Can you tell me about facet joint block?

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.
Facet joints. Are the joints that articulate on the backside of the vertebrae and can become fairly arthritic. The medial branch nerves innervate them and blocking these nerves, or injecting the facet itself, can be both diagnostic and therapeutic. They are above the entrance way to the spinal cord, so they are safe injections and can be great for pain relief.

Related Questions

Can you tell me what is a facet joint block?

A shot. Cortisone like medicine or anesthetic (numbing) medicine is injected (shot into) the joint or around the nerve going to the joint. The most accurate means is to use a fluoroscopy (x-ray) machine and a small amount of dye to be sure the medication gets to the right spot. Read more...
Given for diagnosis. Facet blocks are used for diagnostic purposes and can be also combined with a steroid such as kenalog (triamcinolone) for additional short term relief if this is the source of the back pain. The facet joints are true joints located in the spine, 2 at each level that are load bearing and allow for certain motions and can be injured or develop arthritis. Read more...
Spine Joints. 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. Read more...

If I get facet joint block at c6, does it also heal inflamed nerves in the facet joint area at C4 and C5 level? Are they inter-connected?

No. Injecting at one facet joint is likely not going to alleviate symptoms at another level. Tissue surrounds the joint, so medicines don't just freely track from one to another. Read more...
No need to 'heal' Facet blocks are effective at managing pain from the facet joint itself by quieting nerve transmission from the nerves in that joint. Each joint is made up of 2 levels of bone (for example c5/c6 is 1 joint). Each joint needs to be done separately. Even with MRI changes, no need to treat asymptomatic levels. Treatment is to stop the pain cycle-not 'heal.' read www.Backsense.Org for more info. Read more...
They may but it=diag. They r 4 more of a diagnostic test. They may have a long time of relief but not a permanent solution. Radio frequency ablation may b the next step. Read more...

Is cervical interlaminar epidural block always better than cervical facet block? If interlaminar was no help, can facet joint block be helpful?

Depends on pain. One might work while the other doesn't depending on the source of the pain/problem. Read more...
Two different things. Facet injections place medication at a specific joint within the vertebrae to calm inflammation in an actual small joint space. Epidural blocks are to calm nerve inflammation often from nerve entrapment at vertebral openings. Two different things. Physical exam and imaging should have shown difference between the two, but sometimes if you have pathology at both, it is hard to differ. Can try both. Read more...
See below. A pain management anesthesiologist or other surgeon whom specializes in these procedures with good hands and a good reputation with good results . This procedure is done under fluoroscopic imaging .If indicated this is worth a try before undertaking any other surgery. Stay away from the idet procedure this does not work good luck thank you. Read more...
Depends on the Dx. Ddd disease may benefit from epidural steroids. If the DX is facet disease then the facet blocks will help in the diagnostic evaluation. Read more...
Depends. On what the reason for either injection is. Typically Epidural injections help with disk herniations, nerve impingement and spinal stenosis of the spine. Facet treatments basically address/help with the facet joint only as the source of the pain. Read more...

When doing facet joint block : is fluroscopic c-arm guidance better and more accurate than ultrasound-guidance?

Yes. Flouroscopy typically would provide better bony anatomical information for localizing the facet joint(s). Read more...
Fluroscopy is best. With fluorscopy the joint can be seen provided the individual is not too obese. The ultrasound is not useful. Read more...
No. In very experienced hands us could approach the accuracy of flouroscopy but it is much more likely you will find the necessary expertise with someone who uses flouro. Read more...
Yes. Fluoscopic guidance is much better than ultrasound guidance as bone is not well visualized on ultrasound. Read more...
CT . I have found ct to be the most convincing modality to demonstrate accurate placement of the needle. Read more...