Can I go back to work the same day or the next day? Your recovery room nurse will advise you about applying ice to the site. Perform the activities as tolerated by you. We advise the patients to take it easy for a day or so after the procedure. You should start noticing pain relief starting about 1-2 days after the procedure. Your pain may return and you may have some soreness at the injection site for a day or so. This is due to the effect of the local anesthetic and lasts only for a few hours. Shortly after the injection, you may notice that your pain may be gone or considerably less. What should I expect after the injection? Very small needles are placed within the joint capsule and a small volume (usually about 1 mL) is placed in each joint. The skin on the back is cleaned with antiseptic solution and then the procedure is done. In addition to your doctor and the x-ray technician, there will be a nurse in the room. ![]() Your blood pressure and oxygenation will be monitored. It is typically done with you lying on your stomach. It is OK to take your medications with a sip of water with either decision. It can range from some drowsiness or you may have little or no memory of the procedure depending upon your comfort level, regardless of the amount of sedation, you must not eat or drink anything for 6 hours prior to this and you must also have a driver when choosing sedation. You can also choose to have IV sedation, which can keep you very comfortable. You can choose to have the procedure done under local anesthetic only. If you experience any pain during the procedure, your doctor will inject more local anesthetic as needed. After the skin is numb, the procedure needle feels like a bit of pressure at the injection site. It feels like a little pinch and then a slight burning as the local anesthetic starts numbing the skin. ![]() Will it hurt?Īll of our procedures begin by injecting a small amount of local anesthetic through a very small needle. The injection consists of a mixture of local anesthetic (e.g., Bupivacaine) and the steroid medication (Celestone). Please allow about an hour for the procedure this will include talking to your doctor before the procedure, signing the informed consent, positioning in the room, and observation by the recovery room nurse afterwards. The actual injection takes only a few minutes. For neck (cervical) facet joints, the pattern of pain is an achiness in the neck, slight radiation across the neck and shoulders, and worsening symptoms with turning the head from side to side or looking up. Usually, standing or bending backward worsens the pain. For lower back (lumbar) facet joints, the pattern of pain is usually an achiness in the low back, radiating across the lower back and slightly down the back of the buttocks and upper thighs. Sometimes, due to a variety of acute and chronic conditions, the facet joints can become inflamed. They are small bony projections from one vertebra meeting with similar bony projections from the vertebra above or below. The facet joints, also known as the zygapophysial joints, are part of the bony framework of the spine. ![]() A facet joint injection is an injection of an anti-inflammatory steroid (e.g., Dexamethasone or Triamcinolone) in the facet joints.
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