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Doctor insights on: Facet Joint Injection Technique

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Explain kenalog (triamcinolone) facet joint injections?

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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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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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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Can steroid injections in sacroiliac joints treat sacroiliitis?

SI joint: Hi, it depends what is causing the sacroiliitis, there are many different causes for SI joint inflammation like trauma, infection, arthritis, inflammatory diseases like ankylosing spondylitis. The treatment plan for all these are different. Steroid injection can work for simple osteoarhtritis of the SI joint. ...Read more

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Whats bilateral lumbar facet injection?

Whats bilateral lumbar facet injection?

For Back Pain: Lumbar facet injections are meant to be diagnostic and not therapeutic to see if the facets are the cause of back pain. They should always be done under fluoroscopic guidance and pain always should be recorded on a scale for 6 hours following the procedure. If greater than 50% relief for at least six hours this proves facet mediated pain and a rhizotomy may be indicated for longer lasting relief. ...Read more

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Does facet joint rhizotomy help?

Often: The workup prior to rhizotomy is key in determining which candidates are appropriate. If your facet joints have successfully been blocked on two occasions, whether by intra-articular injections or medial branch blocks, then it is likely you will gain significant relief from radiofrequency. ...Read more

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How are SI joint fusions performed?

How are SI joint fusions performed?

When indicated,: after failure of conservative management. An experienced spinal surgeon can perform this for you. But most sacroiliac joint dysfunction responds nicely to the appropriate conservative management, only very few of them will need surgery. It is done in a manner requiring about 2-3 cm incision, with fluoroscopy, and about 3 stabilizing implants. With bonegraft placed in joint for best results. ...Read more

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Lumbar media branch vs facet joint?

Lumbar media branch vs  facet joint?

Depends: Where they inject and how much relief you get depends on what is causing the pain. Discuss this with your pain mgmt doctor. ...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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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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Is sacroiliac joint injection a very common procedure?

Is sacroiliac joint injection a very common procedure?

Yes: Sacroiliac joint injections are commonly performed to achieve either diagnostic (evaluate the source of low back pain) or therapeutic (treat pain related to sacroiliac arthritis) goals. ...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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Does the mckenzie method work for si ligament and facet joint ligament problems?

Does the mckenzie method work for si ligament and facet joint ligament problems?

Potentially: The mckenzie method can be iused effectively for multiple potential pain generators in the back, including the facets and si joints. ...Read more

Dr. Troy Ross Dr. Ross
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When cervical facet joint has inflammation, can interlaminar cervical epidural block have effect on facrt joint?

Dr. Troy Ross Dr. Ross
2 doctors agreed:
When cervical facet joint has inflammation, can interlaminar cervical epidural block have effect on facrt joint?

Possibly: If there is certainty about the diagnosis of facet mediated pain them the best procedure is a facet block. If that works then a more permanent procedure (rfa) can be done. ...Read more

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Sacroiliac joint injection and cervical nerve block. What are they?

Sacroiliac joint injection and cervical nerve block. What are they?

Very different: An si injection is an injection of the joint between the spine and the tailbone. A cervical nerve block is an injection of one of the nerves in the cervical spine. ...Read more

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Does facet joint rhizotomy work well?

Often: The workup prior to rhizotomy is key in determining which candidates are appropriate. If your facet joints have successfully been blocked on two occasions, whether by intra-articular injections or medial branch blocks, then it is likely you will gain significant relief from radiofrequency. ...Read more

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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

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Does a CT guided injection help posterolateral disc herniation?

Does a CT guided injection help posterolateral disc herniation?

Yes, very accurate: Ct guided procedure gives excellent "accuracy" in guiding the needle to the exact location to be injected. The process involves highly trained docs/technicians to get incredible pin-point accuracy. Best of luck if you are undergoing the procedure. ...Read more

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How are cervical facet injections performed?

How are cervical facet injections performed?

Under Xray Guidance: A facet injection is a minimally invasive procedure that can temporarily relieve back pain caused by inflamed facet joints. A facet injection includes both a long-lasting corticosteroid and an anesthetic numbing agent. The drugs are delivered to the painful facet joint, either inside the joint capsule or in the tissue surrounding the joint capsule. ...Read more

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Could artificial facet joint replacement technology be used for the cervical spine?

Could artificial facet joint replacement technology be used for the cervical spine?

Good idea.: This may be possible in the future. I do not know of any technology such as this that we have access to currently. Artificial discs are being used in the spine, but so far, no replacement for the actual facet joints. ...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