Facet Joint Injection
Facet joint injections are a commonly used treatment for back and neck pain that originates in the small joints connecting the vertebrae of the spine. These joints, called facet joints, provide stability and allow smooth movement during bending and twisting. When they become inflamed or arthritic, they can cause persistent, localized pain that limits daily activities.
At Pain & Spine Physicians, we use facet joint injections as part of a comprehensive, non-surgical strategy to help patients regain comfort and mobility. If spine-related pain is interfering with your life, our team is here to help. Call (972) 350-0225 today or contact us online to schedule an appointment.
What Is a Facet Joint Injection?
A facet joint injection is a minimally invasive procedure that delivers medication directly into or near an inflamed facet joint. The injection typically contains a combination of a local anesthetic and a corticosteroid. The anesthetic provides temporary pain relief, while the steroid works to reduce inflammation over time.
Because the medication is placed precisely at the source of pain, facet joint injections can be more effective than oral medications, which circulate throughout the body. These injections are performed using imaging guidance to ensure accuracy and safety.
Conditions Treated With Facet Joint Injections
Facet joint injections are often used to treat pain caused by:
- arthritis;
- degenerative changes;
- repetitive stress; and
- prior injury to the spine.
Patients commonly experience pain that:
- affects the neck, upper back, or lower back;
- worsens with twisting or bending;
- increases during prolonged standing; and
- limits comfortable movement during daily activities.
This type of pain is typically mechanical rather than nerve-related, meaning it stays localized rather than radiating down the arms or legs. Facet joint injections may also be used diagnostically to confirm whether a specific joint is the true source of pain, helping guide future treatment decisions.
How the Procedure Works
Facet joint injections are usually performed in an outpatient setting and do not require general anesthesia. During the procedure, the physician uses advanced imaging technology, such as fluoroscopy, to guide a thin needle to the targeted joint. Once proper placement is confirmed, the medication is carefully injected.
The procedure itself is relatively quick, and most patients return home the same day. Mild soreness at the injection site is common and typically resolves within a short period.
Benefits and Expected Results
Many patients experience reduced pain and improved mobility following a facet joint injection. Relief may begin within days and can last weeks to months, depending on the severity of inflammation and individual response. For some patients, the injection provides enough relief to participate more fully in physical therapy or resume normal activities.
Facet joint injections are often considered a safer alternative to traditional spine surgery and can be repeated if necessary as part of a broader pain management plan. When combined with strengthening, posture correction, and lifestyle adjustments, they may support longer-term improvement.
A Comprehensive Approach to Spine Care
Facet joint injections are most effective when used as one component of a personalized treatment plan. Our board-certified physicians take time to identify the root cause of pain and recommend options that align with your goals, health history, and lifestyle.
With in-house capabilities, modern technology, and multiple state-of-the-art locations, we provide cost-effective care focused on faster recovery and overall wellness. We’ll work with you on a clear plan that combines targeted procedures, rehab, and lifestyle strategies to improve function.
FAQ’s
Who is a good candidate?
Facet joint injections may be appropriate for patients who have:
Pain that worsens with extension or twisting (leaning backward or rotating the spine)
Localized neck or low back pain rather than pain that travels far down the arms or legs
Imaging findings consistent with facet arthropathy (degenerative changes in the facet joints)
Pain reproduced during physical exam when the facet joints are stressed
Ongoing pain that has not improved with conservative care such as rest, physical therapy, or medications
How long does it last?
Relief can vary from person to person.
If the injection is primarily diagnostic, the numbing medication may provide only temporary relief (hours to a day).
If a steroid is included, its anti-inflammatory effects may begin within a few days and can last several weeks to a few months, depending on the individual.
Some patients experience significant improvement, while others may have only partial or short-term relief.
If the response fits a facet-related pain pattern but relief is temporary, the next step may include medial branch blocks to further confirm the diagnosis. For longer-lasting relief, radiofrequency ablation (RFA) may be recommended to interrupt pain signals from the involved nerves.
What are the risks and what to avoid?
Facet joint injections are generally safe, but potential risks include:
bleeding
infection
temporary soreness at the injection site
allergic reaction (rare)
steroid-related side effects, such as temporary facial flushing, sleep disturbance, fluid retention, or elevated blood sugar
Before the procedure:
Inform your provider if you take blood thinners, as these may need adjustment.
Let your provider know if you have diabetes, since steroids can temporarily raise blood sugar levels.
Review all medications and supplements in advance.
Contact Pain & Spine Physicians Today for Pain Relief
If facet joint inflammation may be contributing to your back or neck pain, targeted treatment can make a meaningful difference. Call (972) 350-0225 or contact us online to schedule an evaluation with Pain & Spine Physicians. Our team is ready to help you move forward with clarity, confidence, and a plan designed for lasting relief.