Top
10
Doctor insights on: Good Candidate Facet Join Injection

Share

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


2

2
Is it safe to have facet injections while on remicade (infliximab)?

Probably: You are at an increased risk of infection overall while on remicade (infliximab). Using a strict sterile technique and wearing a surgical mask as a doctor can decrease this risk substantially but it will not be 0. Talk to your pain physician about it. ...Read more

3

3
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

See 3 more doctor answers
4

4
What are the side effects of having lumbar facet injections two weeks apart?

Lumbar facets: Many times the injections are done with deferent medications to rule out a placebo effect There are no real side effects past infection unless a lot of steroid is used the the side effects would be steroid related possible increased blood sugar ...Read more

5

5
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

See 1 more doctor answer
6

6
I've had 3 ESI in the past 6 weeks. There's still pain & extreme back spams. The dr wants to do 6 facet injections. I'm skeptical it will work. ?

I've had 3 ESI in the past 6 weeks. There's still pain & extreme back spams. The dr wants to do 6 facet injections. I'm skeptical it will work. ?

Skeptical back: I share your skepticism sounds like an unguided shot gun diagnostic approach, spasm plus tenderness is muscular, start with trigger point injections, pain with lumbar extension and facet arthritic changes on imaging bone scan help find most metibolicaly active facet the. ESI Best for leg pain i dont use for back pain facet injection have 50%failure rate read dr sarno book. if imaging is negative . ...Read more

7

7
Had 2 lots facets joint injections 1st lot work 2nd didn't. What is your answer please?

Had 2 lots facets joint injections 1st lot work 2nd didn't. What is your answer please?

Back pain: The source of the pain may be from a pinched nerve or a tear in the disc rather than inflammation in the facet joint. Alternatively, the facet joint may be too degenerated to respond to cortisone shots alone. Back bracing, physical therapy or chiropractic care may relieve the pain. If these measures fail to eliminate the pain and then surgery may be the next option. ...Read more

8

8
I've had 3ESIs and 8 facet injections in appx 6wk period. What are potential side effects/and could my immunity be compromised?

I've had 3ESIs and 8 facet injections in appx 6wk period. What are potential side effects/and could my immunity be compromised?

Cortisone injections: What u have had is the maximum u should have over the next 4-6 months . Although these don't usually affect your overall immunity , they can affect the local tissues . Also some people have some sensitivity to them which can affect hearing and vision . So work on getting going with an exercise program to strengthen and stretch your paraspinous muscles, ...Read more

9

9
What is the definition or description of: lumbar facet injection?

What is the definition or description of: lumbar facet injection?

Easy: A lumbar facet injection is a procedure that involves directing a thin needle into a lumbar facet joint with the guidance of fluoroscopy (x-ray). Corticosteroids (such as depo-medrol or kenalog) plus a local anesthetic is injected. As a physiatry spine specialist, i typically only perform these on patients with newer facet joint pain, or those that need quick pain relief. ...Read more

See 2 more doctor answers
10

10
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

See 1 more doctor answer
12

12
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

See 2 more doctor answers
13

13
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

See 2 more doctor answers
14

14
What are the side effects of getting facet injections in the thoracic spine?

What are the side effects of getting facet injections in the thoracic spine?

Many ....: Depending on the medication injected.... Pain, redness, infection and if steroids are used.... Hyperglycemia (elevated blood sugar) and even depression of your immune function... Hopefully, the number one effect will be the satisfactory treatment of your pain. ...Read more

See 1 more doctor answer
15

15
Side affects of kenolog injections into the facet space of the vertebra joints?

Side affects of kenolog injections into the facet space of the vertebra joints?

Kenalog (triamcinolone): Steroid side effects include elevated blood glucose temporarily, facial flushing aka steroid flare, as well as temporary feeling of "having an extra cup of coffee", in essence, a jittery feeling. Some patients also describe temporary increase in appetite. ...Read more

16

16
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

See 1 more doctor answer
17

17
What lumbar facet injection and epidural injection used for?And what is the defferent

What lumbar facet injection and epidural injection used for?And what is the defferent

Different Areas: Facet injections are used for typical whiplash and arthritic pain that emanates from the facet joint in the spine which is in the back of spine. The epidural steroid injection can help with the same, however typically is used to treat the spinal nerve pain that is due to spinal stenosis or herniated disk that is pinching the exiting spinal nerve(s) which is in the front of spine area. ...Read more

See 2 more doctor answers
18

18
Apart from the obvious location what is the difference between Cervical Facet Injections and ESI? E.g what risks apply and which one is less dangerous

Apart from the obvious location what is the difference between Cervical Facet Injections and ESI? E.g what risks apply and which one is less dangerous

Location: Facet injections place anti-inflammatory steroid into the joint(s) in the spine and the epidural steroid injection places steroid around the spinal cord, nerves and discs. Joint injection is very localized and usually requires more than one. ESI can have greater spread. Since the epidural space is just outside of the spinal cord, this is more risky. Either injection should be done under XRAY. ...Read more

19

19
How many have had lumbar facet injections?

How many have had lumbar facet injections?

Was more common..: Less common today, since some studies cast doubt on serious benefitss. In my experience they appeared to help. However, their is no coding specific for facet blocks, so that doctors can bill. These are called cpt codes and facet injection was removed 1/1/11. Nonetheless, a common procedure, which if done properly will not hurt. ...Read more

See 1 more doctor answer
20

20
Is nausea and a headache a side effect from a facet injection?

Is nausea and a headache a side effect from a facet injection?

No. Unless...: Facet injections are usually performed by folks who have little to zero spine training. Chances are your provider (anesthesia pain guy) poked the needle way medial and straight into your thecal sac causing an internal spinal fluid leak (aka spinal headaches). Or, provider did not aspirate prior to injecting so the cortisone was injected into your blood stream (oops) causing the same symptoms. ...Read more