Other contributors have said "L5-S1 facet joint fluid cause?" is the same question as "What causes fluid in the facet joints?" If you believe that these are not asking the same thing and should be answered differently, click here
Accumulation of Fluid in the ankle joints is caused by the soft tissues that surrounds it but it can have many causes, it could probably be traumatic injury, gout, arthritis, infection or even edema....
Instability of that particular motion segment. More than likely there is a disc bulge causing radicular pain down the left back into the buttocks and eventually down the leg.