Facet Joint Injection

What is a Facet Joint Injection?

The facet joints are located along the spine at each vertebrae level. When a facet joint becomes inflamed and swollen, nerves become irritated, causing pain. A facet joint injection contains an anesthetic with cortisone (a long lasting steroid). The injection of steroids reduces inflammation within the joints. When the swelling is reduced, joint pain and nerve irritation significantly improve or completely disappear.

How is a Facet Joint Injection Performed?

Facet joint injections are performed in a comfortable room at our office. With the patient lying on their stomach, we clean the area of the back with an antiseptic solution. Using a fluoroscope provides a live x-ray image of the vertebrae to accurately guide needle placement for the injection. The injection procedure only take a few minutes. A band-aid covers the injection site. Substantial pain relief occurs around the fifth day after the initial injection. The effect of the facet joint injection (anesthetic and cortisone) can last from several days to many months. If you do not feel relief after two weeks from the date of your first visit, we may recommend additional injections and/or procedures.

Potential Side Effects or Complications of a Facet Joint Injection

As with any procedure, there is the potential risk for side effects or complications. Fortunately, the most common side effect of a facet joint procedure is discomfort at the injection site. Potential side effects of having cortisone are: fluid retention, weight gain, elevated blood pressure, insomnia, mood swings, increased blood sugar and the suppression of natural cortisone production within the body. If you have any questions about the potential side effects of having a facet joint injection, we would be happy to discuss any concern you may have.

If you continue to suffer with chronic back pain and your current treatment plan leaves you feeling hopeless, perhaps a fresh set of experienced eyes can change your outlook.  Since 1990, Dennis M. Lox, M.D has applied his personal interests in sports medicine, cutting-edge regenerative medicine and chronic pain management to helping patients increase their quality of life. Contact us for an appointment at 727-462-5582 or 800-301-5499.

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