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Facet Joint Injections
for Neck and Back Pain
Ross Hauser, M.D.

A facet joint injection can be performed for one of two purposes. One purpose is diagnostic in that it confirms or denies that the facet joint is the cause of back pain or neck pain. The second purpose is therapeutic in treating the facet joints. Diagnostically, a small amount of anesthetic is injected into the facet joint near the area of pain. If pain relief results then the facet joint is deemed the culprit of pain. Once the facet joint is pinpointed as the problem area, further injections of anesthetics and anti-inflammatory agents are injected to try to achieve more permanent pain relief.

A facet joint injection usually involves a patient lying on an X-ray table so that the physician can guide the needle placement using a fluoroscopic X-ray. A contrast dye is first injected so that the physician can confirm that the medication will go to the proper spot. Once proper placement is determined, the physician will inject the medication, usually an anesthetic and corticosteroid, into the facet joint.

Prolotherapy for Neck and Back Pain
Although facet joint injections seek to alleviate pain they are not always permanent and we believe they can actually do more harm than good. As with most anti-inflammatory agents, corticosteroids inhibit healing by blocking the body’s natural inflammatory healing response. Prolotherapy is the opposite of facet joint injections that contain steroids.

Prolotherapy creates inflammation to bring blood flow and healing factors to the injured facet joint. Any neck or back pain that is related to joint degeneration or ligament injury can be treated effectively with Prolotherapy.

Our Prolotherapy doctor, Dr. Ross Hauser, is able to treat facet joint pain without the use of X-ray guidance. He has years of experience and has seen thousands of patients. Watch as he administers Prolotherapy to the thoracic spine. Notice the comprehensive approach to pain as he treats not only the facet joints but also the muscle attachments surrounding the thoracic spine. This comprehensive approach to treatment ensures that all potential areas of pain are treated and full healing is achieved.

 

 


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