Facet Injection

What Is a Facet Injection?

A facet injection is a minimally invasive, outpatient procedure used to help relieve or diagnose back pain. It involves injecting medication into one of the small joints between the bones of your spine, called facet joints.

These joints can become inflamed over time, often due to wear and tear, a condition known as facet arthritis. Inflammation in these joints can lead to significant discomfort in the back. The injection typically contains a local anesthetic, an anti-inflammatory drug, or both. These medications help calm the inflammation or block the pain signals from traveling to your brain. Research supports the use of facet injections as a safe and effective option for certain types of low back pain.

How the Procedure Works

When you arrive for your appointment, a staff member will review the procedure with you and answer any questions you may have. You’ll be asked to sign a consent form before getting started.

During the procedure, you’ll lie on a treatment table while the area being treated is cleaned and sterilized. A radiology technician will assist the doctor by guiding a special imaging tool called a fluoroscope. This allows your doctor to see the needle in real time and ensure the medication is delivered to the correct spot. Before the injection, a small amount of numbing medication will be applied to make the process more comfortable.

Once everything is ready, your doctor will place the needle into the targeted joint and slowly inject the medication. The entire process usually takes about 15 to 30 minutes. After the injection, the needle will be removed and the site will be covered with a bandage. You’ll then move to a recovery area, where you’ll rest briefly before going home. Make sure someone is available to drive you, as you won’t be able to drive yourself afterward.

What to Expect After the Injection

It’s common to feel some soreness at the injection site, but this typically goes away within a day. You can use ice packs, rest, or over-the-counter pain relievers to help manage any mild discomfort.

Some patients experience immediate relief, while for others, it may take a bit of time. In many cases, the injection is used to confirm whether the facet joints are the actual source of pain. If you feel temporary relief, this can help your doctor decide if additional treatments, like radiofrequency ablation, might be beneficial. On the other hand, if there’s no relief at all, your doctor may explore other possible causes of your pain.

After your procedure, it’s helpful to keep track of your pain levels and note any changes. This information plays a key role in helping your care team decide the best course forward.

If you have questions after your procedure or experience anything unexpected, don’t hesitate to reach out to your provider for guidance and support.

Choose Alabama Anesthesiology & Pain Consultants for Your Facet Injection

If you're experiencing chronic back pain and believe your facet joints may be the cause, a facet joint injection could help your pain relief. Contact Alabama Anesthesiology & Pain Consultants today to schedule a consultation and find out if this treatment is right for you.