Facet Injection
- A facet injection (also known as a nerve block) is like an epidural injection, however the anaesthetic or anti-inflammatory injection is targeted toward a certain nerve or group of nerves to treat pain.
- It temporarily shut downs pains signals (usually between 1-2 weeks) and is often accompanied by an x-ray or CT scan to pinpoint the exact location for treatment.
Preparation
- For all therapeutic injections it is important that patients do not eat or drink anything for 4 hours before the procedure.
- It is recommended that patients wear loose comfortable clothing (without zippers, buttons, jewellery or metallic accessories)
- Patients should arrive 10-15 minutes before the appointment to complete paperwork.
- It is important to bring the referral form.
- Patients should notify the Lakes Radiology team of any allergies, existing medications they have.
- Patients should advise the Lakes Radiology team if they may be pregnant.
- The patient should have someone to drive them home following the procedure.
Procedure
- A cannula will be placed into the patient arm by the technologist or interventional doctor.
- The patient will be placed on their stomach or side.
- A technician / radiologist will identify the injection position and sterilise the skin with antiseptic
- A technician / radiologist will inject a local anaesthetic to numb the area.
- The exact position to locate the area may require imaging guidance.
- The technician/doctor will then carefully administer the epidural injection.
- When the study is finished, the patient will be moved to a chair and monitored for up to an hour to ensure they do not experience any abnormal reactions or side effects.
Risks or Side Effects
- The patient may experience an infection at the injection site, bleeding, and inadvertent delivery of medication into the blood stream or other nerves.
- If an x-ray / CT scan is used, the patient will be exposed to minimal low-level radiation.

