What Are Facet Joints?

Facet joints are small joints located at the back of the spine. They connect the vertebrae and help guide movement of the neck and lower back.

Like other joints in the body, facet joints can become inflamed or irritated. Degeneration, arthritis, repetitive strain, or injury may contribute to pain originating from these joints.

Facet joint pain is often described as localized neck or back pain that may worsen with:

What Is a Facet Joint Injection?

A facet joint injection is a minimally invasive procedure used to reduce inflammation and relieve pain arising from the facet joints.

The injection delivers medication directly into or around the affected joint. It typically includes:

By targeting the joint itself, the treatment focuses on the source of mechanical or inflammatory pain.

What Conditions Can Facet Joint Injections Treat?

Facet joint injections may be considered for patients experiencing:

This treatment is generally considered when conservative therapies have not provided sufficient relief.

What to Expect

The skin over the treatment area is cleaned, and a small needle is guided into the targeted facet joint. Imaging guidance may be used when appropriate to support accurate placement.

The procedure is typically brief. Some patients may experience temporary numbness or mild soreness at the injection site.

Relief from the anesthetic may occur shortly after the procedure. Longer-lasting relief may develop over several days as inflammation decreases.

Assessment and Treatment Planning

Facet joint injections are recommended after a detailed medical assessment to determine whether the facet joints are contributing to pain. Clinical history, physical examination, and imaging findings when available are considered before proceeding.

Treatment is integrated into an overall pain management plan based on diagnosis, symptom pattern, and prior response to therapy.