These are injections into the small sliding (facet) joints of the spine. The injections aim to provide relief from your symptoms and will help to confirm that your symptoms arise from the facet joints.
You will lie on the CT table on your front. Your skin will be cleaned with antiseptic and local anaesthetic administered. The radiologist inserts a very fine needle into the joint that your doctor has asked us to inject using an aseptic technique. You may be moved in and out of the CT machine as the needle is guided safely into the correct position. A small amount of X-ray contrast may be injected to confirm the needle position.
A long lasting anaesthetic (e.g. Ropivacaine) and a long acting steroid (e.g. Celestone) are usually injected together.
Risks / Side Effects
Facet joint injections are generally very safe.
Side effects which may occur include:
- Increase in symptoms for up to 48 hours which will then settle
- Increased blood sugar levels in diabetics
- Local bruising
- Insomnia, flushing and palpitations.
Infection is an uncommon, but serious side effect.
If X-ray contrast is administered there is a small risk of allergic reaction. This includes flushing, hives and difficulty breathing. Severe reactions are rare and life-threatening reaction extremely rare (1 in 170,000).
Before your Scan
No specific preparation is required and you may eat and drink before and after the procedure. If you are on any special drugs or have diabetes and are on insulin, take your usual medicines and diet.
Please inform us if you are on medication to thin your blood (eg. Warfarin, Aspirin or Clopidogrel), have an iodine allergy or are pregnant or breastfeeding.
Occasionally your doctor may request this procedure to be performed with sedation, in which case you will be required to fast and a short stay hospital admission will be necessary.
It is important that you have someone to drive you home after the procedure
You may experience some benefit from the local anaesthetic immediately following the injection which will usually wear off after 2-3 hours. It can take several days for the steroid to begin to work and may take up to 2 weeks for it to have maximum effect.
The effect of the steroid can last for a week, several months or years. Sometimes there is no pain relief from the injection. This suggests that the symptoms are not coming from the facet joint that was injected.
Avoid strenuous activity for at least 48 hours after the injection.
If required, a simple analgesic such as paracetamol (Panadol) or an anti-inflammatory should be sufficient. An ice pack may also provide some relief.
Infection is a potential side effect – If you notice any fever or redness, swelling, or increased pain at the injection site after the first 2 days, notify your referring doctor or call the clinic where the injection was performed immediately.