Florida Spine & Pain Institute

10 FAQs Answered: All You Need to Know About Facet Joint Injections

Facet joints, the connectors between the vertebrae in your spine, are crucial to our movement. These vital components of the skeletal system enable bending, twisting, and serve as conduits for nerve roots traveling from the spinal cord to various areas like the head and arms. Just as with other joints in our body, such as the knee or hip, these joints comprise cartilage and a fluid-filled capsule, facilitating movement. Unfortunately, when these joints are damaged due to injury, overuse, or inflammatory conditions, it can lead to debilitating pain. This is where Facet Joint Injections come in, offering a way to manage this pain and inflammation.

Immediate Benefits of Facet Joint Injections

  • Pain Management: The primary advantage is pain relief, which can be immediate or might take a few hours post-procedure.
  • Decreased Inflammation: The injections contain medications similar to epidural steroid injections, which work to reduce inflammation in the affected joint.
  • Minimally Invasive: Unlike some treatments or surgical options, facet joint injections are minimally invasive, meaning shorter recovery times and less post-procedure discomfort.

Improving Your Quality of Life

Beyond the immediate physical benefits, undergoing a facet joint injection can have a cascading positive effect on your overall quality of life. With reduced pain and discomfort:

  • You can return to activities you love, from daily walks to more intense physical hobbies.
  • Sleep can improve without the constant nag of pain.
  • Everyday tasks, from lifting groceries to playing with your kids or grandkids, become more comfortable and enjoyable.

Frequently Asked Questions About Facet Joint Injections

1. What is a facet joint injection? 

A facet joint injection is a minimally invasive procedure that delivers a combination of an anti-inflammatory medication (usually a corticosteroid) and a local anesthetic directly into the facet joint or its surrounding tissue. This is done to both diagnose and treat pain stemming from the facet joints in the spine.

2. How is the procedure performed? 

The patient typically lies face down on an examination table. The area around the facet joint is cleaned and numbed with a local anesthetic. Using a fluoroscopy (a type of live X-ray), the physician guides a needle into the facet joint or its surrounding tissue. Once the needle is correctly positioned, the medication mixture is injected.

3. How long does the pain relief from a facet joint injection last? 

The duration of pain relief varies among individuals. Some might experience relief for several weeks, while others could benefit for several months. The local anesthetic provides immediate, but temporary, pain relief, while the corticosteroid will typically start reducing inflammation and pain within 2-3 days after the injection.

4. Who is a suitable candidate for facet joint injections? 

Candidates for facet joint injections typically have pain that originates from the facet joints due to conditions like arthritis, spinal stenosis, or post-traumatic injury. Patients who haven’t found relief from conservative treatments, such as physical therapy or medications, might be considered for the procedure. A thorough examination and diagnostic tests will determine candidacy.

5. How frequently can facet joint injections be performed? 

While many patients experience relief after a single injection, some may need repeated injections. Typically, these injections can be administered up to three times per year, depending on the patient’s response and physician’s recommendation.

6. Can I resume daily activities immediately after the procedure? 

Most patients can return to their regular activities the day after the procedure. However, it’s advisable to avoid strenuous activities on the day of the injection. It’s essential to follow any specific post-procedure guidelines provided by the healthcare professional.

7. What’s the difference between a facet joint injection and an epidural steroid injection? 

Both are used to relieve pain, but they target different areas. A facet joint injection delivers medication directly into the facet joint or its surrounding tissue in the spine. In contrast, an epidural steroid injection delivers medication into the epidural space surrounding the spinal cord and nerves. The choice of procedure depends on the location and cause of the pain.

8. How soon will I notice pain relief after the procedure? 

The duration for pain relief can vary among patients. Some experience immediate relief due to the local anesthetic used during the procedure, while for others, it might take a few days to a week for the steroid’s anti-inflammatory effects to fully manifest. It’s also common for the initial numbing effect to wear off after a few hours, leading to a temporary return of pain before the longer-term benefits of the steroid take effect.

9. Are there any specific post-procedure care steps I should follow? 

Yes, post-procedure care is essential for the best outcomes and to minimize complications. Patients are generally advised to:

  • Avoid strenuous activities and driving on the day of the injection.
  • Apply ice to the injection site if there’s any swelling or discomfort.
  • Refrain from taking a bath for the first 48 hours; showers are usually okay.
  • Monitor the injection site for any signs of infection or prolonged bleeding.
  • Take pain medications as prescribed and avoid alcohol.

10. Can facet joint injections be combined with other treatments or therapies for pain management? 

Yes, facet joint injections are often part of a comprehensive pain management plan and can be combined with other treatments or therapies. Many patients benefit from a combination of physical therapy, exercise, medications, and sometimes, other interventional procedures. 

The goal is to provide maximum relief and improve overall function. It’s essential to discuss with your pain management specialist to determine the most effective and tailored treatment approach for your individual needs.

Pain Management Specialist Services in Davenport, Clermont, & Orlando, Florida

At the Florida Spine & Pain Institute, our mission is to assist you in reclaiming your life from chronic pain. Dr. Javier Placer and his dedicated team are ready to answer any further questions you might have about facet joint injections or any other pain management options.

Ready to prioritize a better quality of life? Don’t let pain dictate your days.

Reach out to our office to speak with a team member or schedule an appointment online to wave goodbye to back and neck pain.

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