Lumbar Facet Joints and Sacroiliac Pain

Spinal Pain can be caused by damage to structures in the back, such as discs, facets, ligaments, muscles and other tissue.  Accidents, strains, arthritis and other diseases can cause neck pain.  Conditions such as Advancing Arthritis, Scoliosis, Kyphosis, and Trauma ( such as a whiplash injury ) can predispose the patient to development of painful Facet Joint Arthropathy (Joint Disease) that can last for years.  Get Relief !

Facet Joints (CFJ) are a common source of back pain, back pain and painful muscular spasm.   The Facet Joints are responsible for allowing movement of the spine, such as flexion, extension and rotation.

Typical FJ pain is located lateral to the midline of the spine worsening upon pressure, with severe muscular spasm in the general area. Pain can radiate to the referral zone of the facet level involved.  There may be tingling without numbness.  An associated Myofascial Pain Syndrome (painful muscular spasm) can develop which is very debilitating and can lead to deepening depression.

If Conservative therapy has failed to relieve the pain (including Medication, Physical Therapy, Chiropractic care, and/or Trigger Point injections) it is reasonable to perform Facet Joint Injections.

Relief of pain by precise X-ray targeting of the Facet Joint or the nerve to the facet joint can confirm the diagnosis. This will lead to a better understanding about the source of the pain. Hopefully, by breaking the cycle of pain and reducing the joint inflammation, relief can be permanent.
Sacro-iliac Joint Pain

Sacroiliac Joint Pain is a common low back, buttock and leg pain condition and is related to the Facet Joint Pain.

Advancing Arthritis, Trauma, Obesity, Back Surgery and Spinal Abnormalities are factors in Sacroiliac Joint pain.  If left untreated, Pain can be very severe!

Typical SIJ pain is located at the base of the spine or the tailbone with very tender spots to each side. Pain typically radiates from the low back to the upper buttock, lateral thigh, groin; sometimes to the lateral knee and calf.

Muscular spasm pain can be present. Activities such as walking, sitting, turning, and sweeping motions can be very painful.

Sacroiliac Joint Blocks (SIJB) are a common treatment for low back and leg pain.

The Pain Doctor may design a Therapeutic Program to deal with residual or recurrent pain. This may include repeat injections and other techniques to relieve the pain.

The injections are minimally uncomfortable because we provide plenty of local anesthetic and may use “Twilight Sedation”.

Complications are extremely rare but can occur; you may wish to discuss this with the doctor in more detail.

The Pain Doctor will develop a comprehensive pain treatment program that may include Medications, Physical therapy, Chiropractic care and Injection therapy.

Lumbar Facet Joint Pain | Mid & Lower Back Pain

Lumbar Facet Join PainLumbar Facet Joints (LFJ) are a common source of mid and low back pain and painful muscular spasm. The facet joints are responsible for allowing movement of the spine; such as flexion, extension and rotation.

Conditions such as Advancing Arthritis, Trauma, Scoliosis, Kyphosis, and Spondylolisthesis can predispose the patient to development of painful Facet Joint Arthropathy (disease).

Typical FJ pain is located lateral to the midline of the spine upon pressure with severe muscular spasm in the general area. The pain can radiate to the referral zone of the facet level involved (ex. L4-5 FJ can have pain and spasm in the low back, upper buttock, thigh to knee and tingling without numbness). An associated Myofascial Pain Syndrome (painful muscular spasm) can develop which is very painfully debilitating and can lead to depression.

If Conservative therapy has failed to relieve your pain (including Medication, Physical Therapy, Chiropractic care, and/or Trigger Point injections) it is reasonable to perform Diagnostic Facet Joint Injections. Relief of pain by precise X-ray targeting of the joint or the joint nerve can confirm the diagnosis. Hopefully, by breaking the cycle of pain and reducing the joint inflammation, relief can be permanent.

Your Pain Doctor may design a Therapeutic Program to deal with residual or recurrent pain. This may include Physical Therapy, booster injections and other more permanent techniques.

The injections are minimally uncomfortable because we provide plenty of local anesthetic and use “Twilight Sedation”. Complications are very rare but can occur; you may wish to discuss this with your doctor in more detail.

Our Doctors and staff will always do their best for you!