A patient receives a paravertebral facet joint injection as a therapeutic intervention to alleviate pain and improve mobility. This procedure involves the injection of a numbing agent and sometimes a corticosteroid into the facet joints, which are located between the vertebrae of the spine. Facet joint injections are commonly used to treat conditions such as spinal arthritis, degenerative disc disease, and sacroiliac joint pain.
Facet joint injections are performed by an interventional pain specialist using fluoroscopic guidance to ensure accurate placement of the needle. The patient is positioned on an X-ray table, and the skin over the injection site is cleaned and numbed. The physician then inserts a thin needle through the skin and into the facet joint, guided by real-time X-ray images. Once the needle is in the correct position, the numbing agent and corticosteroid are injected into the joint.
The purpose of the numbing agent is to provide immediate pain relief by temporarily blocking the pain signals from the facet joints. The corticosteroid, on the other hand, is designed to reduce inflammation and provide long-term pain relief. Patients typically experience relief within a few days to a week after the injection, with some cases showing improvement as long as several months.
It is important for patients to understand that while a paravertebral facet joint injection can provide significant relief, it is not a permanent solution. The procedure is often used as a diagnostic tool to determine if the facet joints are the source of pain, and as a treatment option when conservative measures have failed. In some cases, patients may require multiple injections over time to maintain pain relief.
Before undergoing a paravertebral facet joint injection, patients should discuss the potential risks and benefits with their healthcare provider. While complications are rare, they may include infection, bleeding, nerve damage, and increased pain. Most patients, however, report a positive experience with minimal discomfort during the procedure.
In conclusion, a patient receiving a paravertebral facet joint injection can expect a minimally invasive procedure aimed at providing relief from chronic pain. This intervention can significantly improve quality of life and may be a viable option for those who have not found relief through other treatment methods. As always, it is crucial for patients to consult with their healthcare provider to determine the best course of action for their individual needs.
