Lumbar Facet Joint Injections

A lumbar facet joint injection is a minimally invasive injection used to treat pain from the facet joints. A lumbar facet joint injection delivers a numbing agent and a strong anti-inflammatory medication into the joint to allow for a reduction in pain and a healing of the joint. Imaging guidance is used to identify the facet joint to help ensure the medication is delivered into its proper location. 

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Lumbar Facet Joint Injections Treated Conditions

  • Lumbar Facet Syndrome – Lumbar facet syndrome is a condition that arises from the irritation or inflammation of the small joints in the lumbar (lower) region of the spine. These joints, called facet joints, provide stability and support for the spine, and when inflamed or irritated, can cause pain and discomfort. Symptoms of lumbar facet syndrome may include lower back pain, stiffness, and difficulty moving the lower back or legs. 
  • Spondylolisthesis – Spondylolisthesis occurs when a vertebra in the spine slips out of its original position and slides forward onto the vertebra below it.  
  • Spondylolysis – Spondylolysis is a condition in which there is a defect or fracture in the vertebral arch of the spine, most commonly the lower lumbar vertebrae.  
  • Ankylosing Spondylitis – Ankylosing spondylitis is a type of chronic arthritis that primarily affects the spine. It is a type of spondylarthritis, which is a group of conditions that affect the joints between the spine and the pelvis. Ankylosing spondylitis causes inflammation of the spinal joints, which can cause pain and stiffness in the lower back and hips. Over time, the inflammation can cause the spine to fuse in a fixed, immobile position, leading to a condition called ankylosis. 
  • Spinal Stenosis – Spinal stenosis is a disorder that occurs when the spinal canal and related nerve passageways narrow, putting pressure on the spinal cord and the nerves that travel through the spine.  
  • Trauma – Physical trauma refers to a physical injury to the body, typically caused by an external force such as a blow, impact, or collision. Physical trauma can range from minor injuries, such as cuts and bruises, to more severe injuries, such as broken bones, internal bleeding, and damage to internal organs. Physical trauma can result from accidents, sports injuries, falls, and other incidents 
  • Low back pain (+/- sciatica) with normal imaging findings – Low back pain (with or without sciatica) with normal imaging findings occurs when the pain is caused by damage to the soft tissues of the spine, such as muscles, ligaments, and tendons, rather than to the bones, discs, or nerves.  
  • Post-laminectomy syndrome – When a patient experiences ongoing pain, discomfort, numbness, or weakness in the body following a laminectomy surgery, it is known as a post-laminectomy syndrome. Lumbar facet joint injections can help with this syndrome by relieving pain and associated inflammation. 

Why Lonseth Interventional Pain Centers?

At Lonseth Interventional Pain Centers, we are committed to offering the best possible care for patients with lumbar facet joint pain. Our double board-certified doctors offer a wide range of state-of-the-art therapies and treatment options to suit your individual needs, including Lumbar Facet Joint Infections. 

Lumbar Facet Joint Injections FAQ

Facet joint injections can be a beneficial treatment for relieving pain in the spine. These injections are a great alternative to surgery for chronic spine pain, as the injections are relatively non-invasive and can provide long-term relief.  

A local anesthetic and a steroid are injected into your facet joint to help reduce inflammation and associated pain during a facet joint injection procedure. You may experience mild discomfort during the procedure, but this is usually short-lived.  

After having facet joint injections, following the post-procedure instructions given to you by your doctor is essential. This may include taking pain medication as prescribed, avoiding activities that strain the joint, rest, and ice therapy.  

You may be advised to avoid strenuous activity for the first 24 hours following your procedure. Generally, patients can resume their normal activities within one to three days. It is essential to listen to your body and take it slow as you resume activity.