A Back-Breaking Problem
Due to sedentary behaviors, diet, and other lifestyle choices, 8 in 10 adults will experience back pain at some point. Some individuals will have chronic pain due to an underlying spinal condition. Many of these are related to the facet joints, intervertebral discs, or nearby nerves. Back pain can impact work, social activities, and family life. However, with a non-surgical procedure such as a facet joint injection or epidural, back pain can be reduced significantly. Understanding the different approaches and choosing the right type of injection can make a big difference in managing back pain long-term.
Understanding facet joint injections
If oral medications, such as non-steroidal anti-inflammatory drugs (NSAIDs), fail to bring relief, an injection may be suggested. A facet joint injection is a popular option if the pain originates from a facet joint. The facet joint connects the vertebrae to facilitate movement, like bending and twisting, and enhance stability. Inflammation or degeneration of the joint can lead to chronic back pain. Facet joint injections dispense pain medication around the facet joint to relieve pain. The doctor or pain specialist uses a guided imaging technique called fluoroscopy to inject the medication into the impacted joint. This quick procedure provides substantial pain relief, sometimes lasting several months.
Fill the epidural space
Between the spinal cord and vertebrae are a series of protective layers. Right outside the dura mater, a membrane covering the spine, lies the epidural space. An epidural is an injection of pain medication and steroids into this space. The medication can target a host of conditions, including herniated discs, degenerated discs, spinal stenosis, or nerve impingement. Epidural injections reduce inflammation and limit nerve pain, significantly improving quality of life.
Choosing the right injection
Both injections are effective when used correctly but have slight similarities and differences. Epidural injections tend to last longer than facet joint injections, which can be used to diagnose an underlying issue. Facet joint injections are specific to facet joint conditions, while epidurals are more versatile, targeting numerous spinal ailments. The best procedure will be determined by several factors, including the condition being treated by the medical team. Other factors include the patient’s health, previous injections, and location of the pain. With both injections, the goal is to provide advanced pain relief while delaying or avoiding surgery.
Pain relief is possible
Facet joint injections and epidurals are effective pain management techniques for back pain. The patient plays a vital role in choosing the correct procedure. A detailed discussion with a doctor about pain can help the patient make the best decision about how to proceed. Back pain can be debilitating, but an epidural or facet joint injection can provide long-term relief.
