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Doctor insights on: Alternatives To Facet Joint Injections

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What usually happens after facet joint injections?

What usually happens after facet joint injections?

Did the pain go away: Facet joint injections are a diagnostic and therapeutic tool that is employed by pain medicine specialists. The goal is to see if your familiar pain goes away in the immediate period after the facet blocks are completed and should this occur, then a diagnosis of facet pain is made and if and when the 'original' pain comes back, there are appropriate therapies that can be employed accordingly. ...Read more

Dr. Stratos Christianakis
1,189 doctors shared insights

Joints (Definition)

Joints are parts of the body, formed by the cartilage-covered ends of bones plus the strong, flexible ligaments that attach the bones to one another. Movements at the joints in the body allow the different parts of the body to move in ...Read more


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What typically happens after facet joint injections?

What typically happens after facet joint injections?

Hard to say: Depends on your pain issue. Facet injections are helpful and can be long-lasting, however if your get short-lived relief you may need to get evaluated for a radiofrequency ablation for longer lasting relief (greater than 1 year of relief is typical). ...Read more

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If I have facet joint injections and they work short term what next? How bad do you have to be to get surgery?

If I have facet joint injections and they work short term what next? How bad do you have to be to get surgery?

If you get relief: From facet joint injections then you can have another injection called a medial branch block, which is the same relief is provided, then you would be a candidate for radio frequency lesioning or rhizotomy for longer term relief. Surgery is reserved for those who fail comprehensive non op rx and have a surgical indication ie.: something that can have a reasonable degree of good surgical outcome. ...Read more

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After epidurals, will facet joint injections still work?

After epidurals, will facet joint injections still work?

Facet Joint Pain: Radiofrequency procedures work well if a previous facet injection or medial branch block was performed with greater than 75-80% relief that was obtained. This is used to determine pain from facet joints. As with anything there are failures, but quite low if the block worked well. Risks are the same as with any spine procedure, no different. Rare that you would be worse off afterwards. ...Read more

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Explain kenalog (triamcinolone) facet joint injections?

Why?: Although I used to give them, studies by deyo, et al., and others more recently, have shown little benefit over a systemic steroid injection. The injection is delivered to the facet joint, the true synovial joints of the spine. Afcet joints problems are likely if you have pain with backward extension of your spine. ...Read more

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How effective are facet joint injections at relieving neck pain? I had a different type of injection in my lower back that didn't help.

How effective are facet joint injections at relieving neck pain? I had a different type of injection in my lower back that didn't help.

Hard to say: Depends on your pain issue. Facet injections are helpful and can be long-lasting, however if your get short-lived relief you may need to get evaluated for a radiofrequency ablation for longer lasting relief (greater than 1 year of relief is typical). ...Read more

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Would a spinal tap feel like a nerve root block, facet joint injections or more uncomfortable?

Would a spinal tap feel like a nerve root block, facet joint injections or more uncomfortable?

Discomfort with LP : Depends on lots of things (mostly technique I have found) Often patients ask if it will hurt as I am finishing the procedure!! (they felt absolutely no pain at all) ...Read more

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Ok, had facet joint injections-thoaracic, after epidurals failed... What is next pain mang 4 thoracic spine 6 bulgd disc, help, sugg?

Ok, had facet joint injections-thoaracic, after epidurals failed... What is next pain mang 4 thoracic spine 6 bulgd disc, help, sugg?

Bulging discs: The fact that there are bulging discs, might have nothing to do with your pain. There are lots of people with bulging discs (a normal phenomenon of aging) and no pain at all, and having an image finding with bulging should not lead to you becoming a pin-cushion. There is probably another reason that makes you hurt, and maybe a second opinion with a good physical exam might help. ...Read more

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I've had facet joint injections which have not worked I'm bent over can not lean back physio therapy has not worked I've got stenosis and ddd? See pic

I've had facet joint injections which have not worked I'm bent over can not lean back physio therapy has not worked I've got stenosis and ddd? See pic

Tried Epidural?: Epidural Steroid Injections can be quite helpful for spinal stenosis and DDD. If already tried, maybe stem cell therapy is an option for you, check out Regenexx. Com. Last Resort is surgery but that is an option as well. ...Read more

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I've had facet joint injections that haven't worked I have pains in hips and pins and needles physiotherapy has not worked what do you recommend next?

I've had facet joint injections that haven't worked I have pains in hips and pins and needles physiotherapy has not worked what do you recommend next?

Back pain: In addition to cortisone injections, physical therapy, chiropractic care, back bracing and neuropathic pain medicine can reduce or eliminate the pain. See a neurosurgeon to evaluate the pain because herniated discs with nerve impingement, tears in the disc, and inflammation of the sacroiliac joints can mimic facet joint pain. ...Read more

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Ok, had facet joint injections-thoaracic, after epidurals failed... What is next pain management 4 thoracic spine 6 bulgd disc, help?

Ok, had facet joint injections-thoaracic, after epidurals failed... What is next pain management 4 thoracic spine 6 bulgd disc, help?

You may need: Radiofrequency ablation and even things like platelet rich plasma, prolotherapy or even stem cell therapies. Try to find a physician that does all of these to get the most options for treatment for you. ...Read more

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My husband has 4 ruptured disc in the lumbar and his dr is wanting to do a lumbar facet joint injections will this help him? This is a new dr that has just seen him 1 time. My husband has had 2 mris and he has had this problem for 5 years

My husband has 4 ruptured disc in the lumbar and his dr is wanting to do a lumbar facet joint injections will this help him? This is a new dr that has just seen him 1 time. My husband has had 2 mris and he has had this problem for 5 years

Back : Back pain maybe caused by the disks, facet joints, muscles, nerves, spinal cord not to mention other organ systems. Facet joint arthritis is a common cause of back pain and often responds well to injections, radiofrequency burning of facet nerves and endoscopic rhizotomy cutting of facet nerves. Please see my avvo health guide on facet disease. ...Read more

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I've had 3 facet joint injections that were ineffective. What is usually the next course of treatment?

I've had 3 facet joint injections that were ineffective. What is usually the next course of treatment?

Facet Injection: There are many causes of back pain. Facet injections are used mainly for back pain syndromes that are felt to be caused by pathology from the facet joint. If such injections are ineffective, then the pain generating component of your back pain requires further investigation to determine further treatment options. ...Read more

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What are common complications of a facet joint injection?

What are common complications of a facet joint injection?

Pain, numbness: Facet joint injections are often done in the lumbar & cervical spine, often under fluoroscopy (live x-ray), bathing this joint with an anesthetic (lidocaine, etc.) and steroid/cortisone. Common side effects include pain (during and for the first 48 hours), numbness (often temporary) and bleeding (usually minimal). Rare & serious side effects include infection, nerve injury and spinal fluid leak. ...Read more

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When do you need facet joint and s-i (sacroiliac) joint injections?

When do you need facet joint and s-i (sacroiliac) joint injections?

When you have done: All conservative care like exercise/physical therapy and medications are not helping. Also, you may want to consider this especially if you have to use narcotic pain medications to get relief. ...Read more

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Hey docs, should verced i.V. Always be given for pain during facet joint injection?

Hey docs, should verced i.V. Always be given for pain during facet joint injection?

Depends: Versed can help with anxiety during your procedure but not everyone needs this. So make sure you ask what the sedation or anesthesia will do to you during the procedure. Many times they use other medications as well. I would discuss this with your doctor to have a better understanding of what you might go through. ...Read more

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I have facet joint degeneration. It's gotten worse. It feels like bone rubbing bone. What can I do? I'm tired onf injections and they don't wor

I have facet joint degeneration.  It's gotten worse.  It feels like bone rubbing bone.  What can I do?  I'm tired onf injections and they don't wor

Hard to Say: Without evaluating you fully what to do. Recommend if you are not getting relief, seek another opinion. See a Pain/Spine specialist that is fellowship trained and has understanding of the musculoskeletal system like a physiatrist. ...Read more

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What is the difference between facet joint injection and paravertebral injection and epidural injection? Any website with picutres explaining such?

What is the difference between facet joint injection and paravertebral injection and epidural injection? Any website with picutres explaining such?

Location: The facet joints are the joints between the vertebra. An epidural injection goes into the epidural space (the space just outside the sac that covers the spinal cord. Depending on approach epidurals can be translaminar or transforaminal. Paracertebralinjections are in the space immediately to the side of the area where the spinal nerves come out of the spine. The location is the main difference. ...Read more

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I have mild to moderate facet joint hypertrophy at l1/s1 worse on right side. Cortisone & nerve block injections have not worked pain is getting worse?

I have mild to moderate facet joint hypertrophy at l1/s1 worse on right side. Cortisone & nerve block injections have not worked pain is getting worse?

Maybe this is just : Not the source or only source of your symptoms. Facet joint pain at this side and level is typically localized pain that may refer to buttock & groin worse with back extension &with prolonged sitting & standing. Facet joint issues account for about 20% of primary cause of back pain so see a spine surgeon to make sure this is your problem & to see if other treatment may be in order. ...Read more

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Strained back 9 months ago. Right l5s1 facet joint has a bone spur. Both sides is strained. Will prp injections heal me? Is it dangerous?

Strained back 9 months ago. Right l5s1 facet joint has a bone spur. Both sides is strained. Will prp injections heal me? Is it dangerous?

Platelet rich plasma: PRP or platelet rich plasma encourages healing of all injuries. It may well heal you. It's very safe as it comes from your own blood and only requires a few injections. Good luck! ...Read more

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I have mild to moderate facet joint hypertrophy at l5/s1 worse on right side had cortisone & nerve block injections but pain is getting worse?

I have mild to moderate facet joint hypertrophy at l5/s1 worse on right side had cortisone & nerve block injections but pain is getting worse?

Platelet Rich Plasma: PRP is an offered treatment that has shown good success however is considered experimental at this time. The basic theory is it helps to strengthen the ligaments around the facet joint using your own platelets/growth factors and therefore reducing stress on the joint by tightening them up. As far as I know its safer than steroid injection. Pretty cool stuff. Check out regenexx.com ...Read more

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Should I get my facet joint injection with an eye infection?

Should I get my facet joint injection with an eye infection?

Yes: The eye infection posses no problem with this and any injection. ...Read more

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Just diagnosed w/ lumbar facet joint pain & was told I have artheritis in my left hip. Got helpful injection in discs but hip hurts. The Best treatments?

Just diagnosed w/ lumbar facet joint pain & was told I have artheritis in my left hip. Got helpful injection in discs but hip hurts.  The Best treatments?

Hip injection: Consider hip steroid injection first. Sometimes Joint fluid replacement injections can be helpful, however currently insurance does not cover this treatment. ...Read more

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What causes facet joint arthropathy?

Age and/or injury: Usually with age, facet joint degenerative changes occur as the discs become degenerative and narrow it alters the mechanics of the facet joints at the same levels. Injury to the joints and obesity which can overload the joints can lead to facet joint arthropathy or degeneration. Exercise may be protective. ...Read more

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What exactly is facet joint arthropathy?

What exactly is facet joint arthropathy?

Facet Arthropathy: Could be facet arthropathy/arthritis. There are joints in the spine where the bones articulate and can develop bone spurs and cause the clicking with pain typically with extension. I would consider seeing a pain/spine specialist to see if facet injections or radio frequency ablation would be helpful for you. ...Read more

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Can you tell me about facet joint block?

Can you tell me about facet joint block?

Facet Joint Pain: Radiofrequency procedures work well if a previous facet injection or medial branch block was performed with greater than 75-80% relief that was obtained. This is used to determine pain from facet joints. As with anything there are failures, but quite low if the block worked well. Risks are the same as with any spine procedure, no different. Rare that you would be worse off afterwards. ...Read more

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Can you tell me what is a facet joint block?

Can you tell me what is a facet joint block?

Spine Joints: Facet joints are places on the spinal bones where two bones actually meet and articulate, therefore a facet joint injection is into that place where they meet. Many times arthritis or inflammation can arise here and cause pain. ...Read more

Facet (Definition)

Facet joints are places on the spinal bones where two bones actually meet and articulate. Many times arthritis or inflammation can arise ...Read more