Facet Joint Injection

Facet Joint Injection Overview

The following material is given as general information only, and as such should not to be considered medical advice or consultation.

A facet joint injection is a procedure that identifies the source of irritation in the small joints at each segment of the spine. These joints provide stability and help guide motion. A cervical (neck), thoracic (upper back) or lumbar (lower back) facet joint injection involves injecting a steroid (anti-inflammatory) medication, which can anesthetize (numb) the facet joints and block the pain.

If multiple levels of pain exist within the facets, several injections may be required to pinpoint the pain source in each location. This pain relief will enable you to undergo necessary conventional treatment, such as physical therapy, to rehabilitate your back.

Preparation and what patients should expect?

Patients who are scheduled for a procedure either at the office or surgery center are called by our nursing staff the day before the procedure. This gives the nurses the opportunity to make sure that the patients understand the pre-procedure instructions and to answer any questions that the patients may have. On the day of the procedure, patients meet with the nurse or medical assistant, Dr Godoy and the radiographer responsible for their care during and after their procedure. The physician reviews the procedure with the patient, obtains informed consent and answers any of the patients' remaining questions. Although the nature of our procedures makes it imperative for patients to be awake, patients are offered the option of having IV sedation during the procedure, as light sedation can make patients more comfortable and less anxious.

Our fluoroscopic procedures are performed in a special procedure room Patients are positioned on our procedure table with pillows, and care is taken to make them as comfortable as possible. The lights are dimmed and patients are supported by our staff with hand holding, if needed, and a lot of personal attention. The patient’s skin is numbed with a local anesthetic, and the Dr makes sure that the patient is comfortable . Once the site for the injection is located using fluoroscopy, a mixture of local anesthetic and steroid is injected around the nerves that are causing pain. The actual procedure time varies depending on the procedure, but most are completed in 20 minutes.

At the end of the procedure, patients are taken to their room in case the procedure is performed in the office or to the recovery area. For theses patient who had the procedure in the office, they may leave after they get dressed. For theses patient who had the procedure done in the surgery center, they are monitored for an additional 30 minutes. Here, patients are given something to drink and a snack. Patients generally experience pain relief immediately after their procedure. This initial pain relief is related to the local anesthetic or numbing medication used. The pain relief from this medication lasts for a few hours to a few days. Most patients experience a prolonged benefit, which occurs within 48 hours from the steroid medication.

You may need a driver for your appointment. Please call the office and ask if this is the case. Please notify a member of our staff if you are nursing or if there is a chance you may be pregnant.

Possible side effects

  • Steroid medications may cause facial flushing, occasional low-grade fevers, hiccups, insomnia, headaches, water retention, increased appetite, increased heart rate, and abdominal cramping or bloating.
  • These side effects occur in only about 5% of patients and commonly disappear within 1-3 days after the injection.

Contact Us

Danya Godoy, M.D.
Interventional Pain Management
Suncoast Medical Clinic
620 10th Street North
St Petersburg, FL 33705

727-824-8383 727-824-8388 About Dr Godoy