Platelet-Rich Plasma (PRP) for Treatment of Symptomatic Lumbar Facet Syndrome of the Spine

Inclusion Criteria: * Suspicion of z-joint mediated low back pain * Pain rating of ≥4/10 on a VAS scale * Symptom duration of 3 or more months * Failed conservative therapy (minimum of PT and pain medications) * Have diagnosis of lumbar facet syndrome after MRI, X-ray, or CT imaging of any severity and a medial branch block with local anesthetic that confirms lumbar facet pathology. Exclusion Criteria: * Inability to undergo fluoroscopically guided procedures * Current pregnancy * Prior spinal surgery with hardware * Intolerance to local anesthesia, contrast medium, or blood derivatives * Local or systemic infection or spinal infection * Irreversible coagulopathy * Patients that require strict anticoagulation and cannot be off antiplatelet medication for at least a week * Less than 18 years of age * Corticosteroid shot within last 3 months into affected lumbar facet joint because of concern of damage to cartilage in the joint in that time period. * Patients with workman compensation related back pain * Patients with rheumatic cause of lumbar facet arthritis. * Patients who have had a radiofrequency neurotomy of the nerves innervating their affected facet joints within the last year