JSIA ISSN 3139-3608
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Clinical profile and coexisting pain generators in patients with facet arthropathy attending a tertiary pain clinic: A retrospective record review

Ankit Arora Corresponding author ankitarora22@gmail.com Anesthesiology and Pain Medicine Himalayan Institute of Medical Sciences, Swami Rama Himalayan University Dehradun, Uttarakhand, India 0009-0001-7893-4685 , Gautam Das Author Anesthesiology Daradia: The Pain Clinic Kolkata, West Bengal, India 0000-0003-3563-062X , Sushpa Das Author Anesthesiology Daradia: The Pain Clinic Kolkata, West Bengal, India 0009-0001-1302-8294

  1. 1 Anesthesiology and Pain Medicine, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand, India
  2. 2 Anesthesiology, Daradia: The Pain Clinic, Kolkata, West Bengal, India
Pages 64-69 Published 2 November 2026 DOI 10.65929/JSIA.2026.1.3.002 Rights held by the authors
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Abstract

Background: Patients with facet arthropathy who attend tertiary pain clinics often have other potential pain generators. Overlapping symptoms complicate attribution, but clinic-based descriptions of these combined presentations remain scarce.

Materials and Methods: We retrospectively reviewed outpatient records from 5 September 2019 through 9 April 2026. An electronic search returned 915 entries. After repeat visits were removed, 313 unique patient records remained for screening. Facet arthropathy was recorded at the index visit in 245 patients: 90 had isolated facet arthropathy and 155 had at least one additional pain generator.

Results: The cohort's mean age was 53.82 ± 13.66 years; 113 patients (46.1%) were women. Mixed presentations accounted for 63.3% of the cohort and isolated facet arthropathy for 36.7%. The groups did not differ in age, sex, height, weight, or body mass index. Presenting-complaint distributions differed (chi-square = 14.64, df = 5, p = 0.012): back-only pain was more common in the isolated group, and multi-region complaints in the mixed group. The most common associated pain generators were spondyloarthropathy, PIVD/radiculopathy, and osteoarthritis or knee osteoarthritis.

Conclusion: At least one additional pain generator was recorded in nearly two-thirds of patients with facet arthropathy. Complaint patterns varied by phenotype, but symptoms alone did not identify the pain source.

Dates & metrics

Received
14 Jul 2026
Accepted
16 Sep 2026
Published
2 Nov 2026
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Keywords: Facet arthropathy Coexisting pain generators Tertiary pain clinic Retrospective record review Low back pain
Subjects: Anesthesiology Airway Management Anesthesia

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How to cite this article

Arora A, Das G, Das S. Clinical profile and coexisting pain generators in patients with facet arthropathy attending a tertiary pain clinic: A retrospective record review. J. Sci. Innov. Anesthesiol. 2026;1(3):64-69. doi:10.65929/JSIA.2026.1.3.002

RIS BibTeX EndNote

Arora, A., Das, G., & Das, S. (2026). Clinical profile and coexisting pain generators in patients with facet arthropathy attending a tertiary pain clinic: A retrospective record review. Journal of Scientific Innovations in Anesthesiology, 1(3), 64-69. https://doi.org/10.65929/JSIA.2026.1.3.002

RIS BibTeX EndNote

Ankit Arora, Gautam Das, and Sushpa Das. "Clinical profile and coexisting pain generators in patients with facet arthropathy attending a tertiary pain clinic: A retrospective record review." Journal of Scientific Innovations in Anesthesiology, vol. 1, no. 3, 2026, pp. 64-69. https://doi.org/10.65929/JSIA.2026.1.3.002

RIS BibTeX EndNote

Ankit Arora, Gautam Das, and Sushpa Das. "Clinical profile and coexisting pain generators in patients with facet arthropathy attending a tertiary pain clinic: A retrospective record review." Journal of Scientific Innovations in Anesthesiology 1, no. 3 (2026): 64-69. https://doi.org/10.65929/JSIA.2026.1.3.002

RIS BibTeX EndNote

Arora, A., Das, G., and Das, S. (2026) 'Clinical profile and coexisting pain generators in patients with facet arthropathy attending a tertiary pain clinic: A retrospective record review', Journal of Scientific Innovations in Anesthesiology, 1(3), pp. 64-69. https://doi.org/10.65929/JSIA.2026.1.3.002

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© 2026 the authors. Published by REVO Publication. This article is distributed under CC BY 4.0, which permits use and redistribution provided the original work is properly cited.