Facet Joint Injections
Introduction
Facet joint injections are a minimally invasive procedure used to alleviate pain and inflammation in the facet joints, which are small joints located between the vertebrae of the spine. These injections can be performed in various regions of the spine, including the cervical spine, thoracic spine, and lumbar spine.
Clinical Indications
Facet joint injections are indicated for patients experiencing pain and inflammation due to conditions such as:
- Facet joint syndrome: Irritation or inflammation of the facet joint causing pain and stiffness.
- Arthritis: Chronic inflammation in the joints, including the facet joints.
- Spinal stenosis: Narrowing of the spinal canal putting pressure on the nerves.
- Facet arthropathy: Arthritic condition causing lower back pain
Therapeutic Benefits
The primary therapeutic benefits of facet joint injections include:
- Pain relief: Immediate pain relief from the local anesthetic and longer-term relief from the steroid medication.
- Reduced inflammation: Steroid medication helps to reduce inflammation and swelling in the joint.
- Improved mobility: Alleviating pain can lead to improved flexibility and range of motion
Medications Used
The medications commonly used in facet joint injections include:
- Local anesthetics: Lidocaine or bupivacaine to provide immediate pain relief.
- Steroid medications: Cortisone to reduce inflammation and provide longer-term pain relief.
Frequency & Duration
Frequency of Procedure
Facet joint injections can be repeated, but typically no more than two levels per session. The frequency of repeat injections depends on the patient's response and the underlying condition.
Duration of Effects
The effects of facet joint injections can last from several weeks to a few months. The duration varies based on the individual patient and the severity of the condition being treated.
What to expect when you come for the procedure
When a patient comes to the clinic for a facet joint injection, they can expect:
- Pre-procedure consultation: Discussion with the healthcare provider about the procedure, its benefits, and potential risks.
- Preparation: The patient may be asked to fast for a few hours before the procedure.
- Procedure: The injection is performed under fluoroscopy (X-ray) or ultrasound guidance to ensure accurate placement. The procedure usually takes only a few minutes.
- Post-procedure care: Patients may be monitored for a short period before being discharged
How the Procedure is Done
The procedure involves:
- Positioning: The patient is positioned on their stomach or side, depending on the region being treated.
- Anesthesia: A local anesthetic is applied to numb the area.
- Injection: A needle is inserted into the facet joint under imaging guidance, and a combination of local anesthetic and steroid medication is injected.
Possible Side Effects or Complications
While facet joint injections are generally safe, potential side effects or complications may include:
- Allergic reactions: To the medications used.
- Infection: At the injection site.
- Bleeding: At the injection site.
- Temporary pain increase: After the injection.
- Nerve injury: Rarely, the needle may cause damage to the surrounding nerves.
We are here to help you
At our clinic, we are dedicated to helping patients with facet arthropathy and other conditions causing facet joint pain. Our experienced team of pain management specialists is here to provide personalized care and support to ensure the best possible outcomes for our patients.