What is a Facet Joint Injection?
Facet Joint Injection is a minimally invasive procedure aimed at relieving pain in the small joints of the spine. It is particularly effective for patients experiencing pain from facet joint arthritis or mechanical back pain. According to NHS, this procedure can help identify whether the facet joints are the pain source, offering both diagnostic and therapeutic benefits.
How Does a Facet Joint Injection Work?
During the procedure, a mix of anaesthetic and anti-inflammatory medication is injected directly into the facet joint. This is done under X-ray guidance to ensure precision. The injection can provide pain relief lasting several weeks to months. According to a NICE guideline, many patients report significant pain reduction and improved mobility post-procedure.
When is a Facet Joint Injection Recommended?
Dr. Purnajyoti Banerjee recommends facet joint injections when patients experience persistent back or neck pain that worsens with activities like bending or twisting. Physiotherapy might not have provided sufficient relief. The procedure not only offers pain relief but also confirms if the facet joints are the source of discomfort. This injection is an effective option for patients throughout London, including areas like Marylebone and Westminster.
What Conditions Does a Facet Joint Injection Treat?
- Facet joint arthritis
- Mechanical back pain
- Neck pain
- Pain exacerbated by backward bending or twisting
- Stiffness during movement
What to Expect During the Procedure
BEFORE
Eat and drink normally unless sedation is planned. Arrive 30 minutes early for consent.
DURING
Lie face-down with numbed skin. X-ray guides the needle to the joint, injecting medication.
AFTER
Rest for a short while and go home the same day. Relief builds over days.
Benefits
- Targets the exact joint causing pain
- Diagnostic value for planning next steps
- Non-surgical and same-day discharge
- Can be repeated when clinically appropriate
Considerations
- Relief varies and is not guaranteed
- Temporary soreness at the site
- Small risk of infection
- If relief is short-lived, longer-lasting options are discussed