About Facet Injections
Facet joint injections are an injectable pain-relieving medication that is used to help decrease discomfort in the facet joints, located between each set of vertebrae in your spine from the neck to the tailbone. This treatment is used to reduce the inflammation and swelling of tissue in and around your facet joint space. The goal of the treatment is to reduce the pain caused by inflammation or irritation of the facet joint and other spinal structures. Dr. Kendall Carll, a board-certified spine surgeon and founder of Spine Care of North Texas, is skilled in the treatment of back pain. He recommends facet injections to North Texas patients who have attempted conservative methods of treatment for back pain relief, but have not been successful. Call Spine Care of North Texas at our Plano, Addison, or Frisco, TX locations for more information.
"I recently experienced a pinched nerve that severely affected my ability to use my right hand. I contacted Dr. Carll who immediately went to work on my behalf. Knowing that this was a time sensitive situation Dr. Carll went out of his way to ensure that I received the appropriate MRIs, CAT scans, and nerve studies to properly diagnose my situation. After reviewing all the test Dr. Carll exhibited true professionalism and integrity by referring me out to Dr. Patty Young (I am so thankful for your referral) who specialized in the surgery that I would need. Dr. Carll could’ve chosen to operate because I had several degenerative disc, however he chose ethics over profit. Dr. Carll is a true professional that will put your health over profit! When it comes to your health there’s nothing more important than having a doctor that you can trust to be professional and ethical. Thank you Dr. Carll for providing me with both!"- K.H. / Google / Aug 29, 2018
"After being in pain for 3 years, my neck surgery changed my life!"- K.B. / Google / Apr 30, 2023
"Dr carrell read my chart even after not seeeing him for over one year and I appreciate that more than anything. Thank you!"- C.T. / Google / Apr 17, 2023
"Dr Carll treated a broken L4&5 on our teenage son years ago - and is helping me with a degenerative disc. The office is nice, the PA is wonderful, Miss Mary even called back to let me know the prescriptions were called in. Dr Carll was kind, helpful and professional. I couldn’t be more grateful as we work to reduce this pain. I highly recommend Dr. Carll."- A.B. / Google / Mar 27, 2023
"Had an excellent diagnosis, back surgery, and recovery. Dr. Carll must have done an excellent job because I was back on my racing bike for a (short) ride only 7 weeks after surgery - and after 3 months I was back up to 60 miles. 100% recommended."- W.S. / Google / Mar 17, 2023
Any patient who is experiencing back pain that has attempted nonsurgical treatment methods to no avail is a candidate for facet injections. Facet joint pain can be the result of injury, spinal stenosis, sciatica, or osteoarthritis. Although pain typically appears in the lumbar region of the back, it can occur anywhere in the spine. When your facet joints are inflamed, depending on the location of the inflammation, pain can be experienced in the following regions:
- Shoulders or neck
- Legs or arms
Facet injections are not typically recommended until after anti-inflammatory medications and other conservative methods have failed to alleviate symptoms. If you are pregnant, have an infection, or suffers from a bleeding disorder, you are not a candidate for this treatment.
You will be referred to the office of a pain management specialist to receive your injection. To address pain in the facet joint, facet injections will be performed while the patient lies on their stomach. For cervical or neck area facet injections, patients may be asked to sit or lay in other positions. The procedure will be performed using x-ray guidance, also known as fluoroscopy. Facet injections may be given using local anesthetics or intravenous sedation, depending on the severity and location of the pain.
Before the injection(s) is given, the neck will be cleaned with antiseptic. Then one by one, the injections will be inserted into the affected joints. Most specialists treat 3 – 4 joints per visit.
What to Expect
You may feel a sense of pain relief immediately after the injections. This is due to the local anesthetic injected during your procedure and will only last for a few hours. Your pain may return after the medication subsides and could remain for a couple of days. Patients whose procedures were performed under sedation will need a ride home. You will need to rest and relax for the remainder of the day, using ice to help ease the discomfort of the injection site. Barring complications, you should be able to return to regular activities the following day. Most patients report pain relief following facet injections at 5 – 8 days post procedure.
Dr. Carll seeks out nonsurgical, minimally invasive way to help his North Texas patients achieve pain relief. Surgery is not always the answer when it comes to spine injuries and our skilled team is passionate about that fact. If you or a loved one is suffering with back pain and in search of a solution, facet injections may be right for you. Schedule a consultation with Dr. Carll at Spine Care of North Texas to learn more about this innovative procedure.