Pain Management

Pain Management Injections For Back and Facet Joints

Pain Management Injections For Back and Facet Joints Prema Health

About this treatment

Pain management injections for back and facet joints are a significant component of contemporary treatment strategies aimed at alleviating chronic back pain. These injections are particularly beneficial for individuals suffering from conditions such as facet joint arthritis, spinal stenosis, herniated discs, or other degenerative spinal conditions that cause persistent pain and discomfort.

Facet joint injections are a common type of pain management injection designed to target pain originating from the facet joints, which are small stabilising joints located between and behind adjacent vertebrae. These joints can become inflamed or degenerated due to various factors, including ageing, injury, or repetitive stress, leading to significant back pain. The injections typically contain a combination of a local anaesthetic and a corticosteroid. The local anaesthetic provides immediate but temporary pain relief, while the corticosteroid helps to reduce inflammation, offering longer-term relief.

During the procedure, the patient is usually positioned on their stomach, and the skin over the injection site is cleaned and numbed with a local anaesthetic. The physician guides the needle into the facet joint and injects the medication. The entire procedure typically takes less than 30 minutes, and patients can often go home the same day.

Appointment Time

1 hour

Waiting List

Minimal

Frequency

As Needed

Downtime

Minimal

In More Detail

Epidural steroid injections (ESIs) are another common type of pain management injection used to treat back pain, particularly when it radiates to the legs (as in sciatica). These injections deliver a potent anti-inflammatory steroid directly into the epidural space, which surrounds the spinal cord and nerve roots. The goal is to reduce inflammation and swelling of the nerve roots, thereby alleviating pain.

Sacroiliac (SI) joint injections are used to treat pain originating from the sacroiliac joint, which connects the sacrum at the base of the spine to the iliac bones of the pelvis. SI joint pain can mimic other sources of lower back pain and is often under-diagnosed. The injection process is similar to that of facet joint injections, involving a mixture of anaesthetic and steroid to reduce inflammation and provide pain relief.

The benefits of pain management injections are multifaceted. They can provide significant pain relief, reduce the need for oral medications, and improve a patient’s ability to participate in physical therapy and other rehabilitative activities. This is particularly important because maintaining or increasing physical activity is often a key component of managing chronic back pain and preventing further degeneration.

However, it is crucial to note that these injections are not a permanent cure for back pain. The duration of pain relief varies among patients, and repeated injections may be necessary to maintain relief. Moreover, while generally considered safe, these procedures carry risks, such as infection, bleeding, or nerve damage, though these complications are rare.

In conclusion, pain management injections for back and facet joints offer a valuable option for many individuals suffering from chronic back pain. These minimally invasive procedures can provide significant pain relief and enhance the quality of life by reducing inflammation and facilitating participation in rehabilitative activities.

Frequently Asked Questions

1. How do these injections work to relieve pain?

These injections work by delivering medication directly to the source of pain and inflammation. The local anaesthetic provides immediate but temporary pain relief, while the corticosteroid reduces inflammation over a longer period, thereby providing more sustained pain relief

2. Are there any risks or side effects associated with these injections?

As with any medical procedure, there are potential risks and side effects. Common side effects include temporary pain at the injection site, increased pain for a few days following the injection, and headache. More serious but rare risks include infection, bleeding, nerve damage, and allergic reactions to the medication. It is important to discuss these risks with Dr Baylis before undergoing the procedure.

3. How long do the effects of the injections last?

The duration of pain relief from these injections can vary widely among individuals. Some people may experience relief for a few weeks, while others might benefit for several months. In some cases, repeated injections may be necessary to maintain pain relief.

4. Can I continue my regular activities after the injection?

Most patients are able to resume their normal activities shortly after the injection, although it is typically recommended to rest for the remainder of the day following the procedure. Strenuous activities and heavy lifting should be avoided for a few days to allow the medication to take full effect and to minimise the risk of complications.

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Our Pain Management Team

Meet the specialists who will likely be seeing you for your consultation or treatment.

Mr Rob Baylis

MB BS, MSc, FRCA, FFPMRCA

Dr. Baylis is a distinguished consultant in pain medicine, recognised for his expertise and dedication within a multidisciplinary team.

Conditions Treated

Pain management injections for back and facet joints can treat a variety of conditions including herniated discs, degenerative disc disease, spinal stenosis, and facet joint arthritis. They are often used to alleviate chronic back pain that has not responded to other treatments such as physical therapy or medication.

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