pain cycle. For expert guidance on low back pain and non-surgical treatment options, visit epainhealth.com or call 405-444-7246. Produced and directed by Dr. Keley John Booth, MD.
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