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).
Diagnostic/therapy. 2 kinds of injection with 2 different goals---either you put steroid, lidocaine, bupivacaine in the facet joint or just block or num the nerves to the facet either way you are asked if you got pain relief and for how long to diagnose if the facet is the source of your pain--or repeat the injection for therapy---if we know this is your pain source radiofrequency to destroy nerves to facet to block pa.
Depends. This depends on why you got these injections and if they are a component of your back pain or a pain generator. Generally, you should be in your typical pain at the time of the injection to assess the results which are temporary if they help at all. If they do, you may be a candidate for a rhizotomy of the medial branch nerves that supply the joints tested for more longer lasting relief.

Related Questions

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.
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).

What are usual results from facet joint injections?

See below. The result I am seeking from a facet injection is the confirmation of the diagnosis of facet disease. A facet injection is not a therapeutic procedure (a procedure that provides long-term relief). It is a diagnostic procedure used to confirm or refute the diagnosis of facet disease.
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).

If I have facet joint injections and they work short term what next? How bad do you have to be to get surgery?

Depends. It depends on how well they work and how long it lasts between injections. If you can go months, then surgery not close. If it helps for a few days, then a good spine surgeon you need to meet.
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.

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.
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.

After epidurals, will facet joint injections still work?

Yes. There is nothing about an epidural injection with will impede performance of a facet joint injection.
They can. There can be several origins for back pain that can occur simultaneously. It is not uncommon for there to be some component of back pain originating from the facet joint even when there was some relief from an epidural especially when there may be nerve root irritation or compression from an enlarged facet joint that may now also be arthritic with the facet injection helping that pain.
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.
Yes, The injections are in two separate locations.

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.

It varies. If your neck pain is coming from one or more bulging/herniated discs, then the injections may be quite beneficial. They are not as predictable for bony problems, such as arthritis or spinal stenosis.
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).

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.

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)

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.
Injections. If you have many causes for back pain, it may be harder for these injections to work. Sometimes we give these injections to find the source of most of your pain. Like if you had relief from the facet blocks but not an epidural than we would know most of your pain is from the facet joints. You need to be careful not to have too many injections though. You can always get a second opinion.