What are the alternatives to facet joint injection?

The right option depends on whether pain comes from a facet joint, a disc, a nerve, muscle, or another spinal problem. A clinician may use an examination and, when needed, imaging to clarify the source. Facet joint syndrome can cause local spinal pain and stiffness, while cervical or lumbar spondylosis may involve several structures.

Physical therapy can address restricted movement, posture, trunk or neck strength, and the way you lift, sit, or walk. A gradual home exercise plan may improve function without placing a sudden load on the spine. Heat or cold, pacing, and changes to a painful activity can provide additional support.

Medicines may include pain relievers or anti-inflammatory treatment when suitable for your health history. Radiofrequency ablation uses heat to interrupt selected pain-signalling nerves; it is generally considered after assessment, and sometimes after a diagnostic nerve block suggests those nerves are contributing to pain.

Arrange an assessment if pain is limiting sleep, work, walking, or everyday movement. Bring a list of medicines and describe where the pain travels, what triggers it, and whether numbness or weakness occurs. Start only exercises that have been matched to your symptoms; forcing spinal extension or rotation can aggravate some conditions.

If an injection has been suggested, ask what diagnosis it is intended to test or treat and what other options fit that diagnosis. Discuss kidney disease, stomach ulcers, blood-thinning medicines, pregnancy, allergies, and previous reactions before taking medicines or having a procedure.

Seek urgent medical help for new loss of bladder or bowel control, numbness around the groin, rapidly worsening leg or arm weakness, or severe pain after a significant injury. Prompt assessment is also appropriate for back or neck pain with fever, unexplained weight loss, a history of cancer, or feeling seriously unwell.

Ask: What structure is most likely causing my pain? Which exercises or activities should I change? What are the benefits and downsides of medicines, therapy, or radiofrequency ablation for me? How will we judge whether the plan is helping, and what symptoms should prompt earlier review?