Facet Joint Injections in Novi, MI
About Facet Joint Injections
Facet joints are the small paired joints at the back of each spinal segment that guide movement. Like other joints, they can become arthritic or inflamed, causing neck or low back pain that may worsen with twisting or leaning back.
A facet joint injection places a local anesthetic, often with a steroid, into or next to the affected joint. It can serve two purposes: helping confirm whether the facet joint is the pain source, and reducing pain and inflammation.
Who may benefit
Facet injections are commonly considered for neck and low back pain associated with degenerative joint disease of the spine, especially when pain is mostly in the spine rather than radiating down a limb.
What to expect
- Examination and imaging review to identify which spinal levels are likely involved.
- The skin is numbed and the medication is placed at the targeted joints, generally with image guidance.
- You may be asked to track your pain in the hours after the injection, since early relief can help confirm the diagnosis.
- Follow-up to decide on next steps, which commonly include a targeted exercise program.
Physician-led care in Novi
Treatment at Excel Physical Medicine and Rehab is provided under the direction of Dr. Augustus (Peter) Evangelista, who is board certified in Physical Medicine and Rehabilitation and in Pain Medicine. Treatment plans can include on-site physical therapy in Novi.
Verify this physician's specialty and practice address in the Corewell Health directory or Trinity Health Michigan directory.
Common questions
- How is this different from an epidural steroid injection?
- An epidural injection targets inflammation around spinal nerves, usually for pain radiating into a limb. A facet injection targets the spinal joints themselves, usually for pain centered in the neck or back.
- How do I know if this treatment is right for me?
- Every treatment plan at Excel Physical Medicine and Rehab starts with a comprehensive physiatric assessment. Dr. Evangelista reviews your history, examines how the problem affects your function, and discusses whether this option makes sense alongside alternatives such as physical therapy.
This page is general patient education, not medical advice. Whether a treatment is appropriate for you is decided after an in-person evaluation. For emergencies, call 911.
Schedule a consultation
Start with a comprehensive physiatric assessment at our Novi office.