Marcello Sammarone, M.D.
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In the first 4 to 6 weeks the treatment is conservative, including muscle relaxants, anti-inflammatory medications, and physical therapy. If the pain persists, then facet injections are indicated with the use of local anesthetics and steroids.
The injection is done under a special x-ray guidance called fluoroscopy and the use of a light intravenous sedation as well as local anesthesia. The above provide the best results.
If there is temporary relief, the nerves which supply sensation to the facet joint can be interrupted with heat therapy.
This is done by a procedure called radiofrequency which works though the use of radiofrequency energy in the form of heat to interrupt the nerves transmission to the brain.