This 3D video recording demonstrates in point about how Lumbar Facet Joint Injection is execute for chronic pain in lower back
Lumbar Facet Joint Injection is performed for chronic pain in dispirited back radiating into the buttocks and upper leg mostly posteriorly above the thigh . Facet joint injection is do in the operating room using the decade - ray and under sterilization and aseptic environment .
Facet Joint is identified by using x - ray . First of all patient role is place on the operating bed . Patient is work in the operating elbow room and call for to lie in prostrate on the operating bed . A pillow is place under the belly to produce a flexure of the spinal and vertebral pillar . Patient ’s tegument over the aspect joint is prepped with antiseptic solvent as suggested by the surgical center and joint commissioning . X - ray is used to identify the aspect articulatio which is theorize to be throw in . Facet joint injection is performed for symptomatic intent as well as alterative reason . symptomatic injection is performed to evaluate the cause of the pain if it is facet joint arthritis or hypertrophy . Diagnostic shot is performed between 1 to 2 facet joints at a time . Facet joint pain may be unilateral or bilateral . symptomatic shot could be multiple shot if the first or second shot give out to ease the pain . Therapeutic injection is performed for the intervention for the inveterate intractable pain which is not responding to the nuisance medications and physical therapy . Therapeutic injections are repeated after the initial treatment every 2 to 4 month . Patient may be onsidered for mettle extirpation of the aspect articulatio if Cortone Acetate shot pain relief does n’t last for morethan 3 calendar month .
Once the patient is prepped for the injection treatment , the local anesthesia is used to anesthetize the pelt and subcutaneous tissue paper . The facet joint is observed by using the tenner - ray of light . The AP as well as devious aspect of the ten - electron beam is used to identify the aspect joint which is agenda to inject the medications . Once the facet joint is identified , the marking pen is used to mark the skin where the needle will be infix toward the facet joint . The cutis or the marked area is anesthetized with local anesthesia such as 1 % Lidocaine . The amount of Lidocaine interpose is 1 to 2 cc using 25 caliber acerate leaf .
The aspect joint injection is performed by using 22 or 23 gauge spinal phonograph needle . The acerate leaf is passed under the guidance of the x - ray . The acerate leaf is placed over the facet roast and needle is insert into the facet joint . Once the phonograph needle is placed into the facet juncture , the dye is come in . The dyestuff shot could be between 0.1 cc to 0.5 millilitre . The severe degenerative disease or arthritis may not have a space within the aspect roast and acerate leaf emplacement within the aspect joint may not be potential . In this case shot is execute at the top of the facet join so the medications are spread over the facet reefer . Once thefacet reefer is identify with the dye , the medications are injected within the facet spliff . Facet joint is a sparse and narrow space so amount injected into the facet joint depends on the space . The amount inject in the facet joint could be from 0.2 cc to 0.5 cc . Medication throw in is 0.5 % Marcaine and corticosteroid . Corticosteroid injected is either Depo Medrol or Kenalog . After the injectant , affected role is observe in the convalescence room for any tortuousness as well as pain easement . Patient is acquit household after the operation .
