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Facet Joint Injections - Anyone had success?

Spine Health | Last Active: Sep 10 8:43pm | Replies (151)

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Profile picture for bayhorse @bayhorse

@predictable, could you please give me more information about the type of facet injection you had in your lumbar spine that helped diagnose your sacroiliac inflammation? I have severe lumbar stenosis pain that was remedied considerably this past spring by a MILD procedure at L4-L5. Then I was sent to PT, and I am now in major pain again. My pelvis is definitely rotated, and I have issues in the central spine and at facets on several levels, including at L5-S1. Physicians have repeatedly tried to deal with my stenosis issues with PT, and while most has not been as harmful as this most-recent go-round, it has been useless at best and frequently has set me back. I really feel that physical therapists don't quite know what to do with me once their tried-and-true exercises prove harmful, and I think I need the kind of diagnostic technique you underwent. All details will be helpful -- I will take them right away to my pain doc for consideration!

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Replies to "@predictable, could you please give me more information about the type of facet injection you had..."

Hi @bayhorse. Sorry to hear of your back pains, and all the more sorry that my case may not have been of much help in situations like yours. Like you, I was being diagnosed for treatment of lumbar region vertebral problems, but my PCP -- not my spinal doctor -- had a similar case in which the patient was getting no relief from spine-focused treatment. She turned instead to the joint between the sacrum (pelvic bone at the very bottom of the spine) and the iliac bone of the pelvis (attached to the sacrum at the relatively long facet joint). This sacroiliac joint sometimes gets inflamed for long periods of time, and it spreads pain up into the lumbar region. She injected an anti-inflammation medicine in that joint, and in a couple of weeks my pain was cured. It hasn't been back since -- for several years. Hope this offers you a question for your spinal doctor to consider. Martin