facet joint referred pain

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Dr. Karen Dantin answered:

Facet joint pain after laminectomy 8mos ago. Had 2 nerve blocks. RFA is next. If the RFA is a success, will it stop the painful spasms in that area?

Might

Nerve
Might help, but also can consider massage and muscle relax or for local help.
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Dr. Jovita Anyanwu answered:

I have a bulging disc at c5/c6 with radiating pain left upper arm/forearm could this also cause referred pain to thoracic facet joint area?.

Dermatome

C5
The c5,c6 and T1 share same motor and sensory dermatome that is responsible for upper extremities hence can have pain in upper extremities and uppermostchest and back
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Possilbe pain relief for facet joints?

Injections

Anesthetic
One can have facet joint injections with steroid and local anesthetic. If this helps for even a short time then radiofrequency neurotomy will likely help long term. http://www.swarmwebhosting.com/ANS/piedmont/sp_radioneurot.html
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Dr. Ki-Hon Lin answered:

What should you do for facet joint arthritis pain?

Facet pain

Rheumatoid_arthritis
Often times, conservative treatment such as physical therapy (including strengthening and stretching) and anti-inflammatory medications will work. It would also be reasonable to try massage, ice or heat, or over the counter creams such as aspercreme or capsaicin creme. Further treatment can include facet joint injections, medial branch blocks, nerve ablation, and surgery.
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Dr. Ahmad M Hadied answered:

How to relieve pain in lower back due to facet joint problems?

Several ways

Fluoroscopy
We start with anti-inflammatory medications, pain medication, if did not help we move to steroids by mouth or injection under fluoroscopy and the last resort is surgery.
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Dr. Qamar Khan answered:

I have heard of "facet joints" causing back pain. What is this?

Spine Joints

Open-uri20140329-9714-vju1r3
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. Epidural injections are also helpful to reduce inflammation into the spinal canal area or around the spinal nerve roots exiting the spine.
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Dr. Tariq Niazi answered:

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

Versed is a good med

Jogging
and usually used with any minor procedure to allay anxiety/sedate the pt.. Nowadays there are other drugs also available. The Procedurlist would have his own cocktail that he might prefer to use. So it depends on him/her. Good Luck.
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Dr. Jay Rosenfeld answered:

Have had leg nerve pain, got mri, showed mild arthritis in facet joints. What are they?

See below

Joints
The facet joints are cartilage covered joints that link one vertebrae with another. They guide the motion of the spine. With age they do get more arthritic but do not always cause pain. Pain from facet joints is usually achy and can certainly radiate down into the leg. Usually the pain from facet joints goes into the buttocks, back of the thigh and sometimes to the upper calf. Worse with standing.
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Can a facet joint injury start out as a sharp stinging pain like something being pulled?

It can but....

Pain
More commonly symptoms such as that are more consistent with a strain and spasm in the para spinal muscles
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Dr. Qamar Khan answered:

Can you tell me about being diagnosed with facet joint pain and had a medial branch block?

Facet Joint Pain

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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.
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