Facet Joint Injections · Millburn, NJ

The duration of relief varies from patient to patient. The initial relief comes from the local anesthetic and typically lasts several hours. The longer-lasting benefits from the steroid medication usually begin 2-3 days after the injection and can provide relief for weeks to months.

For many patients, a series of 2-3 injections spaced several weeks apart provides the most substantial and long-lasting relief. Dr. Menon will develop a personalized treatment plan based on your response to the initial injection.

Some patients may experience pain relief lasting 3-6 months or longer, especially when facet joint injections are combined with appropriate physical therapy and lifestyle modifications to improve spinal health.

Most patients experience minimal discomfort during the procedure. Dr. Menon uses a local anesthetic to numb the injection site before the procedure begins. You may feel a brief sting from the local anesthetic and some pressure during the injection, but significant pain is uncommon.

The use of fluoroscopic (X-ray) guidance allows for precise needle placement, which minimizes discomfort and improves the effectiveness of the injection. Many patients are surprised by how comfortable the procedure is, particularly compared to the chronic pain they've been experiencing.

After the procedure, you might experience some mild soreness at the injection site, which typically resolves within 24-48 hours and can be managed with ice and over-the-counter pain relievers if needed.

Facet joint injections are typically recommended for patients who have:

• Back or neck pain that worsens with extension (bending backward) or twisting
• Pain that improves with rest or forward bending
• Localized pain and tenderness over the spine
• Pain from facet joint arthritis or inflammation
• Failed to respond adequately to conservative treatments like physical therapy or medications

During your consultation, Dr. Menon will review your medical history, imaging results, and perform a physical examination to determine if facet joint injections are appropriate for your specific condition. In some cases, facet joint injections may also be used as a diagnostic tool to confirm that the facet joints are the source of your pain.

Facet joint injections are generally safe procedures with a low risk of complications when performed by an experienced physician like Dr. Menon. Potential side effects may include:

• Temporary pain or soreness at the injection site
• Temporary increase in pain before relief begins
• Mild bruising or bleeding at the injection site
• Infection (extremely rare with proper technique)
• Allergic reaction to the medication (very rare)

More serious complications are extremely rare. The use of fluoroscopic guidance significantly reduces risks by ensuring accurate needle placement. Dr. Menon will discuss all potential risks specific to your condition during your consultation.

If you have diabetes, the steroid medication may temporarily elevate your blood sugar levels. Patients with diabetes should monitor their blood sugar more closely for a few days following the injection.

Most patients can resume their normal activities the day after the procedure. We recommend the following:

• Rest for the remainder of the day following your injection
• Avoid strenuous activities for 24-48 hours
• You may return to work the next day if your job doesn't involve heavy lifting or strenuous activity
• Resume gentle exercise after 2-3 days, gradually increasing to your normal routine

Dr. Menon will provide specific post-procedure guidelines based on your condition and the type of activities you typically engage in. Many patients are surprised by how quickly they can return to their normal routine following facet joint injections.

Coverage depends on your specific plan and medical necessity. Our administrative team will verify your insurance coverage and benefits before your procedure and discuss any potential out-of-pocket costs with you.

Factors that may affect coverage include:

• Your specific insurance plan and benefits
• Whether you've met your deductible for the year
• If a prior authorization is required (we handle this for you)
• Documentation of your condition and previous treatments

Medicare is accepted directly. For all other insurers, our team provides free benefits verification before your visit and handles any authorization paperwork, so you know exactly where you stand before treatment. For patients paying without insurance, we offer various payment options to make treatment accessible.