What are Facet Joint Blocks?

A facet joint block involves injecting a combination of medication, typically a local anesthetic and sometimes a corticosteroid, near the facet joints in your spine. Facet joints are small joints located behind each vertebra in your spine. These joints help with flexibility and support the weight of your upper body. Inflammation or irritation of the facet joints can cause pain in the neck, lower back, and sometimes even radiate to other areas. The injected medication in a facet joint block helps:

• Numb the nerves: The local anesthetic provides immediate pain relief by blocking pain signals from the inflamed facet joints.
• Reduce inflammation: In some cases, a corticosteroid may be included to reduce inflammation around the joint for longer-lasting relief.

Conditions Treated with Facet Joint Blocks at Ishaan Ortho & Spine:

• Facet joint arthritis: Wear and tear of the facet joints over time can lead to inflammation and pain.
• Cervical spondylosis: This condition refers to degeneration of the spine in the neck, which can involve facet joint arthritis and cause neck pain.
• Lumbar spondylosis: Similar to cervical spondylosis, but affecting the lower back and potentially causing lower back pain.
• Spinal stenosis: Narrowing of the spinal canal can put pressure on nerves near the facet joints, leading to pain, numbness, and weakness.
• Post-surgical pain: Facet joint blocks may be used after spine surgery to manage pain and promote healing.

Benefits of Facet Joint Blocks:

• Targeted pain relief: Medication is delivered directly to the inflamed facet joints, offering effective relief for pain in the neck, lower back, and potentially radiating discomfort.
• Diagnostic tool: A successful facet joint block can help confirm the facet joints as the source of your pain, aiding in diagnosis.
• Minimally invasive procedure: Injections are performed on an outpatient basis (Day Care) with minimal discomfort.
• Improved mobility: By reducing pain, these blocks can help you regain mobility and function in your neck and back.
• Potential to avoid surgery: In some cases, successful blocks can provide long-lasting pain relief and help you avoid surgery.

What to Expect During a Facet Joint Block at Ishaan Ortho & Spine:

1. Consultation: Dr. Subodh M Shetty will discuss your pain symptoms, medical history, and perform a physical examination to determine if a facet joint block is the right approach for you. X-rays or other imaging tests may be recommended for a more precise diagnosis.
2. Preparation: The area to be injected will be cleaned and sterilized. Local anesthetic may be applied to numb the injection site and minimize discomfort.
3. Fluoroscopy Guidance: Using fluoroscopy (real-time X-ray imaging), Dr. Shetty will carefully guide a thin needle to the precise location near the targeted facet joint(s).
4. Injection: The medication is then injected near the joint(s). The entire procedure typically takes less than 30 minutes.
5. Recovery: Facet joint blocks are Day Care procedures, and you can usually resume most activities after the injection. Dr. Shetty will provide specific instructions regarding rest, icing, and any limitations on movement.

Following a Facet Joint Block:

• You may experience some mild soreness or discomfort at the injection site, which can be managed with over-the-counter pain medication.
• The pain relief from the local anesthetic typically lasts for several hours, while the effects of a corticosteroid (if used) may take a few days to become apparent.
• Depending on the severity of your condition, a series of injections may be recommended, spaced a few weeks apart.
• It is important to follow Dr. Shetty’s instructions regarding rest and physical therapy exercises to optimize the effectiveness of the treatment.

Are Facet Joint Blocks Right for You?

Schedule a consultation with Dr. Subodh M Shetty at Ishaan Ortho & Spine in Bangalore to discuss your pain and explore if facet joint blocks can offer targeted relief. Our Day Care services provide a convenient and effective approach to managing pain and improving your quality of life.