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Doctor insights on: Indications For Facet Joint Injections

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Dr. Stratos Christianakis
1,190 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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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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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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If I have facet joint injections and they work short term what next? How bad do you have to be to get surgery?

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?

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 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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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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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

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