Facet Joints are small joints located between and behind adjacent vertebrae. There are two facet joints at each level of the vertebral column, providing stability to the spinal column while allowing movement. They are found at every spinal level, except at the top level of the cervical spine. Facet joints are encased with facet joint capsules, which contain fluid that protects and lubricates the joints. This complex of joints allows for flexion/extension, rotation and bending.

Facet joints are in almost constant motion and quite commonly wear out or become degenerated. When facet joints become worn or torn, the cartilage may become thin or disappear and there may be a reaction of the bone of the joint underneath, producing overgrowth of bone spurs and an enlargement of the joints. The nerve root runs directly under the facet joint, and as it becomes enlarged it can pinch the nerve root

A facet joint injection is a minimally invasive procedure that can relieve neck or back pain caused by inflamed facet joints.

There are two approaches for treating facet joint pain. First, blocking or numbing the medial branch nerves (small nerves that feed out from the facet joints in the spine) with an injection can be used as a diagnostic test to determine if the pain is actually coming from the facet joint.

The injection blocks pain in the same way a dentist uses an anesthetic injection to block pain. 

The second approach for a facet joint injection is as a treatment to relieve inflammation and pain caused by various spine conditions.

Facet joint injections tend to provide temporary pain relief lasting from days to several weeks so that patients may resume normal activities and/or a physical therapy program. A facet joint injection includes both a long-lasting steroid and a numbing agent. The drugs are delivered to the painful facet joint inside the joint space. 

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Hilliard, OH 43026
Call for Appointment: 614-876-1618
Fax: 888-990-1755


About Us

Dr. Samuel Essandoh M.D. had his residency training at the Columbia College of Physicians and surgeons at the Harlem Hospital in New York, NY.  He did his fellowship in Pain Management at the Memorial Sloan Kettering Cancer Center in Manhattan, New York one of the top two cancer centers in the entire United States where he was thought of as one of the best in the field of Pain management.

He holds three board certifications in Pain Management, Internal Medicine and Palliative Medicine.

He has multiple publications to his credit including pain management in cancer survivors and was a content review expert for palliative medicine guidelines when he was working at the Marshfield Clinic, the main competitor of Mayo Clinic in northern Wisconsin. 

In 2011 and 2012 he was recognized as one of the top pain management physicians in America by the Prestigious Consumers' Research Council of America because of his dedication to patient care and the recognition from his peers and mentors.

Dr Essandoh is also a full member of the American Society of Interventional Pain Physicians.