Non-surgical treatment options for facet joint syndrome include physical therapy, exercise, medication, chiropractic therapy, massage therapy, acupuncture, and/or application of heat or cold compresses. Occasionally steroids are injected into the facet joint (facet injection) easing the pain and reducing the inflammation.
The steroid injections are done by Orlando Orthopaedic Center’s Pain Management Physicians. This is done in an outpatient surgical suite under fluoroscopy (specialized x-ray machine), which allows the steroid medication to be injected into the facet joint surrounding the nerves that are being affected. This may relieve the pain completely. If the pain is not relieved surgery may be indicated.
When non-surgical treatment fails patients might be a candidate for a facet rhizotomy or bone fusion to remove the damaged facet(s) and stop the motion of the spine alleviating the pain at this location.