Facet Joint Injections and Sacroiliac Joint Injections

  • Louis J. Raso


Back pain and neck pain are the most common cause of chronic pain and disability. It is a complex, often multifactorial condition affecting millions of persons worldwide. Disability from spinal pain is associated with a nonspecific diagnosis and suboptimal outcomes. It continues to pose a peculiar diagnostic challenge because of overlapping clinical features and nonspecific radiological findings.1 Although many technologic, pharmaceutical, and surgical advances for the treatment of back pain have occurred in recent years, the search for the precise cause of back pain remains a difficult process.

Although radicular pain secondary to herniated disc is most commonly suspected, pain originating from facet joints is likely to be the etiology of 15-40% of nonradicular low back pain and 40-60% of nonradicular neck pain.2 Pain originating from facet joints can coexist with other causes of multifactorial back and neck pain including radicular, myofascial, sacroiliac, and intradiscal pathology. Diagnostic injection techniques are utilized to isolate the source of pain. Facet joint injections and medial branch blocks are an example of such techniques. The methods of diagnostic procedures performed to localize the source of pain vary widely. The interpretation and the relevance of these studies continue to be controversial.3


Facet Joint Transverse Process Joint Injection Medial Branch Facet Joint Injection 
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© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Louis J. Raso
    • 1
  1. 1.JupiterUSA

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