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The Bone & Joint Center
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      • Duncan B. Ackerman, MD
      • Timothy J. Bopp, MD
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Pain Management - Facet Injections

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  • Introduction
  • Treatment

Introduction

Facet injections are non-surgical treatments to relieve pain and inflammation of the facet joints in the spine.  Facet joints are located on the top and bottom of each vertebra.  Facet joints connect the vertebrae to form the spine and allow back motion.  Facet injections target pain coming from the facet joints.  The treatments can help relieve pain in your neck, low back, and legs.

Facet pain and inflammation can be caused by spinal stenosis, spondylolysis, sciatica,  arthritis and herniated disc.  You may be a candidate for facet injections if you have spine-related pain that is not relieved by conservative treatments.  Facet injection treatments involve injecting the facet joint capsule or surrounding tissue with corticosteroid and anesthetic medication.  Facet injections can also be used for diagnostic purposes to determine if the cause of your pain is actually coming from your facet joint.

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Treatment

Your doctor can provide facet joint injections as an outpatient procedure.  The treatment usually requires the use of fluoroscopy, and thus can be done in a doctor’s office, an outpatient center or a hospital.  You should have another person drive you to and from the facility on the day of your facet injection.
 
You will wear an examination gown for your facet injection procedure.  You will lie face down on the exam table.  The injection site will be sterilized and numbed.  You may be sedated or awake for the procedure.

Your doctor will use a C-arm fluoroscope, an imaging device, to guide the placement of the injection.  Your doctor will inject the medication into your facet joint capsule.  You will be able to walk immediately following the procedure, but you should take it easy for the next few days.

Facet injections are effective in about 50% of people that receive them.  Treatments can provide symptom relief for several days to months.  If facet injections are successful for you, the procedure can be repeated up to three times per year. 
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This information is intended for educational and informational purposes only. It should not be used in place of an individual consultation or examination or replace the advice of your health care professional and should not be relied upon to determine diagnosis or course of treatment.

The iHealthSpot patient education library was written collaboratively by the iHealthSpot editorial team which includes Senior Medical Authors Dr. Mary Car-Blanchard, OTD/OTR/L and Valerie K. Clark, and the following editorial advisors: Steve Meadows, MD, Ernie F. Soto, DDS, Ronald J. Glatzer, MD, Jonathan Rosenberg, MD, Christopher M. Nolte, MD, David Applebaum, MD, Jonathan M. Tarrash, MD, and Paula Soto, RN/BSN. This content complies with the HONcode standard for trustworthy health information. The library commenced development on September 1, 2005 with the latest update/addition on February 16, 2022. For information on iHealthSpot’s other services including medical website design, visit www.iHealthSpot.com.

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Bismarck 310 N. 9th Street Bismarck, ND 58501
Phone: (701) 946-7400
Fax: (701) 751-4550

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At The Bone & Joint Center, our compassionate orthopedic specialists provide a wide range of services including orthopedic surgery, shoulder replacement, hand surgery, shoulder scope, hip replacement, knee replacement, joint revision, minimally invasive procedures, ligament reconstruction, physical therapy, and occupational therapy.

  • Home
  • About Us
    • Careers
    • Back
  • Meet the Providers
    • Bone & Joint Physicians
      • Duncan B. Ackerman, MD
      • Timothy J. Bopp, MD
      • Chad B. Carlson, MD
      • Joseph W. Carlson, MD
      • Derrick O. Cote, MD
      • Brian P. Dahl, MD
      • Timothy J. Juelson, MD
      • Steven Kraljic, MD
      • Brock A. Norrie, MD
      • Troy D. Pierce, MD
      • Back
    • Advanced Practice Providers
    • Therapists
    • Back
  • Specialties
    • Foot & Ankle
    • General Orthopedics
    • Hand & Wrist
    • Hip & Knee
    • Joint Replacement
    • Neurosurgery
    • Osteoporosis
    • Pediatric Orthopedics
    • Shoulder & Elbow
    • Sports Injuries
    • Trauma & Fractures
    • Back
  • Procedures & Services
    • Orthopedic Surgery
    • Shoulder Replacement
    • Hand Surgery
    • Rotator Cuff – Shoulder Scope
    • Hip Replacement
    • Knee Replacement
    • Joint Revision
    • Minimally Invasive Procedures
    • Ligament Reconstruction
    • Physical Therapy
    • Occupational Therapy
    • Hand Therapy
    • Back
  • Patient Resources
    • For New Patients
    • Therapy Protocols
    • Schedule an Appointment
    • Patient Portal
    • Medical Records Release
    • Patient Education
    • Important Phone Numbers
    • Other Resources
    • Good Faith Estimate Notice
    • Notice of Privacy Policy
    • Back
  • Blog
  • Contact & Locations
    • Beulah, ND
    • Bismarck, ND
    • Dickinson, ND
    • Garrison, ND
    • Hazen, ND
    • Hettinger, ND
    • Linton, ND
    • Minot, ND
    • Turtle Lake, ND
    • Williston, ND
    • Wishek, ND
    • Back
  • Ortho Update 2025
    • Achilles Tendon Repair Rehabilitation
    • Achilles Tendon Ruptures
    • ACL Tears: Repair or Reconstructions?
    • ACL Rehab R Malm
    • Articular Cartilage Management
    • Changes over 40 years
    • Conservative Management of Low Back Pain
    • Conservative Treatment for Patella-Femoral Pain
    • Functional Core Stability
    • Imaging of the Spine for Physical Therapists
    • Interventional Pain Medicine
    • Isokinetics: What Can We Learn From the Test?
    • Managing Scapular Dyskinesia
    • Patellofemoral Management
    • Plyometrics
    • Post-op Managment of Slap Repair
    • Rehab Post Rotator Cuff Surgery
    • Remplissage and Latarjet Rehabilitation
    • Return to Sport, What’s New?
    • Robotic Shoulder Replacement
    • Rotator Cuff Disease
    • Shoulder Arthroplasty
    • Shoulder Instability with Bone Loss
    • Slap Tears
    • Spinal Stenosis
    • Total Joint Post op restrictions
    • Total Joint Replacements: Younger Patients
    • Total Knee Replacement Rehabilitation
    • Back
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