Facet joint, Southlake



A facet joint, Southlake block or injection is a minimally invasive procedure in which a physician injects a small amount of local anesthetic and/or medication to numb a facet joint, Southlake and provide pain relief. Fluoroscopy, a form of real-time x-ray, or CT is used to guide the placement of the needle into the facet joint.
A facet joint, Southlake injection is a relatively simple, straightforward procedure, and is usually performed in an office based procedure suite or in an ambulatory surgical center.

What are some common uses of the procedure?

A facet joint, Southlake block is typically performed to:
  • reduce inflammation
  • provide long-term pain relief
  • help patients tolerate physical therapy or other rehabilitative exercises
  • help physicians determine the cause of back or neck pain

Characteristics/Clinical Presentation

The joint capsule is more likely to generate pain than the articular cartilage or the synovium. All of the lumbar facet joints are capable of producing pain that can refer to the groin (this is more common with lower facet joint pathology).

Cervical facet syndrome includes following symptoms:

  • ·         Axial neck pain (rarely radiating past the shoulders), most common unilaterally
  • ·         Pain with and/or limitation of extension and rotation
  • ·         Tenderness upon palpation
  • ·         radiating pain locally or into the shoulders or upper back, and rarely radiate in the front or down an arm or into the fingers as a herniated disc might.

Lumbar facet syndrome can be characterized by following symptoms:

  • ·         Pain or tenderness in lower back.
  • ·         Local tenderness/stiffness alongside the spine in the lower back.
  • ·         Pain, stiffness or difficulty with certain movements (such as standing up straight or getting up from a chair.
  • ·         Pain upon hyperextension


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