What is a bilateral facet joint injection?

Facet joint injection is a long-term steroid (“injection”) in facet joints, mainly in the lumbar spine. Facet joints are located on each side of the vertebra, and injecting local anesthetics and steroids can reduce inflammation and relieve pain. Facet joints are small joints in each segment of the spine that provide stability and help guide movement. To guide the injection to the facet joint, the pain specialist will use fluoroscopic guidance (X-rays) during the injection.

Facet joints are a pair of small joints located at the back of the spine, between each of the vertebrae. Facet joints are paired joints in the back and neck, one pair at each vertebral level (one joint on each side of the vertebrae). Like the knee or hip, facet joints have cartilage between the bones and a capsule filled with fluid to allow for smooth movement. It involves injecting medications close to the branches of the medial nerves, which supply sensory information to facet joints.

Facet joint injection is done to treat neck and back pain in combination with other non-surgical treatments for the spine, such as rest, medications, chiropractic manipulations and physical therapy. The pain relief provided by a facet joint injection is intended to help the patient better tolerate a physical therapy routine to rehabilitate their back injury or condition. Facet joint blocks are usually ordered for patients who have pain mainly in the back as a result of arthritic changes in facet joints or for patients who have mechanical low back pain. If the injection does not relieve pain, it may be because the injection did not reach the source of the pain or because the pain is not caused by facet joints.

This will allow the doctor to see the joint and make sure the needle is in place before injecting the anesthetic-cortisone mixture. Contact National Spine %26 Pain Centers today to schedule an appointment with a pain specialist for treatment with facet joint injections. If the medication is injected directly into the joint, the procedure is called facet intra-articular injection or simply injection into the facet joint. Facet joints can be painful due to arthritis of the spine, a back injury, or mechanical strain on the back.

Injecting into the facet joint reduces pain in the small joints at the back of the spine, between the vertebrae. A facet joint injection is a procedure in which analgesic and anti-inflammatory medications are injected into facet joints to reduce pain.

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