© Therapeutic Pain Management Medical Clinic 2016 - Site created by Dr. Dhruva 1335 Buenaventura Blvd, Ste 100, Redding, CA 96001. T: (530) 247-7246; (530) 24-7-P-A-I-N.   F: (530) 245-0849   email: mail@TPMclinic.com
Therapeutic Pain Management Medical Clinic (TPM) Improving Quality of Life
 Facet Joint Injection FAQs The   following   Frequently   Asked   Questions   and   the   answers   are   for   the   Facet   Joint   Injection.   It   is   one   of   the   common   procedures   performed   in   this   pain   clinic.     The following material is given as general information only, and is not to be considered as medical advice or consultation.  What is a Facet Joint Injection? Facet Joint Injection is an injection of long lasting steroid (“cortisone”) in the Facet joints – which are located in the back area, as a part of the bony structure. What is the purpose of it? The   steroid   injected   reduces   the   inflammation   and/or   swelling   of   tissue   in   the   joint   space.   This   may   in   turn   reduce   pain,   and   other   symptoms   caused   by inflammation / irritation of the joint and surrounding structures. How long does the injection take? The actual injection takes only a few minutes. What is actually injected? The    injection    consists    of    a    mixture    of    local    anesthetic    (like    lidocaine    or    bupivacaine)    and    the    steroid    medication    (triamcinolone    –    Kenalog®    or methylprednisolone – Depo-medrol®). Will the injection hurt? The   procedure   involves   inserting   a   needle   through   skin   and   deeper   tissues   (like   a   “tetanus   shot”).      So,   there   is   some   discomfort   involved.   However,   we   numb   the skin   and   deeper   tissues   with   a   local   anesthetic   using   a   very   thin   needle   prior   to   inserting   the   needle   into   the   joint.   Most   of   the   patients   also   receive   intravenous sedation and analgesia, which makes the procedure easy to tolerate. Will I be “put out” for this procedure? No.   This   procedure   is   done   under   local   anesthesia.   A   few   of   the   patients   also   receive   intravenous   sedation   and   analgesia,   which   makes   the   procedure   easy   to tolerate.  The amount of sedation given generally depends upon the patient tolerance. How is the injection performed? It   is   done   either   with   the   patient   lying   on   the   stomach,   or   for   the   cervical   (neck   area)   injections   –   in   sitting   position,   under   x-ray   control.   The   patients   are monitored   with   EKG,   blood   pressure   cuff   and   blood   oxygen-monitoring   device.      The   skin   in   the   back   is   cleaned   with   antiseptic   solution   and   then   the   injection   is carried out.  After the injection, you are placed on your back or on your side. What should I expect after the injection? Immediately   after   the   injection,   you   may   feel   that   your   pain   may   be   gone   or   quite   less.   This   is   due   to   the   local   anesthetic   injected.   This   will   last   only   for   a   few hours.   Your   pain   will   return   and   you   may   have   a   “sore   back”   for   a   day   or   two.   This   is   due   to   the   mechanical   process   of   needle   insertion   as   well   as   initial   irritation form the steroid itself. You should start noticing pain relief starting the 5th day or so. What should I do after the procedure? You   should   have   a   ride   home.      We   advise   the   patients   to   take   it   easy   for   a   day   or   so   after   the   procedure.      You   may   want   to   apply   ice   to   the   affected   area.   Perform the activities as tolerated by you. Can I go to work to work the next day? Unless there are complications, you should be able to return to your work the next day. The most common thing you may feel is sore back. How long the effect of the medication lasts? The   immediate   effect   is   usually   from   the   local   anesthetic   injected.   This   wears   off   in   a   few   hours.   The   cortisone   starts   working   in   about   5   to   7   days   and   its   effect can last for several days to a few months. How many injections do I need to have? As long as you have at least 50% relief for more than 6 weeks, these injection can be repeated. Generally, no more than three times in one year. Will the Facet Joint Injection help me? It   is   very   difficult   to   predict   if   the   injection   will   indeed   help   you   or   not.   Generally   speaking,   the   patients   who   have   recent   onset   of   pain   may   respond   much   better than the ones with long standing pain. What are the risks and side effects? Generally   speaking,   this   procedure   is   safe.   However,   with   any   procedure   there   are   risks,   side   effects,   and   possibility   of   complications.   The   most   common   side effect   is   pain   –   which   is   temporary.      The   other   risks   involve,   infection,   bleeding,   worsening   of   symptoms,   spinal   block,   epidural   block   etc.      The   other   risks   are related   to   the   side   effects   of   cortisone:   These   include   weight   gain,   increase   in   blood   sugar   (mainly   in   diabetics),   water   retention,   suppression   of   body’s   own natural production of cortisone etc. Fortunately, the serious side effects and complications are uncommon. Who should not have this injection? If   you   are   allergic   to   any   of   the   medications   to   be   injected,   if   you   are   on   a   blood   thinning   medication   (e.g.   Plavix,   Pradaxa,   Xarelto,   Coumadin®),   or   if   you   have   an active infection going on, you should not have the injection.  
© Therapeutic Pain Management Medical Clinic 2016 Web designed and  created by Dr. Dhruva
Therapeutic Pain Management Medical Clinic Improving Quality of Life
 Facet Joint Injection FAQs The   following   Frequently   Asked   Questions   and   the   answers   are   for   the   Facet   Joint Injection.   It   is   one   of   the   common   procedures   performed   in   this   pain   clinic.      The following    material    is    given    as    general    information    only,    and    is    not    to    be considered as medical advice or consultation.  What is a Facet Joint Injection? Facet   Joint   Injection   is   an   injection   of   long   lasting   steroid   (“cortisone”)   in   the   Facet joints – which are located in the back area, as a part of the bony structure. What is the purpose of it? The   steroid   injected   reduces   the   inflammation   and/or   swelling   of   tissue   in   the joint    space.    This    may    in    turn    reduce    pain,    and    other    symptoms    caused    by inflammation / irritation of the joint and surrounding structures. How long does the injection take? The actual injection takes only a few minutes. What is actually injected? The    injection    consists    of    a    mixture    of    local    anesthetic    (like    lidocaine    or bupivacaine)     and     the     steroid     medication     (triamcinolone     –     Kenalog®     or methylprednisolone – Depo-medrol®). Will the injection hurt? The   procedure   involves   inserting   a   needle   through   skin   and   deeper   tissues   (like   a “tetanus   shot”).      So,   there   is   some   discomfort   involved.   However,   we   numb   the skin   and   deeper   tissues   with   a   local   anesthetic   using   a   very   thin   needle   prior   to inserting   the   needle   into   the   joint.   Most   of   the   patients   also   receive   intravenous sedation and analgesia, which makes the procedure easy to tolerate. Will I be “put out” for this procedure? No.   This   procedure   is   done   under   local   anesthesia.   A   few   of   the   patients   also receive   intravenous   sedation   and   analgesia,   which   makes   the   procedure   easy   to tolerate.        The    amount    of    sedation    given    generally    depends    upon    the    patient tolerance. How is the injection performed? It   is   done   either   with   the   patient   lying   on   the   stomach,   or   for   the   cervical   (neck area)    injections    –    in    sitting    position,    under    x-ray    control.    The    patients    are monitored   with   EKG,   blood   pressure   cuff   and   blood   oxygen-monitoring   device.     The   skin   in   the   back   is   cleaned   with   antiseptic   solution   and   then   the   injection   is carried out.  After the injection, you are placed on your back or on your side. What should I expect after the injection? Immediately   after   the   injection,   you   may   feel   that   your   pain   may   be   gone   or   quite less.   This   is   due   to   the   local   anesthetic   injected.   This   will   last   only   for   a   few   hours. Your   pain   will   return   and   you   may   have   a   “sore   back”   for   a   day   or   two.   This   is   due to   the   mechanical   process   of   needle   insertion   as   well   as   initial   irritation   form   the steroid itself. You should start noticing pain relief starting the 5th day or so. What should I do after the procedure? You   should   have   a   ride   home.      We   advise   the   patients   to   take   it   easy   for   a   day   or so   after   the   procedure.      You   may   want   to   apply   ice   to   the   affected   area.   Perform the activities as tolerated by you. Can I go to work to work the next day? Unless   there   are   complications,   you   should   be   able   to   return   to   your   work   the next day. The most common thing you may feel is sore back. How long the effect of the medication lasts? The   immediate   effect   is   usually   from   the   local   anesthetic   injected.   This   wears   off in   a   few   hours.   The   cortisone   starts   working   in   about   5   to   7   days   and   its   effect   can last for several days to a few months. How many injections do I need to have? As   long   as   you   have   at   least   50%   relief   for   more   than   6   weeks,   these   injection   can be repeated. Generally, no more than three times in one year. Will the Facet Joint Injection help me? It   is   very   difficult   to   predict   if   the   injection   will   indeed   help   you   or   not.   Generally speaking,   the   patients   who   have   recent   onset   of   pain   may   respond   much   better than the ones with long standing pain. What are the risks and side effects? Generally   speaking,   this   procedure   is   safe.   However,   with   any   procedure   there   are risks,   side   effects,   and   possibility   of   complications.   The   most   common   side   effect is    pain    –    which    is    temporary.        The    other    risks    involve,    infection,    bleeding, worsening   of   symptoms,   spinal   block,   epidural   block   etc.      The   other   risks   are related   to   the   side   effects   of   cortisone:   These   include   weight   gain,   increase   in blood   sugar   (mainly   in   diabetics),   water   retention,   suppression   of   body’s   own natural    production    of    cortisone    etc.    Fortunately,    the    serious    side    effects    and complications are uncommon. Who should not have this injection? If   you   are   allergic   to   any   of   the   medications   to   be   injected,   if   you   are   on   a   blood thinning   medication   (e.g.   Plavix,   Pradaxa,   Xarelto,   Coumadin®),   or   if   you   have   an active infection going on, you should not have the injection.