What is a facet joint injection?
A facet joint injection is a diagnostic procedure that targets pain caused by arthritis and degeneration in your facet joints. Facet blocks can be performed in your cervical spine, thoracic spine, or lumbar spine. Facet joints in the spine are crucial components that allow the spine to move and bend, but these joints can be impacted by wear, tear and inflammation. These irritated joints can result in localized pain along your spine.
"Dr. Maniam is great and you took care of my knee. My knee feeks great and i can walk again. The visit was beautiful and they treat me with respect."- K.D. / Google / May 18, 2021
"On first arrival Dr. Kohler and his staff at Ospina Medicine were warm and welcoming. He was precise in his knowledge and explained all parts of both my pain management due to previous injury, and preventative measures for future treatment. Their New York City based state of the art technology and contemporary office made me feel at ease immediately. As someone with continual back pain, and as someone who wants to avoid opioid treatment, the very nature of Ospina Medical using non-opioid approaches to pain management for me was a big bonus. The results have been brilliant, and I am so pleased to have Dr. Kohler to help me through my pain management process."- M.M. / Google / May 17, 2021
"The nicest people, the best care. I feel so much better already. Would recommend to any and all friends, dancers, athletes, who are having pain."- C.J. / Google / May 14, 2021
"Dr Maniam and his staff are excellent. Renya at the front desk is always friendly and makes me feel comfortable. There’s a real sense that they care about their patients. I’ve had numerous spinal epidural‘s and radio frequency ablations, they’ve been painless and have gotten excellent results. This is the best pain management group that I’ve been to and I’ve been to more than a few... I highly recommend Ospina!"- M.G. / Google / May 14, 2021
"I've had 3 cortisone injections with Ospina and I'm amazed by the care they take when applying the injections. I can't believe how well it works and what good care they take of me. (I had received an injection somewhere else and it was more painful, bruised badly, and didn't last near as long.) I will ONLY go to Ospina now. The staff and doctors are truly WONDERFUL. Don't hesitate!"- P.G. / Google / Apr 30, 2021
Who is a candidate for a facet joint injection?
Patients that have a history of localized pain in their neck, mid-back, or low back that haven't responded to conservative treatments may be a candidate for facet joint injections. Facet joint injections are done as a diagnostic procedure to determine if your facet joints are the source of your pain and to determine if you would be a good candidate for a radiofrequency ablation. During your first consultation your physician will take a detailed history, perform a physical exam, and review any diagnostic imaging to determine if you would benefit from this procedure.
How is facet joint injection performed?
All facet joint injections can be performed in our in-office procedure suite and can be offered with conscious sedation. During the procedure your physician will use fluoroscopic (X-Ray) guidance to target the specific facet joints in your back that correspond to where you have pain. A needle is then placed near these facet joints and once placement is confirmed with x-ray, a mixture of fast acting and long acting local anesthetics are injected in the joint. The fast acting local anesthetic, lidocaine, is used to provide immediate pain relief and makes the procedure more comfortable. The long acting local anesthetic, bupivacaine, is used to provide several hours of pain relief. These procedures are used to determine if you are a candidate for a radiofrequency ablation, so the relief is only meant to be temporary. Often, for insurance purposes, this procedure is repeated a second time to confirm the correct spinal levels and that the patient experiences relief in their pain before proceeding with the radiofrequency ablation.The procedure takes around 30 minutes and has no downtime. Patients who receive sedation for their procedure will need to recover in our recovery room for 20-30 minutes before being discharged.
If you are experiencing localized pain in your spine and want to explore facet joint injections as a treatment option, please contact our office located in midtown Manhattan to book your consultation today!