Facet Joints

Treatments

Our Pledge to You

At AZ Pain Centers we are dedicated to providing safe and effective treatment for chronic pain. We are often able to help the patients even when all else has failed. We believe you don’t have to learn to live with the pain. Putting the patient first is our #1 priority and we are committed to helping our patients return to the active pain free life they deserve.

 

Treatments

Comfort Technology

Comfort Technology was designed by our Doctors to help make advanced pain intervention procedures more comfortable for even the most sensitive patients. The medications and the techniques used by AZ Pain Centers were developed to eliminate pain, not cause more.

The Physicians at AZ Pain Centers searched the globe to find advanced methods for eliminating pain. During our research we discovered exciting new techniques and devices that we incorporate into our regular treatment protocols to add both safety and comfort.

As an added benefit we use these techniques for every procedure we do, which is why many of our patients describe our procedures as “just a little pressure” or “nothing at all”. This amazing benefit you’ll find only at AZ Pain Centers.

Working together with Chiropractic and physical therapy, we have experienced great success in the treatment of the following conditions:

  • Fibromyalgia
  • Migraine Headaches
  • Tension Headaches
  • Cluster Headaches
  • Lumbago
  • Cervicalgia
  • Thoracalgia
  • Sciatica
  • Cervical Radiculitis
  • Rheumatoid Arthritis
  • Osteo Arthritis
  • Wrist Pain
  • Knee Pain
  • Elbow Pain
  • Hip Pain
  • Foot Pain
  • Hand Pain
  • Shoulder Pain
  • Herniated Discs
  • Bulging Discs
  • Rib Pain
  • Coccyx Pain
  • Muscle Pain

Types of Treatments

Facet JointsFacet Injection

Facet injections are the most common non-surgical intervention for relieving pain in advanced cases. Spinal facet joints are synovial joints. Like the shoulder and the knee, spinal facet joints have a joint capsule lubricated with fluid and abundantly innervated by a network of pain-sensitive nerve fibers. These joints are prone to injury, deterioration and inflammation.

Spinal facet joints sometimes become sources for chronic neck and back pain independent of inter-vertebral discs and spinal nerves. The pain from these inflamed joints can easily radiate into the extremities. They become particularly vulnerable when the inter-vertebral disc is injured due to trauma (such as whiplash) or when degeneration is present. AZ Pain Centers treats these joints bilaterally and in multiple levels plus potential trigger points, successfully reducing many types of debilitating pain.

Steroidal and Low-Dose Steroidal Facet Blocks

A facet joint injection is an injection of steroid medication into a facet joint (spinal joint) to reduce pain caused by inflammation of the facet joint. An injection may also be made around the small nerves that connect with the facet joint to help determine if the joint is the source of pain. In many cases, damaged facet joints are not the cause of back pain.

Steroidal Epidural

An epidural steroid injection is an injection of a long lasting steroid combined with a local anesthetic into the epidural space. The medication travels up and down the epidural space to coat the spinal nerves and the facet joints near the area of the injection.

Satellite Ganglion Blocks

A satellite ganglion block is a test to diagnose and treat sympathetic dependent pain in your hand, arm or shoulder. The pain may come from the nerves in your neck near the spine. These nerves control sweating, heart rate, blood vessels, pupil dilatation, movement of food through the intestines and many other body functions. Sometimes these nerves do not work right and cause pain. It can be on either side of your body. Learning more about the cause of your pain helps your doctor decide on the best treatment for you.

Large and Small Joint Injections

Joint Injections are injections of long lasting steroids ("cortisone") in the facet joints - which are located in the back area the spinal bony structure. These joints are actual joints with joint capsule that contains lubricating fluids. Facet joints are paired (one on each side) and are present from the top of the cervical spine in the neck all the way down and through the lumbar spine in the lower back. Common causes of facet joint pain include arthritis, degenerative disease of the spine, and trauma. In the absence of injury or accident, the most common cause for facet mediated pain is degenerative disease of the spine or arthritis. Therefore, older patients are more commonly afflicted with facet joint pain. In whiplash injuries of the neck, commonly seen in motor vehicle accidents and other traumatic events, the cervical facet joints can be traumatized, and this can lead to chronic neck pain and headaches.

Tendon and Ligament Injections

Tendons and ligaments are the connective tissue that connects bones and muscles. A tendon is the tissue that connects muscle to bone and a ligament connects bones to other bones. These soft tissue structures may become inflamed and painful. Injecting an anesthetic agent (and/or other agents) decreases pain and inflammation. Your physician determines the specific agents used in each injection, with consideration given to your particular problem.

How It Works

  • Provides Rapid Pain Relief
  • Allows Doctors to accomplish a much larger pain block
  • Resets Nerve Activity
  • Reduces Swelling
  • No Adrenal Gland Impairment: Allows the body’s natural healing properties to continue to function
  • Bathes Inflammed Nerve Tissue and Surrounding Areas
  • Produces No Steroidal Side Effects

With our procedures, patients will not have the common side effects associated with traditional steroidal treatments:

  • No Rebound Phenomenon – pain returns worse than before the injection
  • No Bone density loss
  • No Adrenal gland issues
  • No Catabolic issues – Break down all soft tissue
  • No Personality Changes
  • Does not cause body to deposit fat
  • Treatment is not Limited

Our Low-Dose Steroidal Anti Inflammatory vs. Typical Low-Dose Steroidal Anti Inflammatory medications (NSAID’s):

  • No Gastro-intestinal side effects
  • No Platelet aggregation inhibition
  • No Adverse drug reactions
  • No Sodium and fluid retention

Our Treatment vs. the Use of Opiates and Narcotics:

  • No Gastro-intestinal side effects
  • No Emotional and Behavioral effects
  • No Adverse drug reactions
  • No Physical effects
  • No Addiction concerns

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