The facet joints are true joints found up and down the entire spine that are similar to the knee or hip joint
in that each joint has a capsule, articular cartilage, and a nerve supply. Most importantly, the facet joints
can become painful following injury.
What are the symptoms of Facet Syndrome?
Symptoms of painful facet joints in the lumbar
spine (Lumbar Facet Syndrome) include low back
pain and pain into the buttocks, hips, thighs, and
groin areas. Symptoms of painful facet joints in the
cervical spine (Cervical Facet Syndrome) include
neck pain, upper back pain, shoulder pain, and
headaches.
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Clearwater, Fl 33761
Call for an appointment
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Facet Joint Injections
(727) 797-0500
The Pain and Injury Center
Auto Accident Physician, Clearwater, Florida
How is Facet Joint Injection done?
Facet Joint Injection is a simple, safe, and effective
minimally invasive treatment for spinal pain that
involves the injection of a steroid medication
similar to cortisone into the facet joints in the spine.
X-Ray guidance (fluoroscopy) is used to identify the
facet joints and to guide needle placement. The
injection is performed under local anesthesia and,
on occasion, with intravenous anesthesia.
What causes Facet Joint Pain?
Common causes of facet joint pain include arthritis, degenerative disease of the spine, and trauma. In
whiplash injuries of the neck, commonly seen in motor vehicle accidents and other traumatic events,
the cervical facet joints can be traumatized, and this can lead to chronic neck pain and headaches. The
facet joints of the low back are prone to traumatic injury as well and can also be a source of ongoing
pain after an accident.
Does the injection hurt?
The injection of local anesthetic (numbing medicine) at the beginning of the procedure may sting
some, but Facet Joint Injection is an otherwise routine procedure that is extremely well tolerated by
patients.
What should I expect after the injection?
When the local anesthetic used to numb the skin wears off, you will probably experience some
discomfort where the needles were placed. Although pain relief with Facet Joint Injection generally
occurs within 3 - 5 days, some patients experience improvement before or after this time period.
Diabetic patients should be on the alert for a rise in blood sugar during the first few days after injection
and must monitor blood sugar accordingly.
Can these injections be repeated if my pain returns?
If the first set of Facet Joint Injections provides you with significant pain relief, they can be repeated
if/when the pain returns. If you have no pain relief following this treatment or if the relief is only
short-term, other treatments may be required.
