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Facet Joint Injection

A facet joint injection is a nonsurgical treatment that places medicine into a small spinal joint to help diagnose or relieve pain.

  • Nonsurgical Spine Care & Pain Management

    We have decades of experience caring for patients with back and spine conditions, pioneering minimally invasive treatments and leading research for new treatments to improve patient outcomes.

What Is a Facet Joint Injection?

A facet joint injection is a treatment used to target pain coming from the facet joints, which are the small joints that connect the bones of the spine. The injection usually contains a local anesthetic and, in some cases, a steroid medicine to help calm inflammation.

This treatment may be used for neck or back pain caused by irritated or arthritic facet joints. It can also help your physician learn whether a specific joint is the source of pain. Some people who have degenerative disc disease, spinal stenosis or ongoing pain after strain or wear and tear may be evaluated for this type of injection.

Why Choose Baptist Health?

At Baptist Health Brain & Spine Care, physicians take a personalized approach to spine-related pain. Care plans often begin with a careful evaluation, imaging when needed and discussion of nonsurgical options before moving to more advanced treatment.

Baptist Health offers coordinated care across pain management, neurology, neurosurgery and rehabilitation. For people with ongoing symptoms, that can make it easier to move from diagnosis to treatment, follow-up care and next-step options when needed.

Why Choose Baptist Health?

How It Works

Facet joint injections use imaging guidance, such as X-ray, to place medication into or around a painful facet joint with precision. The numbing medicine may help confirm the pain source, while the anti-inflammatory medicine may help reduce irritation in the joint.

When pain relief is temporary but clearly linked to the injected joint, your physician may discuss related treatments such as radiofrequency ablation. Other people may benefit from a different plan depending on the cause of pain.

Who May Benefit

Facet joint injections may be considered for people who have:

  • Neck or back pain that appears to come from the small joints of the spine
  • Pain that has not improved enough with rest, medication or physical therapy
  • Symptoms that affect walking, sleep, work or daily activity
  • Pain patterns that are different from nerve pain such as sciatica

A full evaluation is still needed. Not everyone with back or neck pain is a candidate for this treatment.

Benefits and Risks

Potential Benefits

  • Temporary pain relief
  • Better movement and function
  • More information about whether a facet joint is causing symptoms
  • A way to guide future treatment decisions

Potential Risks

Possible risks depend on the area treated and your health history, but may include:

  • Soreness at the injection site
  • Bleeding or infection
  • Allergic reaction to medication or contrast dye
  • Temporary numbness or weakness
  • Headache or increased pain for a short time

Your physician will explain expected benefits, limits and possible risks based on your individual situation.

What to Expect

  • You may be asked about your symptoms, medicines, allergies and past treatments. Your care team may review imaging and give instructions about eating, drinking, driving and blood-thinning medicines. Wear comfortable clothing and plan for someone to drive you if sedation is used.

  • You will usually lie on a procedure table while the area is cleaned and numbed. Using imaging guidance, the physician places a small needle into the targeted facet joint or nearby area and injects medicine. The procedure is often brief, but timing can vary.

  • You will be monitored for a short time and then go home the same day in many cases. Your team may ask you to track pain relief over the next several hours or days. Follow-up helps determine whether the injection worked and whether other options, such as nerve blocks, therapy or additional evaluation are needed.

Recovery

Many people return to light activity within a day, but recovery guidance depends on the medicines used and how you feel afterward. You may have temporary soreness at the injection site. Your physician may recommend avoiding strenuous activity for a short period and gradually returning to your usual routine.

Frequently Asked Questions

  • It treats pain that may be coming from the small joints in the spine. These joints can become irritated from arthritis, injury or age-related changes.

  • It can be used for both. The numbing medicine may help show whether a facet joint is the pain source and the anti-inflammatory medicine may help reduce pain for a period of time.

  • The procedure itself is often short, but your full visit may take longer because of check-in, preparation and observation afterward. Your care team can explain what to expect for your visit.

  • Some facet joint injections are done with little or no sedation, while others may involve medicine to help you relax. That depends on the treatment plan, the area being treated and your medical needs.

  • Some people notice early relief from the numbing medicine, while steroid-related relief may take longer. Response varies, and tracking your symptoms after the procedure can help your physician understand the results.

  • Pain relief can vary widely. Some people feel relief for a short time, while others may feel improvement for longer. A facet joint injection does not cure the underlying cause of pain, but it may be one part of a broader treatment plan.

  • Yes. Common issues can include soreness, temporary numbness or short-term increase in pain. Less common but more serious risks can include bleeding, infection or medication reaction.

  • That information can still be useful. Short-term relief may help confirm the pain source and guide next-step treatments, which may include rehabilitation, medication changes or another procedure.

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