Facet Joint Injection

(Joint Injection)

Summary

A facet joint injection, is a common type of surgery to treat chronic back pain. This type of injection is not a cure for the cause of your pain, but is used to help reduce the level of your pain.

Your spine is made up of a number of bones called vertebrae. Facet joints link the vertebrae together, allowing for movement and support in your spine.

Facet joints, like many other joints in your body, can become worn down by a number of different diseases such as arthritis and as a result, may become painful. Your facet joints contain small nerves called medial branch nerves. These are responsible for transmitting pain signals from your facet joints to your spinal cord and brain, where you may recognise the sensation as pain.

  • Arranging your Treatment

    Before going ahead with this treatment, you will need to have an initial consultation with a specialist Consultant to go through your medical history and diagnosis. At this appointment, your consultant will confirm the exact treatment you require.

    If you would like to have an initial consultation, you can call us and we can help you find the consultant best for you.

    Alternatively, if you have already been diagnosed as needing a particular operation or treatment, our Reservations team can give you a guide price for this to be carried out at KIMS Hospital and book an appointment for you to meet a consultant.

    Call our Reservations team on +44 (0) 1622 237 727 or email reservations@kims.org.uk.

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  • Paying for your Treatment

    You can be treated at KIMS by using your private medical insurance or by paying for yourself.

    If you have private medical insurance, you will need to contact your insurer to ensure you are covered for the initial consultation prior to making an appointment and obtain an authorisation number. The insurance company will then need to be advised if you require further treatment. The insurance company usually settles bills on your behalf.

    If you are paying for your own treatment, you will need to pay for an initial consultation. This will be confirmed at the time of booking but is typically £150-£250. You will also need to pay for any associated diagnostic tests your consultant recommends (for example x-rays and blood tests).

    Following this consultation, if you don’t need any further treatment or if you decide paying for yourself isn’t the right option, there is no commitment to proceed further.

    If you require the operation or procedure to be carried out, you will receive a quote for your treatment. In most case this will be the fixed price package quoted on this website. If this quote is different for any reason, we will provide an explanation (see what’s included below). This quote is also subject to pre-assessment checks prior to your admission to hospital.

    Payment is required 7 days prior to admission.

  • Prices

    The table below shows the approximate price for this treatment, which may vary depending on your individual case (see what’s included below).

    Facet Joint Injection(s) into 1-2 joints

    Patient pathwayDiagnostic investigationsMain treatmentPost-discharge careGuide Price
    Hospital feesn/a£1,700Included£1,700
    Guide priceNil£1,700Nil£1,700

    Facet Joint Injection(s) into 3-4 joints

    Patient PathwayDiagnostic investigationsMain treatmentPost-discharge careGuide Price
    Hospital feesn/a£2,500Included£2,500
    Guide PriceNil£2,500Nil£2,500

    Facet Joint Injection(s) into 5-6 joints

    Patient pathwayDiagnostic investigationsMain treatmentPost-discharge careGuide Price
    Hospital feesn/a£2,700Included£2,700
    Guide priceNil£2,700Nil£2,700
  • What’s Included

    The fixed price package above includes all the costs associated with this treatment at KIMS Hospital.

    You will be given a quote prior to admission to confirm this cost. The amount you are quoted may differ from the published price for a number of reasons:

    • The Consultant you choose 
    •  Your medical history and whether you have any associated medical conditions which may impact this treatment
    • The type of anaesthetic your Consultant advises is best for you 
    • The type of implant or drug you choose or your Consultant advises is best for you

    In some cases, if you have certain pre-existing medical conditions, it may not be possible to provide you with a fixed price for your Main Treatment. If this is the case, the hospital will discuss the available options with you. Your quote is also subject to pre-assessment checks prior to your admission to hospital.

A facet joint injection is a day case procedure that is carried out under local anaesthetic and takes about 20 to 30 minutes. The procedure is carried out under x-ray control to help identify the small joints accurately. The team will help you get into the correct position (lying on your stomach). An antiseptic solution, which may feel very cold, will be used to clean your back. A local anaesthetic will be inserted to numb the area.

Several joints may be injected in the same session. The injection contains a mixture of local anaesthetic and steroid which is thought to have the following beneficial effects:

• Local anaesthetics numb the nerves for a period of hours giving short-term relief.

• Local steroid has a long-term effect reducing inflammation in the joint and around the nerves.

There are very few side effects associated with single or occasional use of steroid injections. Hot flushes, feeling sick, or having mild abdominal pain are sometimes felt but these settle in a few days.

Once the procedure has been completed you will have a small dressing on your back to cover the procedure site. This may be removed after 24 hours but do not worry if it should fall off sooner. You will be taken back to the day case unit where you will recover before being allowed home. Please ensure that you have arranged for someone to drive you home.

You may feel as though your back is a little bruised after the procedure and there can be an initial increase in the level of pain, which is quite normal before you start experiencing the pain relief. It should quickly resolve and you can continue to take your normal pain killers. Your consultant will discuss the outcome of the procedure with you and advise you on how to increase your activity levels slowly following this procedure.

To find out more:

If you would like to come to KIMS contact our Reservations team on +44 (0)1622 237 727 or email reservations@kims.org.uk.

Our Consultants

  • Dr Anthony Hammond

    BSc MBChB MD FRCP

    • Dorsal Root Ganglion Block
    • Epidural Injection (lumbar/caudal)
    • Facet Joint Injection
    • Percutaneous Disc Decompression and Endoscopic Discectomy
    • Radiofrequency Denervation or Pulsed Radiofrequency
  • Dr Raja Reddy

    MD FRCA FFPMRCA FIPP EDRA

    • Dorsal Root Ganglion Block
    • Epidural Injection (lumbar/caudal)
    • Facet Joint Injection
  • Dr Sandesha Kothari

    • Dorsal Root Ganglion Block
    • Epidural Injection (lumbar/caudal)
    • Facet Joint Injection
  • Dr Srinivasan Srirangan

    MBBS MSc MRCP(Rheum) FRCP

    • Dorsal Root Ganglion Block
    • Epidural Injection (lumbar/caudal)
    • Facet Joint Injection
  • Dr Zika Petrovic

    MD FCARCSI DEAA

    • Dorsal Root Ganglion Block
    • Epidural Injection (lumbar/caudal)
    • Facet Joint Injection
  • Dr Kevin Fai

    BSc, MBBS, FRCA

    • Dorsal Root Ganglion Block
    • Epidural Injection (lumbar/caudal)
    • Facet Joint Injection
  • Dr James Wilson

    BSc (Biochemistry) First Class, MBBS, FRCA, FFPMRCA

     

    • Facet Joint Injection
  • Dr Arun Bhaskar

    MBBS MSc FRCA FFPMRCA FFICM FIPP

    • Dorsal Root Ganglion Block
    • Epidural Injection (lumbar/caudal)
    • Facet Joint Injection