If a medial branch block works and eventually wears off, the injection may either be repeated or the pain doctor can perform a radiofrequency ablation. A radiofrequency neurotomy has been shown to provide excellent results in approximately 80% of patients with pain relief lasting 3 months to 2 years (Shealy, 1975, Journal of Neurosurgery).
A different variation of injection is placing steroid directly into the facet joints, similar to an injection into a knee joint of cortisone. The facet joints are much smaller than a knee, and with arthritis and bony overgrowth it can be difficult to obtain entry. However, the effectiveness of these injections has anecdotally been satisfactory. No large studies have been performed on these injections. They may be repeated every few months into the affected joints with a very low complication rate.
How effective is nonoperative treatment for Facet Joint Arthritis?
Nonsurgical treatment of facet syndrome is very effective. Over 90% of those suffering from spinal arthritis will not need spine surgery, and with comprehensive pain management may achieve an excellent low level of baseline pain allowing people to increase physical activity, work better, and play with their kids and loved ones.
Arizona Pain Specialists offers all of these nonsurgical treatments for facet arthritis pain with comprehensive pain management by Award Winning, Board Certified pain doctors. There are multiple locations serving Phoenix, Scottsdale, Glendale, Mesa, Chandler, Surprise, Goodyear, Avondale, Peoria, Sun City, Tempe, Ahwatukee, Gilbert, Queen Creek, Fountain Hills, Laveen, and more.
Call (602) 507 – 6550 to schedule your Appointment TODAY!