Spinal Injections

Facet Joint Injections

Targeted anti-inflammatory injection into the small joints of the spine, confirming the pain source and providing relief for neck and back pain.

Spinal

Procedure Overview

That pattern of pain, worse with extension and rotation, better with flexion, is a common indicator that the facet joints are involved. These small joints connect adjacent vertebrae and can become arthritic and inflamed over time, producing a deep, aching axial pain that is often misattributed to muscle strain or disc problems. Identifying them as the source changes what can be done about it.

Treatment Purpose

Facet joint injections deliver a combination of local anesthetic and corticosteroid directly into the small facet joints of the spine. The procedure serves two purposes: it confirms whether the facet joint is the actual source of your pain, and it reduces the inflammation causing that pain. A positive response also establishes whether you are a candidate for radiofrequency ablation, a longer-lasting treatment option.

Appropriate Conditions

Facet joint arthritis
Cervical and lumbar spondylosis
Spinal osteoarthritis
Post-injury axial spinal pain

Patient Considerations

That is exactly what this procedure is designed to answer. The diagnostic component confirms whether the facet joint is the source before any further treatment is planned. If the injection provides significant relief, it means the diagnosis is confirmed and a longer-lasting treatment path can follow. You will not be left guessing.

Treatment Process

The procedure takes 20 to 30 minutes and is performed under fluoroscopic guidance. A thin needle is directed precisely into the facet joint and medication is injected. You return home the same day. A series of 2 to 3 injections generally produces the best results, and a positive response may qualify you for radiofrequency ablation for longer-lasting relief.

Frequently Asked Questions

How long does relief last?

Relief typically lasts weeks to months. Patients who respond well are often candidates for radiofrequency ablation, which provides longer-lasting relief.

How many injections will I need?

A series of 2 to 3 injections typically provides the best results.

What are the risks?

Low risk. A temporary pain flare, mild bruising, or infection are rare.

Medical disclaimer: This page provides general information and is not medical advice. It does not replace an evaluation by a qualified physician. Talk with a doctor about your specific condition and treatment options. If you are experiencing a medical emergency, call 911.

Need Guidance?

Talk With a SCOPES Specialist

Every care plan is based on your diagnosis, your symptoms, and your goals.

Book Your Visit

Back to all treatments