Facet Joint Arthritis
Degenerative arthritis of the small spinal facet joints causing localized or referred back pain that is often worse with extension and rotation.
Dr. Borys specializes in treating acute and chronic orthopedic and musculoskeletal conditions using non-surgical, evidence-based regenerative therapies. Below are some of the most common conditions we help patients with—if you don't see yours listed, reach out, as we treat many more.
The treatments shown for each condition are potential options, not a fixed protocol. The right approach depends on your exam, imaging, symptom severity, and goals—and some conditions are best managed through referral or co-management with other providers.
Each treatment plan is personalized. The conditions below list possible options, but the right approach for your situation depends on your exam, imaging, goals, and medical history. Book an initial visit to discuss what makes sense for you.
Common causes of low back pain, neck pain, and sciatica — including arthritis, disc problems, and joint instability.
Degenerative arthritis of the small spinal facet joints causing localized or referred back pain that is often worse with extension and rotation.
Sacroiliac joint instability or inflammation causing chronic low back, hip, and buttock pain. One of the most underdiagnosed causes of low back pain.
Chronic neck pain and instability from injury or whiplash. Often accompanied by headaches and cervicogenic dizziness.
Pain originating from intervertebral disc degeneration where conservative management is preferred over surgical intervention.
Common causes of shoulder pain — from rotator cuff and impingement to frozen shoulder and arthritis.
Partial-thickness tears of the supraspinatus, infraspinatus, or subscapularis tendons causing pain and weakness with overhead activities.
Compression of rotator cuff tendons and bursa causing pain with reaching and overhead movements.
SLAP lesions and other labral injuries causing clicking, instability, and deep shoulder pain.
Acromioclavicular joint degeneration causing localized pain at the top of the shoulder.
Progressive stiffness and pain from thickening and contraction of the shoulder capsule, causing significant loss of motion in all directions.
Degeneration or inflammation of the long head of the biceps tendon causing pain at the front of the shoulder, often worse with lifting and overhead reaching.
Common causes of elbow, wrist, and hand pain — including tendon overuse, nerve compression, and thumb arthritis.
Chronic lateral elbow pain from overuse of the wrist extensor tendons, common in tennis players and those with repetitive gripping activities.
Medial elbow tendinopathy affecting the wrist flexor tendons, causing pain with gripping and wrist flexion.
Compression of the median nerve at the wrist causing numbness, tingling, and weakness in the hand.
Basilar thumb arthritis causing pain and weakness with pinching and gripping activities.
Painful inflammation of the tendons on the thumb side of the wrist, causing pain with grasping, pinching, and twisting of the wrist.
Common causes of hip and buttock pain — from arthritis and bursitis to tendon and labral injuries.
Degenerative joint disease of the hip causing groin pain, stiffness, and reduced range of motion.
Tears of the hip labrum causing clicking, catching, and deep groin pain with activity.
Lateral hip pain from inflammation of the trochanteric bursa and gluteal tendinopathy.
Deep buttock pain and sciatica-like symptoms from piriformis muscle tightness or spasm.
Deep buttock or sit-bone pain from degeneration of the hamstring tendon origin, common in runners and worse with sitting, sprinting, or lunging.
Common causes of knee pain — including arthritis, meniscus tears, ligament sprains, and runner’s knee.
Degenerative joint disease of the knee causing pain, swelling, and stiffness with weight-bearing activities.
Tears of the medial or lateral meniscus causing mechanical symptoms, swelling, and joint line pain.
Chronic anterior knee pain below the kneecap, common in jumping athletes and runners.
Ligament sprains causing knee instability and pain. Regenerative options for partial tears and post-surgical support.
Diffuse pain around or behind the kneecap ("runner's knee"), aggravated by stairs, squatting, and prolonged sitting.
Pain on the outer knee from friction of the iliotibial band, common in runners and cyclists and worse with repetitive bending.
Common causes of ankle and foot pain — from sprains and Achilles problems to plantar fasciitis and heel pain.
Recurrent ankle sprains and giving way from ligament laxity, often following initial ankle injury.
Chronic Achilles tendon pain and thickening, common in runners and active individuals.
Heel and arch pain from plantar fascia degeneration, typically worse with first steps in the morning.
Degenerative joint disease of the ankle causing pain, stiffness, and reduced mobility.
Thickening of tissue around a nerve between the toes causing burning, tingling, and the sensation of standing on a pebble in the ball of the foot.
Nerve-related and whole-body pain — including nerve pain, headaches from the neck, and persistent post-surgical pain.
Persistent pain following orthopedic surgery that has not resolved with standard rehabilitation.
Headaches originating from the upper neck and irritation of the occipital nerves, causing pain at the base of the skull that radiates over the scalp.
It starts with an initial visit to discuss your condition and learn if regenerative medicine is the right path for you — a standard medical evaluation that is typically billable to insurance, including plans such as Regence and Premera.