Facet Injections and best pain management physician in Mansfield TX


A facet joint injection is a relatively simple, straightforward procedure, and is usually performed in an office-based procedure suite or in an ambulatory surgical centre. Facet joint block is a minimally invasive procedure in which a physician uses fluoroscopy or CT imaging to guide the placement of an injection of medication into a facet joint to provide pain relief. Just as a joint in your finger, knee, or hip can cause you discomfort, so can the facet joints in your neck and back.
 They can become arthritic or injured, causing pain. Pain that is mostly in the back and with a less specific, vague aching in the legs may be coming from one or more of these small joints in the lumbar area. Your physician will advise you to stop taking aspirin or blood thinner three days before your procedure, and you may be told not to eat or drink anything for eight hours beforehand.

Causes of Facet pain

The cause of facet joint syndrome is largely dependent on the region of the spine affected. Some causes of facet pain
Arthritis
Arthritis is the swelling and tenderness of one or more of your joints. The main symptoms of arthritis are joint pain and stiffness, which typically worsen with age. The most common types of arthritis are osteoarthritis and rheumatoid arthritis. The symptoms of arthritis usually develop over time, but they may also appear suddenly.
 Arthritis is most commonly seen in adults over the age of 65, but it can also develop in children, teens, and younger adults. Rheumatic conditions tend to involve pain, aching, stiffness, and swelling in and around one or more joints.  
Bone spurs 
Bone spurs are smooth, hard bumps of extra bone that form on the ends of bones. They often pop up in the joints the places where two bones meet. Despite the name, a bone spur is not a spiky structure, but rather a smooth outgrowth from the bone that has developed over a long period.
Bone spurs can form on many parts of your body, Hands, Shoulders, Neck, Spine, Hips, Knees, Feet. Bone spurs may or may not cause symptoms. When they do cause symptoms, the symptoms depend on their location.
Bone spurs can be associated with pain, numbness, tenderness, and weakness if they are irritating adjacent tissues. Bone spurs are detected by radiologic testing, such as with plain X-rays, ultrasound imaging, MRI scan, CT scan, and myelograms.
Obesity
 Obesity means having excess body fat. Adults 35 years of age and older with a BMI greater than 30 are obese. Obesity is not just a cosmetic consideration. It is a chronic medical disease that can lead to diabetes, high blood pressure, obesity associated cardiovascular disease such as heart disease, gallstones, and other chronic illnesses.
  Obesity is a risk factor for a number of cancers. Obesity is difficult to treat and has a high relapse rate. Most people who lose weight regain the weight within five years. Obesity happens over time when you eat more calories than you use.
   The balance between calories-in and calories-out differs for each person. Factors that might affect your weight include your genetic makeup, overeating, eating high-fat foods, and not being physically active. Obesity is defined as having a body mass index of 30 or more. BMI is a calculation that takes a person’s weight and height into account.
Aging
Aging is a series of processes that include direct damage, accumulation of cellular waste, errors, and imperfect repairs as well as the responses to them.
 These processes result in the familiar signs of aging and ultimately to the development of age-related diseases that eventually kill us. They are to be expected and are generally unavoidable. This change occurs in virtually all older people. Thus, presbyopia is considered normal aging
Diagnosis of facet joint pain
Medical imaging and diagnostic injection tests are usually considered to diagnose facet joint pain. The doctor may manipulate your joints or feel for tenderness over the spine.
A diagnostic facet joint injection is often performed to confirm the cause of pain. The facet joint is injected with a local anesthetic and corticosteroid medication. The injection is given using X-ray fluoroscopy to ensure accurate needle placement in the facet joint. Your pain level is evaluated before and 20-30 minutes after injection, and monitored over the next week.
Facet joint involvement is confirmed if your pain level decreases by more than 75%. If your pain level does not change after the injection, it is unlikely that the facet joint is the cause of your pain.
Treatment Reference

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