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Facet joint injections are used to alleviate symptoms of Facet syndrome. [1] The procedure is an outpatient surgery, so that the patient can go home on the same day. It usually takes 10–20 minutes, but may take up to 30 minutes if the patient needs an IV for relaxation. [ 2 ]
Facet joints also prevent each vertebra from slipping over the one below. A small capsule surrounds each facet joint providing a nourishing lubricant for the joint. Also, each joint has a rich supply of tiny nerve fibers that provide a painful stimulus when the joint is injured or irritated. Inflamed facets can cause a powerful muscle spasm.
This is commonly known as facet joint arthritis or facet arthropathy. [3] As with any arthritis , the joint can become enlarged due to the degenerative process. Even small changes to the facet joint can narrow the intervertebral foramen , possibly impinging on the spinal nerve roots within. [ 3 ]
Opiates are usually prescribed for pain for management of this condition. Conversely, facet joint injections are not indicated for the treatment of syringomyelia. [30] Radiation is rare, but may be used if a tumor is involved. In these cases, it can halt the extension of a cavity and may help to alleviate pain. [31]
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Facet joints, also known as zygapophyseal joints, refer to small bony structures located between the vertebrae of the spine that promote spinal stability. Degeneration or damage to the facet joints can often lead to facet joint syndrome , which can be both diagnosed and treated by image-guided injection of anesthetics.