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Facet Joint Injection
Colin J. McCarthy, MB, BCh, BAO, MRCSI, FFR (RCSI); Jeffrey S. Ross, MD
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KEY FACTS

  • Terminology

    • Preprocedure

      • Procedure

        • Post Procedure

          • Outcomes

            TERMINOLOGY

            • Abbreviations

              • Facet joint injection (FJI)
            • Synonyms

              • Facet joint block (FJB)
            • Definitions

              • Injection of long-acting anesthetic ± corticosteroid into thoracic facet joint

            PREPROCEDURE

            • Indications

              • Contraindications

                • Getting Started

                  PROCEDURE

                  • Patient Position/Location

                    • Equipment Preparation

                      • Procedure Steps

                        • Findings and Reporting

                          • Alternative Procedures/Therapies

                            POST PROCEDURE

                            • Expected Outcome

                              • Things to Do

                                • Things to Avoid

                                  OUTCOMES

                                  • Problems

                                    • Complications

                                      Selected References

                                      1. Lee DG et al: Comparison of intra-articular thoracic facet joint steroid injection and thoracic medial branch block for the management of thoracic facet joint pain. Spine (Phila Pa 1976). 43(2):76-80, 2018
                                      2. Im TS et al: Effects of facet joint injection reducing the need for percutaneous vertebroplasty in vertebral compression fractures. Cardiovasc Intervent Radiol. 39(5):740-5, 2016
                                      3. Manchikanti L et al: Management of lumbar zygapophysial (facet) joint pain. World J Orthop. 7(5):315-37, 2016
                                      4. Manchikanti L et al: Utilization of facet joint and sacroiliac joint interventions in medicare population from 2000 to 2014: explosive growth continues! Curr Pain Headache Rep. 20(10):58, 2016
                                      5. Vekaria R et al: Intra-articular facet joint injections for low back pain: a systematic review. Eur Spine J. 25(4):1266-81, 2016
                                      6. Manchikanti L et al: A systematic review and best evidence synthesis of the effectiveness of therapeutic facet joint interventions in managing chronic spinal pain. Pain Physician. 18(4):E535-82, 2015
                                      7. Manchikanti L et al: Comparison of the efficacy of saline, local anesthetics, and steroids in epidural and facet joint injections for the management of spinal pain: a systematic review of randomized controlled trials. Surg Neurol Int. 6(Suppl 4):S194-235, 2015
                                      8. Peterson C et al: Evidence-based radiology (part 1): is there sufficient research to support the use of therapeutic injections for the spine and sacroiliac joints? Skeletal Radiol. 39(1):5-9, 2010
                                      9. Sehgal N et al: Systematic review of diagnostic utility of facet (zygapophysial) joint injections in chronic spinal pain: an update. Pain Physician. 10(1):213-28, 2007
                                      10. Boswell MV et al: Accuracy of precision diagnostic blocks in the diagnosis of chronic spinal pain of facet or zygapophysial joint origin. Pain Physician. 6(4):449-56, 2003
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Preprocedure

                                          • Procedure

                                            • Post Procedure

                                              • Outcomes

                                                TERMINOLOGY

                                                • Abbreviations

                                                  • Facet joint injection (FJI)
                                                • Synonyms

                                                  • Facet joint block (FJB)
                                                • Definitions

                                                  • Injection of long-acting anesthetic ± corticosteroid into thoracic facet joint

                                                PREPROCEDURE

                                                • Indications

                                                  • Contraindications

                                                    • Getting Started

                                                      PROCEDURE

                                                      • Patient Position/Location

                                                        • Equipment Preparation

                                                          • Procedure Steps

                                                            • Findings and Reporting

                                                              • Alternative Procedures/Therapies

                                                                POST PROCEDURE

                                                                • Expected Outcome

                                                                  • Things to Do

                                                                    • Things to Avoid

                                                                      OUTCOMES

                                                                      • Problems

                                                                        • Complications

                                                                          Selected References

                                                                          1. Lee DG et al: Comparison of intra-articular thoracic facet joint steroid injection and thoracic medial branch block for the management of thoracic facet joint pain. Spine (Phila Pa 1976). 43(2):76-80, 2018
                                                                          2. Im TS et al: Effects of facet joint injection reducing the need for percutaneous vertebroplasty in vertebral compression fractures. Cardiovasc Intervent Radiol. 39(5):740-5, 2016
                                                                          3. Manchikanti L et al: Management of lumbar zygapophysial (facet) joint pain. World J Orthop. 7(5):315-37, 2016
                                                                          4. Manchikanti L et al: Utilization of facet joint and sacroiliac joint interventions in medicare population from 2000 to 2014: explosive growth continues! Curr Pain Headache Rep. 20(10):58, 2016
                                                                          5. Vekaria R et al: Intra-articular facet joint injections for low back pain: a systematic review. Eur Spine J. 25(4):1266-81, 2016
                                                                          6. Manchikanti L et al: A systematic review and best evidence synthesis of the effectiveness of therapeutic facet joint interventions in managing chronic spinal pain. Pain Physician. 18(4):E535-82, 2015
                                                                          7. Manchikanti L et al: Comparison of the efficacy of saline, local anesthetics, and steroids in epidural and facet joint injections for the management of spinal pain: a systematic review of randomized controlled trials. Surg Neurol Int. 6(Suppl 4):S194-235, 2015
                                                                          8. Peterson C et al: Evidence-based radiology (part 1): is there sufficient research to support the use of therapeutic injections for the spine and sacroiliac joints? Skeletal Radiol. 39(1):5-9, 2010
                                                                          9. Sehgal N et al: Systematic review of diagnostic utility of facet (zygapophysial) joint injections in chronic spinal pain: an update. Pain Physician. 10(1):213-28, 2007
                                                                          10. Boswell MV et al: Accuracy of precision diagnostic blocks in the diagnosis of chronic spinal pain of facet or zygapophysial joint origin. Pain Physician. 6(4):449-56, 2003