Facet Joint Injection

A facet joint injection contains an anesthetic with cortisone (a long lasting steroid). This is injected into the facet joints. The facet joints are located in the back and neck at each vertebrae level. The injection of steroids reduces inflammation within the joints. When the swelling is reduced, joint pain and nerve irritation significantly improve or completely disappear.

Facet joint injections are performed in a comfortable room at our office. With the patient lying on their stomach, we utilize X-rays for administering accurate placement of the injection. We clean the area of the back with an antiseptic solution, and perform the injection in less than a few minutes. Substantial joint 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.

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 happen to have any questions about the side effects of having a facet joint injection, we'd be happy to discuss any concern you may have.