Lumbar facet joint steroid injections

Enlargement of the facet joints is most commonly associated with osteoarthritis and degenerative joint disease.  As the cartilage lining of the flat surface is worn away, the body compensates and reinforces the area by laying down extra bone that are called bone spurs, making the joints thicker and larger in some areas.  Less commonly facet hypertrophy can be caused by rheumatoid arthritis when the synovial layer of the joint capsule becomes inflamed and thickened. Thus, either by inflammation or extra bone growth, facet joint “hypertrophy,” or “enlargement,” can occur.

What should I do after the procedure?
20-30 minutes after the procedure, you move your area of usual discomfort to try to provoke your usual pain. You report your remaining pain (if any) and record the relief you experience during the next week in a "pain diary" we provide*. You may or may not feel improvement during the first few hours after the injection. This depends on if the joints injected are your main pain source. The pain diary is an important component of your care. It helps your treating physician to be informed of your results so future tests and/or needed treatment can be planned.

The radiofrequency ablation procedure is an outpatient procedure which traditionally takes about 30 minutes to complete. There is additional time required for observation after intravenous sedation. Symptom relief can range from six months to a year but can last longer as well. It can be repeated in six months to a year, if needed. Radiofrequency has been performed safely for many years with excellent outcomes. You may have a sore back or neck for one to two days immediately afterwards. It is recommended that you take it easy on the day of procedure, but return to usual activities the following day. The benefit from this procedure will typically occur within two weeks.

I started going to Active Physical Therapy in January of 2014. I like to consider myself as semi athletic. To stay in shape and keep a positive outlook on life I enjoy running, playing basketball, walking the dogs and hiking with our pups and I started going to Active Physical Therapy in January of 2014. I like to consider myself as semi athletic. To stay in shape and keep a positive outlook on life I enjoy running, playing basketball, walking the dogs and hiking with our pups and boys . I was starting to have some pain in my hip that was making that difficult for me to do those things and / or painful during and after. With the help of their staff I am feeling much better and I am able to do the things that I love to do with little to no pain. Where they stand out to me is their personal care and explaining to the patient what it is they are doing and how it will help. That is very hard to find in a Dr today. Bottom line If you want to get better they WILL get you there. They are experts!
-- Jonathan W.

Injections are used to both diagnose and treat facet joint pain. One such injection called a medial branch block is regarded by some as the only definitive way to tell if your spine pain is caused by damage to the facet joint. Your doctor will inject a local anesthetic into the area. If that relieves your pain, she may diagnose you with a facet joint problem. A 2008 review of medical studies published in Pain Physician that looked at the usefulness of medial branch blocks for diagnosing and treating facet pain found moderate evidence of both long and short-term relief. Still, the use of such injections tends to be limited to confirming that your pain indeed comes from the facet joints.

Lumbar facet joint steroid injections

lumbar facet joint steroid injections

I started going to Active Physical Therapy in January of 2014. I like to consider myself as semi athletic. To stay in shape and keep a positive outlook on life I enjoy running, playing basketball, walking the dogs and hiking with our pups and I started going to Active Physical Therapy in January of 2014. I like to consider myself as semi athletic. To stay in shape and keep a positive outlook on life I enjoy running, playing basketball, walking the dogs and hiking with our pups and boys . I was starting to have some pain in my hip that was making that difficult for me to do those things and / or painful during and after. With the help of their staff I am feeling much better and I am able to do the things that I love to do with little to no pain. Where they stand out to me is their personal care and explaining to the patient what it is they are doing and how it will help. That is very hard to find in a Dr today. Bottom line If you want to get better they WILL get you there. They are experts!
-- Jonathan W.

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