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
Category
Outpatient
Procedure
Non-Opioid
Approach
Image-Guided
Precision
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.
Clinical Data
Published data reports 70% of patients experience significant pain relief following facet joint injections, with 50 to 70% achieving lasting relief over weeks to months. (Source to be confirmed by SCOPES Health clinical team.)
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.
Need Guidance?
Talk With a SCOPES Specialist
Every care plan is based on your diagnosis, your symptoms, and your goals.
Back to all treatments