Back Pain (Lumbar Facet Pain)

Arthritis of the spine is an inevitable part of aging. Low back arthritis pain (facet arthritis) accounts for 15-40% of low back pain. The pain is often worsened by twisting the back, stretching and bending. Facet joints are designed to allow movement between each vertebrae. Pain from the facet joints is primarily noticed in the low back. However, significant symptoms in one or both legs can be seen as in the picture to the right.

Treatment of Lumbar Facet Pain, or neck pain, can involve anti-inflammatory medication, physical therapy or injection of numbing medication and/or cortisonIe. These injections can be placed into the joint itself or around the nerves that carry pain from the joint. The choice of injection can depend upon your physician preference. Often good relief is obtained with these initial injections.

If long term pain relief cannot be obtained with injections alone, radiofrequency treatment may be considered. This treatment consists of temporarily disabling the nerves that carry pain from the joint with arthritis in it. This procedure involves the placement of a small needle with a special tip under x-ray guidance. Pictured to the right:

Pre Injection Instructions:

If you are anxious about your procedure, sedation can be provided. If you choose this option you must meet the following criteria:

  • Come to your appointment with a responsible adult driver
  • Fast for at least 6-8 hours prior to our appointment time. Morning medications can be taken with a sip of water no later than 2 hours prior to you appointment time. Exceptions may include diabetic medications, in this case please call the office for specific instructions
  • If you are taking blood thinners or supplements, we may ask that you discontinue them prior to your procedure. Never stop these medications without approval from the physician prescribing them.

Here is a short list of blood thinners and the amount of days they should be discontinued prior to your procedure:

Acenocoumarol 3 days
Agggrenox 7 days
Aggrastat 24 hours
Arixtra 4 days
Asprin 7 days
Brillinta 7 days
Edoxaparin 2 days
Efflent 7 days
Eliquis 3 days
Heparin 8 hours
Integrillin 24 hours
Lovenox 12 hours
Pentoxil  2 days
Plavix  7 days
Pletal  7 days
Pradaxa  6 days
ReoPro  3 days
Ticlid  14 days
Warfarin/Coumadin  5 days
Xarelto 3 days

Please call our office if your blood thinner is not listed.

If you are taking any supplements such as Fish Oil, Garlic, Ginseng, Vitamin A&E, Ginger, Kava Kava, Clove, White Willow bark, or Gingko please stop these 7 days prior to your procedure.

   lumbar facet back pain
   Lumbar Facet Injection for Back Pain Relief
   Lumbar Facet Back Pain
1055 Bowles Ave.
Ste 202
Fenton, MO 63026
Phone (636) 326-7821
Fax (636) 326-7897
  St. Peters
4800 Mexico Rd, Ste. 101,
St. Peters, MO 63376
Phone (636) 442-5035
Fax (636) 442-5036
1601 Wentzville Pkwy
Suite 101
Phone (636) 332-8902
Fax (636) 332-8904

© Physicians Pain Services 2021. All rights reserved.
Web Design by Captiva Marketing | Empoweren CMS