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Diagnostic Facet Joint Blocks

What is a Facet Joint Injection?

A facet joint injection is an injection of an anti-inflammatory steroid (e.g., Dexamethasone or Triamcinolone) in the facet joints. The facet joints, also known as the zygapophysial joints, are part of the bony framework of the spine. They are small bony projections from one vertebra meeting with similar bony projections from the vertebra above or below. Sometimes, due to a variety of acute and chronic conditions, the facet joints can become inflamed. For lower back (lumbar) facet joints, the pattern of pain is usually an achiness in the low back, radiating across the lower back and slightly down the back of the buttocks and upper thighs. Usually, standing or bending backward worsens the pain. For neck (cervical) facet joints, the pattern of pain is an achiness in the neck, slight radiation across the neck and shoulders, and worsening symptoms with turning the head from side to side or looking up.

    What are the Risks and Side Effects?

    Overall, this procedure has very few risks. However, as with any procedure, there are some risks and side effects you should know about. Commonly encountered side effects are increased pain from the injection (which is usually temporary), rarely inadvertent puncture of the “sack” containing spinal fluid (which may cause headaches), infection, bleeding, nerve damage, or no relief from your usual pain. Side effects of the injected steroid may include temporary weight gain, temporary increase in blood sugar (mainly in diabetics), temporary water retention; you can discuss the steroid medication more completely when you come in for your injection. Some people experience flushing, sweating and/or palpitations for a few days.

     

     

    FAQs

    What medicines are injected?

    The injection consists of a mixture of local anesthetic (e.g., Bupivacaine) and the steroid medication (Celestone).

    What should I expect after the injection?

    While there’s no specific test to confirm migraine, our doctors can confidently diagnose it based on your symptoms and a thorough examination. While there’s no specific test to confirm migraine, our doctors can confidently diagnose it based on your symptoms and a thorough examination.

    What should I do after the procedure?

    While there’s no specific test to confirm migraine, our doctors can confidently diagnose it based on your symptoms and a thorough examination.

    Updated on Jun 7, 2024 by Pro Spine & Pain

    Pro Spine and Pain Team

    The interventional pain management physicians at Pro Spine & Pain are Ivy League-educated and trained. Recognized as Castle Connolly Top Doctors—a prestigious national accolade—we offer minimally invasive procedures to alleviate your pain and help you resume daily activities. Additionally, we specialize in regenerative medicine to initiate the healing process once you’re pain-free. Trusted by over 10,000 patients in Wisconsin, our team leverages multiple modalities to address your pain, including managing post-operative pain from previous surgeries. Our doctors prioritize upholding each patient’s dignity while delivering ethical and professional services.

    Our Team