Facet Injections

Facet joint pain arises from degenerative changes within the facet joint. These changes may cause inflammation. The mainstay of treatment is anti-inflammatory medication, physical therapy, chiropractic care and activity modification. If these treatments fail to provide adequate pain relief, injections may be considered. Facet injections may also be used as a diagnostic evaluation. If the pain decreases significantly after the injection, this helps to verify the joint as a pain generator. This can be helpful in planning future treatment.

These injections can provide relief from pain for days or even years or, in some cases, permanently.

Before Facet Injection Treatment

Once you have decided to have the facet injection, the following events take place:

  • Do not eat or drink anything after midnight prior to your facet injection treatment.
  • Discontinue all medications after midnight before your injection. If you are on routine medications for heart, blood pressure or diabetes, you can take your medication as usual the morning of your injection with a sip of water. Diabetics may eat.
  • Tell the doctor if you are on Coumadin (blood thinner) because special arrangements will need to be made.

During Facet Injection Treatment

  • You will be lying on a table in a procedure room.
  • The skin in the area where the injection will be made will be cleaned.
  • A local anesthetic will be used to numb the area of the injection.
  • Fluoroscopy, a method used to make images, will be used as the physician passes the needle into the facet joint.
  • A mixture of anesthetic and cortisone is injected into the facet joint(s).
  • The injection procedure will take about 30 minutes.

After Facet Injection Treatment

  • You will be in a recovery room for about 30 minutes.
  • It is important that you have someone to drive you home.
  • It is common to experience an increase in pain once the numbing medicine wears off.
  • The steroid in this back pain treatment does not become effective for 24-36 hours.
  • Activity should be restricted for the first 4-5 days after the facet injection treatment.

Downtown Pain Physicians

Patients visit this practice from all over NYC due to their unique approach and extensive medical offerings. This includes Queens, Manhattan, Staten Island, Brooklyn & Bronx. The medical practice is in the Downtown & Lower Manhattan area near the Lower East Side, Tribeca, Financial District, Downtown Brooklyn, Dumbo, Soho, Chelsea, East Village, Murray Hill, Brooklyn Heights, Williamsburg and the local zip codes of course (10038, 10007, 10022, 10005, 10006, 10280, 10004, 11201, 11251 11217, 11211, 11231 & 10013).

A Medical Examination is Required to Diagnose and Treat Any & All Medical Conditions.

The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment.

Contact Us

80 Maiden Ln #905A New York, NY 10038 (Maiden Lane & Gold Street)
(212) 404-8070

Office Hours

Mon – Fri
9:00am – 7:00pm
Downtown Physicians