The Facet Joint connects the posterior elements of the spine and is prone
to degenerative changes. The facet joint carries up to 1/3 of the loading
force of the lumbar spine. Osteoarthritis of the joints leads to cartilage
fissures, fraying and erosions. Hereotopic Growth (bony spurs) leads to
instability and inflammation. Degeneration of the Facet Joints account
for approximately 10-15% of the cases with chronic low back pain.1
Symptoms of Facet Joint Pain Include:
Constant aching
Dull or sharp pain
Pain worsens with movement
Localized pain, but can refer pain to the hip or buttock area
The common types of nonsurgical treatments for facet joint pain are:
Lumbar Facet Block is procedure where medicine is injected directly into the joint.
Cervical FacetBlock is procedure where medicine is injected into the cervical facet joint.
Medial Branch Block is a procedure where the facet joints are "innervated" by sensory
nerves that come off the posterior aspect of the corresponding spinal
nerve. These small sensory nerves "dorsal ramus medial branches form
a lattice work sensation of the facet joints. Local anesthetic block of
the Medial Branch Block can temporarily interrupt the pain signal carried
to a specific facet joint.
Reference
1. Pope JE, Cheng J. Facet (Zygapophyseal) Intraarticular Joint Injections:
Cervical, Lumbar, and Thoracic. Injections for Back Pain. 129-135. ClinicalKey.com.
Accessed July 16, 2019.
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Spinal Injections Epidural/Facet"Every one was polite and service timely and so was follow up."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"My pain is gone right now. Explains everything she is doing."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"Obviously very knowledgable and fully explained the procedure."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"Great communication with doctor and he listens to my issues. He has stopped my pain. He has a really good PA too!"Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Very friendly and comforting during the procedure. Great experience in what could be a stressful environment."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Very personable and like how they find solutions other than surgery. Entire staffing team has been great!"Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Very efficient in providing the L4-L5 lumbar epidural. It has definitely helped."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"They were caring and careful with my care."Provider: Balaji (Bobby) S Charlu MD
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