{"id":16202,"date":"2025-01-12T16:29:43","date_gmt":"2025-01-12T13:29:43","guid":{"rendered":"https:\/\/work.medyaikon.com.tr\/yasa\/?post_type=tedavi&p=16202"},"modified":"2025-02-26T20:35:49","modified_gmt":"2025-02-26T17:35:49","slug":"faset-eklem-blogu","status":"publish","type":"tedavi","link":"https:\/\/yasaerimgedik.com\/en\/tedavi\/faset-eklem-blogu","title":{"rendered":"Facet joint block"},"content":{"rendered":"

Facet Joint Block<\/strong>is a procedure used in the diagnosis and treatment of pain originating from the spine. During this procedure, local anaesthetics and\/or steroids are injected into the facet joints (small joints in the spine) to reduce or eliminate pain. Facet joint blockade can be used both as a diagnostic and therapeutic procedure.<\/p>\n\n\n\n

<\/span>What are Facet Joints?<\/strong><\/span><\/h3>\n\n\n\n
    \n
  • Facet Joints<\/strong> They are small joints located at the back of the spine that allow the vertebrae to connect to each other and move.<\/li>\n\n\n\n
  • Functions:<\/strong>\n
      \n
    • Provides mobility of the spine (such as rotation, bending).<\/li>\n\n\n\n
    • Stabilises the body.<\/li>\n<\/ul>\n<\/li>\n\n\n\n
    • Facet Joint Pain:<\/strong> When facet joints are damaged due to ageing, arthritis, trauma or poor posture, it can cause lower back, neck or back pain.<\/li>\n<\/ul>\n\n\n\n

      <\/span>What is Facet Joint Block?<\/strong><\/span><\/h3>\n\n\n\n

      In this procedure, medication is injected into the nerves around the facet joints or into the joint capsule. Objective:<\/p>\n\n\n\n

        \n
      1. Reducing pain (therapeutic).<\/li>\n\n\n\n
      2. Determine that the source of pain originates from the facet joints (diagnostic).<\/li>\n<\/ol>\n\n\n\n

        <\/span>In which cases is it used?<\/strong><\/span><\/h3>\n\n\n\n
          \n
        1. Spinal Arthritis (Facet Arthropathy):<\/strong>\n
            \n
          • In pain caused by osteoarthritis or inflammation in the facet joints.<\/li>\n<\/ul>\n<\/li>\n\n\n\n
          • Chronic Low Back and Neck Pain:<\/strong>\n
              \n
            • Chronic pain in the mobile parts of the spine.<\/li>\n<\/ul>\n<\/li>\n\n\n\n
            • Spondylolisthesis (Spondylolisthesis):<\/strong>\n
                \n
              • Pain in the facet joints due to displacement of the vertebrae.<\/li>\n<\/ul>\n<\/li>\n\n\n\n
              • Trauma or Strain:<\/strong>\n
                  \n
                • In pain after overuse or injury of the facet joints.<\/li>\n<\/ul>\n<\/li>\n\n\n\n
                • Diagnostic purposes:<\/strong>\n
                    \n
                  • To find out whether the pain originates from the facet joints or from another source.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n

                    <\/span>How is the Procedure Performed?<\/strong><\/span><\/h3>\n\n\n\n

                    1. Preparation:<\/strong><\/p>\n\n\n\n

                      \n
                    • The patient is taken to the procedure after a detailed evaluation.<\/li>\n\n\n\n
                    • The procedure is usually performed on an outpatient basis.<\/li>\n\n\n\n
                    • Local anaesthesia can be applied, but sedation is usually not necessary.<\/li>\n<\/ul>\n\n\n\n

                      2. Patient Position:<\/strong><\/p>\n\n\n\n

                        \n
                      • The patient is placed prone and the spine area is sterilised.<\/li>\n<\/ul>\n\n\n\n

                        3. Targeting with Imaging Assistance:<\/strong><\/p>\n\n\n\n

                          \n
                        • Fluoroscopy (X-ray) or ultrasound<\/strong> the target facet joints are identified.<\/li>\n<\/ul>\n\n\n\n

                          4. Needle Placement:<\/strong><\/p>\n\n\n\n

                            \n
                          • A fine needle is guided around the facet joint or near the nerve endings.<\/li>\n<\/ul>\n\n\n\n

                            5. Drug Administration:<\/strong><\/p>\n\n\n\n

                              \n
                            • The medicine to be injected usually contains a local anaesthetic (such as lidocaine) and a corticosteroid.<\/li>\n\n\n\n
                            • The local anaesthetic quickly relieves pain, while the steroid reduces inflammation.<\/li>\n<\/ul>\n\n\n\n

                              6. Completion:<\/strong><\/p>\n\n\n\n

                                \n
                              • The procedure usually takes 15-30 minutes.<\/li>\n\n\n\n
                              • The patient is observed for a short time and is usually discharged on the same day.<\/li>\n<\/ul>\n\n\n\n

                                <\/span>Advantages<\/strong><\/span><\/h3>\n\n\n\n
                                  \n
                                • Diagnosis and Treatment:<\/strong> While determining the source of pain, it also reduces pain.<\/li>\n\n\n\n
                                • Minimally Invasive<\/strong> It is applied without the need for surgery.<\/li>\n\n\n\n
                                • Fast Impact:<\/strong> The pain is quickly relieved by the local anaesthetic.<\/li>\n\n\n\n
                                • Reduces Inflammation:<\/strong> Corticosteroids control inflammation and swelling.<\/li>\n\n\n\n
                                • Return to Daily Life:<\/strong> After the procedure, patients can usually return to their daily activities within a few hours.<\/li>\n<\/ul>\n\n\n\n

                                  <\/span>Who is it suitable for?<\/strong><\/span><\/h3>\n\n\n\n
                                    \n
                                  • Chronic pain patients who do not benefit enough from physiotherapy and drug treatment.<\/li>\n\n\n\n
                                  • Patients with suspected facet joint pain but no definite diagnosis.<\/li>\n\n\n\n
                                  • Individuals with facet joint problems that do not require surgical intervention.<\/li>\n<\/ul>\n\n\n\n

                                    <\/span>Risks and Side Effects<\/strong><\/span><\/h3>\n\n\n\n

                                    Facet joint blockage is usually a safe procedure, but in rare cases, the following risks can be seen:<\/p>\n\n\n\n

                                      \n
                                    1. Temporary Pain or Sensitivity:<\/strong> Short-term discomfort at the needle insertion site.<\/li>\n\n\n\n
                                    2. Infection:<\/strong> Risk of infection at the needle entry site.<\/li>\n\n\n\n
                                    3. Haemorrhage<\/strong> The risk may increase in patients using blood thinners.<\/li>\n\n\n\n
                                    4. Steroid Side Effects:<\/strong> Temporary effects such as flushing, high blood sugar or insomnia.<\/li>\n\n\n\n
                                    5. Allergic Reaction:<\/strong> Rare allergic reactions to the drug used.<\/li>\n<\/ol>\n\n\n\n

                                      <\/span>Post Procedure Care<\/strong><\/span><\/h3>\n\n\n\n
                                        \n
                                      • Rest<\/strong> Heavy physical activity should be avoided for the first few hours.<\/li>\n\n\n\n
                                      • Light Exercise:<\/strong> Light movements can be made as recommended by the doctor.<\/li>\n\n\n\n
                                      • Pain Monitoring:<\/strong> The level of pain reduction after the procedure should be noted. This is important to determine the effectiveness of the treatment.<\/li>\n\n\n\n
                                      • Doctor's Check-up:<\/strong> If new pain or signs of infection appear, consult a doctor immediately.<\/li>\n<\/ul>\n\n\n\n

                                        <\/span>Success Rate of Facet Joint Block<\/strong><\/span><\/h3>\n\n\n\n
                                          \n
                                        • Do\u011fru hastalarda uyguland\u0131\u011f\u0131nda, faset eklem blokaj\u0131 %60-80 oran\u0131nda a\u011fr\u0131 kontrol\u00fc sa\u011flar.<\/li>\n\n\n\n
                                        • The effect of the medication usually lasts from a few weeks to several months.<\/li>\n\n\n\n
                                        • When the effects diminish, the procedure can be repeated as needed, or the nerves can be deactivated by radiofrequency (Facet Joint Radiofrequency Ablation<\/strong>).<\/li>\n<\/ul>\n\n\n\n

                                          <\/span>Conclusion<\/strong><\/span><\/h3>\n\n\n\n

                                          Facet joint block<\/strong>is an effective and minimally invasive option in the diagnosis and treatment of spine-related pain. When the right patient is selected and applied by a specialised team, it can quickly relieve pain and improve quality of life. However, since the long-term effect of this method may be limited, it may need to be combined with other treatment options.<\/p>\n\n\n\n

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