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Facet Joint Syndrome is a condition of the spine that causes neck and back pain.  Each vertebra of the spine contains two facet joints that are cartilage filled, allowing gliding and sliding of vertebrae during movement.  Facet joints also prevent overextension. Over time, and with degenerative changes of the spine, the facet joint may begin to thin and make it difficult for the joint to guide smoothly over one another.  As a result, inflammation and irritation may occur. Medial Branch Blocks assist with

What To Expect With Facet Joint Injection (Medial Branch Block)
It is important to discuss any medications you are taking before your injection.  You will be asked to hold your anticoagulation therapy a certain number of days before the procedure to reduce your risk of bleeding.  You may also be asked to stop other medications prior to and after the procedure. You will be instructed on when you can resume your medications.

The procedure takes less than an hour.  You may experience numbness after your procedure.  So, it is important that you have someone to drive you home.  You can expect some discomfort at the time of injection, and generalized soreness afterwards.

During The Procedure
Your injection will be done with x-ray imaging (fluoroscopy) for accuracy.  You will be asked to lie flat on the exam table and remain still during the procedure.  Your skin will be cleaned with a disinfectant, and the area is numbed for better comfort.  Once the area is numb, we will inject medication that will cause a numbing effect and will help to reduce inflammation.  You will be monitored shortly after the procedure, and will go home after the injection. You can expect some discomfort at the injection site and numbness after the medication is injected.

After The Procedure
You should rest and relax immediately after the procedure.  You can apply ice to the injection site, if you have soreness. You will feel a reduction in pain in 1-2 hours after the injection.  This is due to the anesthetic in the injection. Your pain may return after the anesthetic wears off. You should start to see relief in 3-5 days, though this time may vary.

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