NYC Pain
March 8, 2017

A facet joint injection is a comparatively easy, straightforward procedure typically performed in a workplace-based, mostly procedure suite or in an ambulant surgical center.

As with several spinal injections, facet joint injections are best performed under radiology (live X-ray) for steering to appropriately target and place the needle (and to assist in avoiding nerve injury or alternative injury).

Commonly, the procedure is performed with no sedation. However, an IV line is often started if relaxing medication is required. The patient lies on a procedure table, so the heal the area to be tested is well-cleaned.
The physician treats a little area of the skin with a desensitizing medication (anesthetic), which can sting for several seconds.
The doctor uses X-ray steerage (fluoroscope) to direct a little needle into the side joint.A small amount of distinction dye is then injected to verify that the needle is within the joint and medication is contained within the joint.
After this confirmation, a small mixture of anesthetic (such as lidocaine) and anti-inflammatory medication (steroid/cortisone) is slowly injected into the joint.

The injection itself only takes many minutes. However, the complete procedure typically takes between fifteen and thirty minutes.

Immediately Following the Injection

  1. After the procedure, the patient usually rests within the recovery area for twenty to thirty minutes and is asked to perform movements or activities that may typically provoke pain.
  2. Patients might or might not acquire pain relief within the 1st few hours once the injection, depending upon whether or not or not the joints targeted are the most supply of their pain. If the targeted joint or joints aren't inflicting their pain, a patient won't acquire immediate relief from the injection.
  3. On occasion, patients might feel numb or have a relatively weak or odd feeling in their neck or back for many hours once the injection.
  4. The patient can consult with the doctor for immediate pain relief and queries or issues.

The Day of the Injection
On the day of the injection, patients are usually suggested as follows:

  1. Avoid doing any strenuous activities.
  2. Patients should limit pain medication among the primary four to 6 hours when the injection so that the diagnostic info obtained is correct.
  3. Avoid driving unless specifically approved by the treating doctor.
  4. If sedation was used, the patient mustn't drive for twenty-four hours when the procedure.

After The Facet Joint Radiofrequency Ablation

Patients might notice a slight increase in pain lasting for many days because the desensitizing medication wears off before the Cortone Acetate starts to require results.

In the week following the injection, common recommendations include:

If the area is uncomfortable within the initial 2 to 3 days once the injection, fastidiously applying ice or a chill pack to the general area of the injection site can usually offer pain relief.

Read additional regarding Ice Packs for Back Pain Relief.

Patients might still take their regular pain medication once the procedure.

On the day once the procedure, patients might come back to their regular activities.

Patients could also be referred for physical {therapy|physiotherapy|physiatrics|therapy} or manual therapy once the injection is. In contrast, the desensitizing medication is effective over many consecutive weeks, whereas the Cortone Acetate is functioning.

Read a lot of concern physical therapy for Low Back Pain Relief

When the pain is improved, it's recommended to begin regular exercise and activities carefully. Though pain relief is essential, it's still necessary to extend activities step by step over one to 2 weeks to avoid the recurrence of pain.