Thoracic Facet Joint Injection

A Thoracic Facet Joint Injection is a minimally invasive procedure used to relieve pain in the mid-back region. Pain in this area is often caused by:

• Facet joint arthritis
• Thoracic facet joint syndrome
• Degenerative changes in the spine
• Injury or inflammation of the facet joints

The facet joints are small joints between each vertebra, and when inflamed, they can cause pain that may radiate to the ribs or chest. This injection delivers anti-inflammatory medication (steroid) directly into the affected facet joints to reduce inflammation and provide pain relief.

How Does It Help?

The injected steroid reduces inflammation in the thoracic facet joints, helping to relieve pain and stiffness. The goal is to alleviate discomfort, allowing you to participate in physical therapy or other rehabilitative activities that promote long-term spinal health.

Steps of Administering a Thoracic Facet Joint Injection

1. Pre-procedure Preparation

• You will lie face down on a table, and your mid-back will be cleaned and sterilized.
• A local anesthetic will be applied to numb the area and make the procedure more comfortable.

2. Using Fluoroscopic Guidance

• The physician will use fluoroscopy (a real-time X-ray) to guide a small needle into the thoracic facet joint.

3. Injection of Medication

• Once in place, a combination of corticosteroid and anesthetic will be injected into the joint to reduce inflammation and provide pain relief.

4. Post-Procedure

• After the injection, you’ll be monitored for 15-30 minutes. Mild soreness may occur at the injection site but typically resolves within a day or two.

When Can You Go Home?

• Most patients can go home within 30-60 minutes after the procedure.
• You should arrange for someone to drive you home, as the anesthetic may cause temporary numbness or weakness.
• Light activities can usually be resumed the following day, but it is best to avoid strenuous activities for at least 24 hours.

How Many Injections Are Needed?

Typically, 1 to 3 injections are recommended, spaced over a few weeks. While some patients experience significant relief after just one injection, others may require multiple treatments for optimal results.

• Initial Relief: Pain relief may occur after the first injection, though lasting benefits are often achieved after 2 or 3 treatments.
• Long-term Relief: For some patients, the effects of the injection last for several months, but additional injections may be needed if pain returns.

Final Thoughts

Thoracic facet joint injections can be a valuable part of a comprehensive treatment plan for managing mid-back pain. While the injection doesn’t cure the underlying cause, it can provide the relief needed to engage in physical therapy and other activities that support long-term recovery.

If you have any concerns or need further information, please contact our office.