What are lumbar facet joints? Why are these injections helpful?
Lumbar facet joints are small pairs of joints where vertebrae meet on the back side of the lower/lumbar spine. These joints provide stability to spine by interlocking two vertebrae. Facet joints also allow the spine to bend forward (flexion), bend backward (extension), and twist. Inflammation of facet joints occurs from injuries and arthritis. Microscopic inflammation is often not seen on X-Ray or MRI. Facet injections serve two purposes, diagnosis and treatment. First, injecting anesthetic (numbing) medication into a joint confirms the diagnosis that the pain comes from this joint if the pain temporarily resolves following the injection. Second, the cortisone reduces inflammation which breaks the pain cycle. With pain under control, you can begin a rehabilitative exercise program. What will happen to me during the procedure? An IV will be started so that relaxation medication can be given during the procedure. You will be taken to a procedure room and positioned lying face down on an
