A facet joint injection involves injecting local anaesthetic and steroid directly into your facet joint. If your pain gets better for two or more days, it’s coming from your facet joint and radiofrequency denervation may be helpful. See our preparing for radiofrequency denervation section .
Radiofrequency denervation uses radiofrequency waves to block nerves in your back or neck. This stops you feeling pain. For more information, see the section on what is radiofrequency denervation?
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- Lumbar Facet Arthropathy. Medscape. emedicine.medscape.com, updated February 2022
- Facet Joint Rhizolysis/Radio Frequency Lesioning (Denervation). Faculty of Pain Medicine. beta.fpm.ac.uk, reviewed September 2019
- Maas ET, Ostelo RWJG, Niemisto L, et al. Radiofrequency denervation for chronic low back pain. Cochrane Database of Systematic Reviews 2015, Issue 10. Art. No.: CD008572. DOI: 10.1002/14651858.CD008572.pub2
- Cohen SP, Bhaskar A, Bhatia A, et al. Consensus practice guidelines on interventions for lumbar facet joint pain from a multispecialty, international working group. Reg Anesth Pain Med 2020; 45:424-–67
- Low back pain and sciatica in over 16s: assessment and management. www.nice.org.uk, last updated December 2020
- Recommendations for Good Practice in the use of Medial Branch Block (MBB) Injections and Radiofrequency Denervation (RFD) for Low Back Pain of Lumbar Facet Joint Origin. British Pain Society. www.britishpainsociety.org, published April 2020
- Price C, Reeves B, Ahmad A, et al. Radiofrequency denervation of the lumbar facet joints: guidelines for the RADICAL randomised controlled trial. Br Jl Pain2021; 15(3):25–58. doi:10.1177/2049463720941053
- Conger A, Burnham T, Salazar F, et al.The effectiveness of radiofrequency ablation of medial branch nerves for chronic lumbar facet joint syndrome in patients selected by guideline-concordant dual comparative medial branch blocks. Pain Med 2020; 21( 5): 902–909
- Personal communication with Mr Michael Mokawem, Consultant Spinal Surgeon