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Doctor insights on: Indications For Facet Joint Injections

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Are cortisone injections for joint inflammation ok?

Are cortisone injections for joint inflammation ok?

Have value: Used on a limited basis have value at alleviating pain reducing inflammation, particularly for inflammatory arthritis (rheumatoid, gout, etc). Should be used with caution if at all in younger pt with no evidence of cartilage breakdown or inflammatory arthritis. In this situation underlying cause of pain must be identified/addressed as apposed to repeated injections. ...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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Are steroid injections safe for knee tendons?

Are steroid injections safe for knee tendons?

For tendonitis: Yes. If you receive occasional steroid injections for tendonitis or arthitis related to the knee, they are safe. If someone is discussing injecting steroids directly into the tendon, do not do this as it can lead to tendon rupture. However, injection into the intra-articular/joint space is very safe. With a history of reconstruction, make sure the person doing the injection is experienced. ...Read more

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What treatment for facet joint arthopathy?

What treatment for facet joint  arthopathy?

Injections: Begin with physical therapy. Facet injections not only can give relief but also confirm the diagnosis. Ultimately facet fusion might help. I perform them outpatient through a minimally invasive approach. ...Read more

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What are supartz (hyaluronic acid) injections used for arthritic knee joint ?

What are supartz (hyaluronic acid) injections used for arthritic knee joint ?

Can help reduce pain: Supartz (hyaluronic acid) is a form of viscosupplementation. There are many chemicals used :synvisc, orthovisc, Hyalgan and others. These are chemical substances that are similar to the cartilage of the knee. Some are totally synthetic and one is from the comb of a rooster. They are used as a single or series of injections into the knee to relieve pain and improve function. They are inert and have no side effects. ...Read more

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Are epidural steroid injections, si joint, and radiofrequency ablation dangerous if given for years?

Are epidural steroid injections, si joint, and radiofrequency ablation dangerous if given for years?

Yes and No: Osteoporosis after any sort of steroid exposure can occur. Usually this requires repeated chronic long term exposure after several years. Based on your age, unless you have previous exposure to oral steroids or have had significant exposure to epidural steroid injections i would not be too concerned yet. ...Read more

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Are radioactive injections useful for joint problems?

Are radioactive injections useful for joint problems?

Yes: Can show up active inflammatoy changes in joins and also stress fractures. Also can help diagnose cancers of bone and joints. ...Read more

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Is steroid injections in the knee for arthritis helpful?

Is steroid injections in the knee for arthritis  helpful?

Temporary: Arthritis causes inflammation in the affected joint. Steroids will decrease the inflammation within the joint and improve pain. Once the steroids wear off, the symptoms will reoccur. For knee arthritis, a better long-term non-operative option would be visco supplementation. Injections are given as a series, which may take from 1-5 weeks to complete. See a board certified orthopaedic surgeon. ...Read more

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Treatments for hypertrophy flavum in facet joints ?

Treatments for hypertrophy flavum in facet joints ?

You may need: facet joint injections, 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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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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What are facet injs.? Given for pelvic degeneration.

What are facet injs.? Given for pelvic degeneration.

No: Facet injections are to address low back pain or neck pain associated with facet pain issues. These could be from arthritic problems or whiplash type injuries. ...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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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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Possilbe pain relief for facet joints?

Possilbe pain relief for facet joints?

Options: Radiofrequency procedures work well if a previous facet injection or medial branch block was performed with greater than 75-80% relief that was obtained. 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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What are sacroiliac joint injections used to treat?

What are sacroiliac joint injections used to treat?

Sacroiliac inflamed: The sacroiliac (SI) joint can be the site of inflammation due to arthritis, from autoimmune disorders, from trauma. Injections into the SI joint, usually with corticosteroids, can reduce inflammation and is used in conjunction with other treatments, such as anti-inflammatory agents and physical therapy. ...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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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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Indications for SI Joint injections? I hear some patients may be better candidates than others. Have SI Joint dysfunction.

Indications for SI Joint injections? I hear some patients may be better candidates than others. Have SI Joint dysfunction.

Yes: SI joint injection can be both diagnostic and therapeutic. upto 15% of low back pain is from SI joint, esp. obese old patients. you are correct that patient selection is VVIP. That ofcourse depends on physical examination, history and imaging. ++ Patrick's test, tenderness over the joint are positive signs. You can seek an opinion of a pain specialist to perform a SIJ injection under fluoro. -GL ...Read more

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Is prolotherapy better than cortisone injection for chronic wrist arthritis?

Is prolotherapy better than cortisone injection for chronic wrist arthritis?

Prolotherapy/options: Hard to be sure but try and see. I might consider PIT injections in subcutaneous areas with PRP into the joint. Fee in the $1,000 ranges. ...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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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 you get relief: From facet joint injections then you can have another injection called a medial branch block , which if 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?

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 mri's 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 mri's 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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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