Lumbar facet joint infiltration is a minimally invasive technique used for the relief of pain in the lumbar region originating from the small spinal facet joints.
Technical procedure
The technique involves targeted injection of a local anesthetic, with or without corticosteroid, into the lumbar facet joints.
Therapeutic goal
• Reduction of inflammation and joint irritation
• Pain relief
• Improvement of lumbar spine mobility
Indications
• Chronic low back pain related to facet joints
• Spondyloarthropathy
• Postoperative or post-traumatic pain syndromes
Benefits
• Immediate or partially sustained pain relief
• Improved functional capacity
• Minimal transient side effects (e.g. numbness or warmth in the lumbar region)
• Safe technique
Clinical approach
In most cases, the procedure is performed using anatomical landmarks or ultrasound guidance. In rare cases, fluoroscopic guidance may be required.