Thoracic Facet Joint Injection

Thoracic Facet Joint Injection What are Thoracic Facet Joint Injections?

Facet joints are small joints present between the vertebral bones including the vertebral bones of the thorax (upper back). The bones in these joints are covered by cartilage and a capsule filled with synovial fluid surrounds the joint reducing friction. Thoracic facet joints can be affected by injury, mechanical stress or arthritis causing pain in the mid-back, chest and rarely the arms.

Facet joint injections are administered to relieve pain originating in the facet joints. They usually contain corticosteroids combined with a small amount of local anesthesia. Corticosteroids or simply steroids are synthetic drugs that reduce pain and inflammation by decreasing the activity of the immune system. Thoracic facet joint injections are administered into the joint under the guidance of X-ray imaging to ensure an appropriate concentration of the medication at the precise target.

Indications for Thoracic Facet Joint Injections

Thoracic facet joint injections are indicated when conservative treatments for back pain such as anti-inflammatory medications, rest, back braces and physical therapy are unsuccessful. It can be used to both diagnose and treat pain and inflammation related to the thoracic facet joints.

Contraindications for Thoracic Facet Joint Injections

Thoracic facet joint injections may not be recommended by your doctor if you are:

  • Pregnant
  • Allergic to the medications
  • Presence of local or systemic infection

Procedure for Thoracic Facet Joint Injections

The procedure includes the following steps:

  • You will lie face down. The skin over your thoracic spine is cleaned and a local anesthetic is injected over the region.
  • Your doctor then inserts a small needle through the skin and muscles into the thoracic facet joint under the guidance of a fluoroscope (live X-ray imaging).
  • A dye is injected to confirm the position of the needle.
  • Once the needle position is confirmed, the steroid/anesthetic mixture is slowly injected into your facet joint and the needle is then withdrawn.

After the Procedure

Following the procedure, you will spend some time in the recovery area and will then be discharged to home. You will need someone to drive you home. You will have some pain for a few days after the procedure which can be managed by application of an ice pack. Once the medications start taking effect you should experience a significant reduction in pain and inflammation enabling you to return to your daily activities.

Risks of Thoracic Facet Joint Injections

Possible complications related to the procedure include:

  • Bleeding
  • Infection
  • Allergic reaction
  • Discomfort at the injection point
Our Social Media

Rating & Review

Melinda Bess
Melinda Bess
2024-02-14
Dr. Iqbal is the best pain management doctor I have ever had and will have. She does her homework first which I think makes the difference in diagnosis. She is the total package, a very smart and beautiful doctor, wife, and mother. Hand on Bible she changed my life, and I will forever be in debt to her. I can't say thank you enough. I appreciate her staff; they are all awesome as well. I laughed and cried in her office, but her smile and staff always made me feel welcome like part of their family. I would and will drive across country to see her. The referral to a new knee surgeon to fix a bad knee replacement was the best. I got a new knee, and it has been a huge blessing as well. Thank you, Dr. Iqbal and staff you all are 5 stars, in my life.
Nikin Mehta
Nikin Mehta
2024-02-13
Brian Knopf
Brian Knopf
2024-02-13
Dr. Iqbal and her staff are fantastic! I couldn’t have asked for a better experience. I highly recommend her and her team
Brenda Jones
Brenda Jones
2024-02-02
I visited this facility in January for severe back pain I was experiencing. The whole ordeal from beginning to end was amazing. I wish I had known about this place years ago before suffering from so much pain. Dr. Mehreen Iqbal, her assistant Michealle Dooley and their staff is the best. I had a procedure done on 1/17/24 and I no longer suffer from back pain and I'm able to walk again. I highly recommend this facility, 10 Stars!!!
Ann Adkins
Ann Adkins
2024-02-01
Wonderful experience with Dr. Iqbal & her staff! She is amazing! She listens to her patients & immediately developed a plan to address my back & neck pain. I already feel SO much better and am confident that her plan for me will mean continued improvement. Her staff is wonderful too - friendly, helpful & responsive. I highly recommend Dr. Iqbal & her team!
Camille Adams
Camille Adams
2024-01-22
The staff are very kind and helpful, and Dr. Iqbal is very good at what she does. Would recommend to all my friends and family.
Noor Malik
Noor Malik
2024-01-02
My PCP recommended Dr. Mehreen and she was wonderful through out the entire injection process. She took her time explaining everything and was patient through out the process. In my opinion, she is the best pain management doc around.
Jessie Wilson
Jessie Wilson
2023-12-08
I love Dr. Iqbal and her staff, I couldn't be any luckier to have found her practice. Dr. Iqbal listens well and explains in detail any procedures. She is honest, caring, and down to earth. She and her staff are the greatest. I would recommend her to any of my friends or family.
Shimmerynight Skies
Shimmerynight Skies
2023-12-08
My mother is a patient here and the staff is super nice, fun, and sweet! I highly recommend coming here for friendly service
M
M
2023-12-04
Excellent doctor. Dr. Iqbal explained every thing in detail and laid out a very clear plant to treat the problem/pain.