Re: Severe Facet Hypertrophy
HYPERtrophy means that the facet joints have bone spurs that are making the openings for the nerves smaller. Disc degeneration means simply that as everyone ages, the discs start to dry out, they have less hydration in them and they may shrink over time. This may or may not be a cause of pain . In most people disc degeneration or dissecation isn't painful and causes no problems. You have no disc bulge or herniation at L5_s1 and a tiny symmetric bulge at L4-5 which may nor may not cause pain. Most surgeons will tell you that there is nothing they can do for these situations. You may, at some point later on need some intervention for the hypertrophy but usually they don't do surgery unless there is nerve damage or evidence of nerve compromise.