Delaware Back Pain & Sports Rehabilitation Centers

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Facet Injections - Pain Management

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Facet injections are non-surgical treatments to relieve pain and inflammation of the facet joints in the spine.  Facet joints are located on the top and bottom of each vertebra.  Facet joints connect the vertebrae to form the spine and allow back motion.  Facet injections target pain coming from the facet joints.  The treatments can help relieve pain in your neck, low back, and legs.

Facet pain and inflammation can be caused by spinal stenosis, spondylolysis, sciatica, arthritis, and herniated disc.  You may be a candidate for facet injections if you have spine-related pain that is not relieved by conservative treatments.  Facet injection treatments involve injecting the facet joint capsule or surrounding tissue with corticosteroid and anesthetic medication.  Facet injections can also be used for diagnostic purposes to determine if the cause of your pain is actually coming from your facet joint.

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  • Treatment

Introduction

Facet injections are non-surgical treatments to relieve pain and inflammation of the facet joints in the spine.  Facet joints are located on the top and bottom of each vertebra.  Facet joints connect the vertebrae to form the spine and allow back motion.  Facet injections target pain coming from the facet joints.  The treatments can help relieve pain in your neck, low back, and legs.

Facet pain and inflammation can be caused by spinal stenosis, spondylolysis, sciatica, arthritis, and herniated disc.  You may be a candidate for facet injections if you have spine-related pain that is not relieved by conservative treatments.  Facet injection treatments involve injecting the facet joint capsule or surrounding tissue with corticosteroid and anesthetic medication.  Facet injections can also be used for diagnostic purposes to determine if the cause of your pain is actually coming from your facet joint.

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Treatment

Your doctor can provide facet joint injections as an outpatient procedure.  The treatment usually requires the use of fluoroscopy, and thus can be done in a doctor’s office, an outpatient center, or a hospital.  You should have another person drive you to and from the facility on the day of your facet injection.
 
You will wear an examination gown for your facet injection procedure.  You will lie face down on the exam table.  The injection site will be sterilized and numbed.  You may be sedated or awake for the procedure.

Your doctor will use a C-arm fluoroscope, an imaging device, to guide the placement of the injection.  Your doctor will inject the medication into your facet joint capsule.  You will be able to walk immediately following the procedure, but you should take it easy for the next few days.

Facet injections are effective in about 50% of people that receive them.  Treatments can provide symptom relief for several days to months.  If facet injections are successful for you, the procedure can be repeated up to three times per year. 
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This information is intended for educational and informational purposes only. It should not be used in place of an individual consultation or examination or replace the advice of your health care professional and should not be relied upon to determine diagnosis or course of treatment.

The iHealthSpot patient education library was written collaboratively by the iHealthSpot editorial team which includes Senior Medical Authors Dr. Mary Car-Blanchard, OTD/OTR/L and Valerie K. Clark, and the following editorial advisors: Steve Meadows, MD, Ernie F. Soto, DDS, Ronald J. Glatzer, MD, Jonathan Rosenberg, MD, Christopher M. Nolte, MD, David Applebaum, MD, Jonathan M. Tarrash, MD, and Paula Soto, RN/BSN. This content complies with the HONcode standard for trustworthy health information. The library commenced development on September 1, 2005 with the latest update/addition on February 16, 2022. For information on iHealthSpot’s other services including medical website design, visit www.iHealthSpot.com.

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Foulk Road
2006 Foulk Road, Suite B
Wilmington, DE 19810
Phone: (302) 529-8783
Fax: (302) 529-7470

Smyrna
29 N. East Street
Smyrna, DE 19977
Phone: (302) 389-2225
Fax: (302) 389-1003

Riverside
700 Lea Blvd., Suite 102
Wilmington, DE 19802
Phone: (302) 764-2615
Fax: (302) 762-4076

Dover
1006 College Road, Suite 201
Dover, DE 19904
Phone: (302) 730-8848
Fax: (302) 730-8846

Omega
87 Omega Drive, Building B
Newark, DE 19713
Phone: (302) 733-0980
Fax: (302) 733-7495

Milford Office (Air Park Plaza)
915 North DuPont Blvd, Suite 104
Milford, DE 19963
Phone: (302) 491-4487
Fax: (302) 491-4635

Glasgow
2600 Glasgow Avenue, Suite 210
Newark, DE 19702
Phone: (302) 832-8894
Fax: (302) 832-8897

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Staffed by certified physiatrists, chiropractors, psychologists, and therapeutic rehabilitation specialists, we provide pain relief for many types of bone, joint, nerve conditions. Our interventional pain management specialists (PM&R) treat closed head injuries, stroke, concussion, whiplash, dizziness, headaches, sciatica, disc problems, back & neck pain, joint stiffness, sleep apnea, muscle spasm, fibromyalgia, arthritis, neuritis, bursitis, and more.  We also treat job related injuries and injury from auto accident, sports or a fall at home.  As experts in Pain Medicine, our doctors provide surgical and non-surgical solutions including trigger point injections, epidural injections, nerve block, spinal cord stimulation, intrathecal spinal pump implant, PRP therapy, Graston® technique, Prolotherapy and more.  Serving Wilmington, Newark, Middletown, Smyrna, and Dover, Delaware.