A facet nerve block is a diagnostic test to
determine if your pain is being caused by the facet nerves.
A facet nerve block is the injection of a small amount of
local anesthetic and steroid medicine near the facet joint.
Fact joints are on the side of your spine, not near the
A facet nerve block is performed if your doctor
suspects that your neck pain may be caused by the small
facet joints of the spine.
Do not eat anything for at least 4 hours prior
to your appointment. You may have clear liquids and take
any medication you need prior to your appointment. . If
you take a Blood thinner such as Plavix or coumadin, you
must notify your physician, as these drugs must be
discontinued 5-7 days prior to procedure. If taking
aspirin, advise us of dosage.
You will be placed in the supine position (lying
on your back) on the table in the x-ray room. Your neck
will be cleansed with an antiseptic solution and your
skin will be numbed. The doctor will use fluoroscopy (a
special x-ray) to guide the placement of thin needles to
the area of the facet joints in your neck. After correct
needle placement is confirmed by fluoroscopy, a small
amount of a local anesthetic/steroid solution will be
About 15 to 20 minutes.
Bleeding problems, infections at the site.
Band-Aid will be applied to the injection site.
You will be taken to the observation area. A nurse will
take your blood pressure, pulse and respirations. You
will be required to stay at least 30 minutes. The nurse
will review your discharge instructions with you and
then you will be able to go home. If your pain is coming
from the facet area, your pain should be at least
REMEMBER: You are not permitted to drive after the
procedure. You MUST have someone drive you home or the
procedure will not be done.
ALSO: Please call to cancel your
appointment if you have a fever, the flu, a cold or other