Doctor insights on:
Good Candidate Facet Join Injection
Is it normal to have pain after facet injections? Dr said there should be no pain, but I feel much pain. I've had 3 ESIs recently with little relief
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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
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 moreSee 2 more doctor answers
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
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
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 moreSee 1 more doctor answer
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