Facet Injection

Facet injections target the small joints located at the top and bottom of each vertebra. These joints guide movement and keep the spine stable. When they become irritated or inflamed, they can cause neck or back pain. Injury, arthritis, or excess stress on the spine are common causes.

Facet injections offer minimally invasive relief. They reduce inflammation in the facet joints but are not a permanent cure. Many providers use facet injections as a diagnostic tool to confirm whether the facet joints are the true source of pain. This non-invasive treatment also aids helps reduce inflammation from conditions like spinal stenosis, spondylolysis, arthritis, sciatica, or a herniated disc.

A facet injection usually contains a corticosteroid and a numbing agent. Your provider injects the medication directly into the painful joint or the tissues around it. The goal is to reduce pain so you can return to daily activities and participate in physical therapy.

Doctors recommend facet injections when conservative treatments, such as rest, physical therapy, back braces, or anti-inflammatory medication, no longer work. This procedure is not suitable for people with infections, bleeding disorders, or those who are pregnant. Patients taking aspirin or blood thinners may need to stop them before the procedure.

Facet injections are outpatient procedures. You can go home the same day but should arrange a ride. The procedure usually takes 15–30 minutes plus a short recovery period.

During the procedure, you lie face down and remain awake. You may receive a sedative to help you relax. A local anesthetic numbs the skin. Your provider inserts a thin needle into the facet joint using fluoroscopic (X-ray) guidance. After confirming placement, the medication is injected and the needle is removed.

Facet injections are considered safe with minimal risks. Possible complications include bleeding, infection, allergic reactions, or nerve irritation. Steroid side effects—such as flushing, water retention, mood changes, or temporary weight gain, usually fade within a few days.