FACET INJECTIONS

Facet Injections can be successful in the diagnosis and treatment of arthritis, bone spurs, and other conditions which cause inflammation in the facet joints.

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The goal of Facet Injections is to diagnose the cause and location of pain and to provide relief from joint inflammation.
Facet joint injection is used as a diagnostic and therapeutic tool to confirm that facet syndrome is the source of your pain. These procedures provide an effective treatment regimen that affords substantial, sustained pain relief. It is commonly used for the relief of spinal axial pain.

Facet joint injections usually have two goals: to help diagnose the cause and location of pain and also to provide pain relief.

Diagnostic goals: By placing numbing medicine into the facet joint, the amount of immediate pain relief experienced by the patient will determine if the facet joint is a source of pain. If complete pain relief is achieved while the facet joint is numb, it means that joint is likely a source of pain.

If the facet joint is diagnosed as the pain generator, further treatment such as facet ablation can be a very successful form of treatment.

Pain relief: Along with the numbing medication, a facet joint injection also includes injecting steroid (cortisone) into the facet joint to reduce inflammation, which can provide longer-term pain relief. The pain relief from a facet joint injection helps a patient regain their functional activities and better tolerate rehabilitation programs for their injury or back condition.

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The Facet Joint Injection Procedure

A cervical, thoracic or lumbar facet joint injection involves injecting a small amount of local anesthetic (numbing agent) and/or steroid medication, which can anesthetize the facet joints and block the pain.

Facet joint injections are done using fluoroscopy for guidance to target and place the needle accurately for effective treatment. A facet joint injection is a simple procedure performed in our on-site ASC.

Immediately following the procedure, you may have a tender back or neck for one to two days. It’s recommended that you take it easy the day of the procedure, but return cautiously to your usual activities the following day. The pain relief benefits from facet joint injections typically begin on the second to third day.