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From what you have written you actually have two separate problems going on at the same time, making the pain more severe or intense than if you only had one problem at a time.

Bilateral facet osteoarthritis means that you already have common degenerative Arthritis going on in your lower back, located in the small facet joints in the back or rear area of the lumbar spine. By itself, lumbar facet osteoarthritis can hurt a lot when just going about your normal daily routines.

But you say you also fell. It would appear that the fall you took aggravated the pre-existing lumbar facet arthritis, making your Back pain worse than it already was.

A facet is a type of joint found at the back or rear portion of the spine that gives support and strength to the spinal column while still allowing the spine to move. There are a total of 46 facet joints in the spine, made up of pairs of projections from two adjacent spinal bones that unit them together in a functional unit of strength and movement. These facet joints are all covered and further strengthened by layers of ligaments that reinforce each one.

Your accident did not start the arthritis in the facet joints, but merely aggravated a condition that you have been developing for some time. How do I know this? Because it takes time, usually several years for any type or degree of arthritis to show up in an x-ray or MRI examination.

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Q: Why would i have sever pain in lower back from bilateral facet osteoarthrtis after an accident from a fall?
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