Spine- and -Pain -Clinic- of -Texas

+1 (214) 256-3900



Facet Joint Injection vs Epidural Injection: Success Rates, Recovery, and Benefits

facet joint injection vs epidural injection

Chronic back pain can significantly impact one’s quality of life, leading many to seek relief through medical interventions. Two common treatments are facet joint injections and epidural injections. Understanding the facet joint injection vs epidural injection can help patients make informed decisions. This article explores the success rates, recovery times, and benefits of these procedures.

What Are Facet Joint Injections?

Facet joint injections involve administering an anesthetic and steroid medication directly into the facet joints of the spine. These joints, located at the back of the spine, can become inflamed due to arthritis or injury, causing significant pain.

How They Work: The injection process begins with the patient lying on their stomach. A local anesthetic is applied to numb the area, and with the aid of fluoroscopy (a type of X-ray), the doctor guides a needle to the specific facet joint. The medication is then injected, which helps to reduce inflammation and alleviate pain.

Duration of Relief: Relief from facet joint injections can be immediate due to the anesthetic, but long-term relief depends on the steroid’s effectiveness. Typically, patients experience pain relief for several weeks to months.

What Are Epidural Injections?

Epidural injections deliver steroids and anesthetics into the epidural space around the spinal cord. This treatment is commonly used to alleviate pain caused by herniated discs, spinal stenosis, or sciatica.

How They Work: During the procedure, the patient may be asked to sit or lie down in a position that allows the doctor to access the epidural space. After applying a local anesthetic, a needle is inserted into the epidural space using fluoroscopic guidance. The steroid and anesthetic mixture is then injected to reduce inflammation and pain.

Duration of Relief: The relief from epidural injections can vary. Some patients report immediate pain relief, while for others, it may take a few days. The duration of pain relief can last from a few weeks to several months.

Difference Between Facet Joint Injection and Epidural Injection

Facet Joint Injection vs Epidural Injection: Techniques

  • Facet Joint Injection: Targets specific facet joints.
  • Epidural Injection: Administers medication into the epidural space.

Facet Joint Injection vs Epidural Injection: Conditions Treated

  • Facet Joint Injection: Effective for arthritis-related pain and facet joint inflammation.
  • Epidural Injection: Suitable for herniated discs, sciatica, and spinal stenosis.

Facet Joint Injection Success Rate

Studies indicate that facet joint injections have a success rate of approximately 75% for providing temporary pain relief. The effectiveness can vary depending on the patient’s specific condition and overall health.

Factors Influencing Success Rate: The success of facet joint injections can be influenced by the patient’s overall health, the extent of joint inflammation, and adherence to post-procedure recommendations such as physical therapy.

Epidural Steroid Injection Success Rate

Epidural steroid injections show a success rate of around 70% to 90%, particularly in patients with sciatica and herniated discs. The duration of pain relief can range from a few weeks to several months.

Factors Influencing Success Rate: Success rates for epidural injections depend on the underlying condition being treated, the precision of the injection, and the patient’s response to steroids. Regular follow-up and complementary treatments like physical therapy can enhance outcomes.

Facet Joint Injection Recovery

The recovery process for facet joint injections is generally quick. Most patients experience minimal downtime and can return to normal activities within a day or two. Some mild soreness at the injection site is common but usually resolves quickly.

Post-Procedure Care: To ensure a smooth recovery, patients are advised to avoid strenuous activities for the first 24 hours post-injection. Applying ice packs can help reduce soreness. It’s also beneficial to engage in recommended physical therapy to strengthen the back muscles.

Epidural Steroid Injection Recovery

Recovery from an epidural steroid injection may take a bit longer. Patients often experience initial relief within a few days, with maximum benefits appearing within one to two weeks. Some patients may require a series of injections for optimal results.

Post-Procedure Care: After an epidural injection, patients are usually advised to rest for the first day. Mild activity can be resumed after 24 hours, but strenuous activities should be avoided for at least a week. Pain relief can be supplemented with physical therapy and gentle exercises to maintain mobility and strengthen back muscles.

Benefits of Facet Joint Injections

Targeted Pain Relief: Facet joint injections deliver medication directly to the inflamed joints, providing precise pain relief.

Quick Recovery: With minimal downtime, patients can often return to their daily routines shortly after the procedure.

Reduced Inflammation: Steroids in the injection help decrease inflammation, leading to longer-lasting pain relief.

Diagnostic Value: These injections can also help doctors pinpoint the exact source of pain, aiding in more accurate diagnoses and future treatment plans.

Benefits of Epidural Steroid Injections

Broad Pain Relief: Effective for various conditions such as herniated discs, sciatica, and spinal stenosis.

Longer Duration: Pain relief can last several months, providing extended periods of comfort and improved quality of life.

Improved Mobility: Reduced pain leads to better mobility, allowing patients to engage more freely in physical activities.

Minimally Invasive: Epidural injections are a less invasive option compared to surgery, carrying fewer risks and shorter recovery times.

Choosing the Right Treatment

Deciding between facet joint injections versus epidural injections depends on the specific diagnosis and the source of pain. A thorough evaluation by a medical professional is crucial for determining the most suitable treatment option.

Consultation with a Specialist: A detailed consultation with a spine specialist can help determine which injection is best suited for a patient’s condition. Imaging studies like MRI or CT scans may be used to guide this decision.

Consideration of Medical History: The patient’s medical history, including previous treatments and current medications, will also play a significant role in deciding the most appropriate intervention.

Additional Considerations

Potential Side Effects: Both types of injections carry risks of side effects, though they are generally rare. These can include infection at the injection site, allergic reactions to the medication, or temporary increases in pain.

Lifestyle Modifications: In conjunction with injections, lifestyle changes such as weight management, exercise, and ergonomic adjustments can significantly enhance the effectiveness of pain management strategies.

Complementary Therapies: Physical therapy, chiropractic care, and acupuncture are examples of complementary therapies that can work alongside injections to provide comprehensive pain management.

Medical Disclaimer

This article is for informational purposes only and should not be considered medical advice. Always consult with a healthcare professional before undergoing any medical treatments.


Both facet joint injections and epidural injections offer significant pain relief for chronic back pain sufferers. Understanding the facet joint injection vs epidural injection, success rates, recovery times, and benefits of these treatments can help patients make informed decisions. For personalized advice and treatment options, consult with the specialists at the Spine and Pain Clinic Of Texas.

Contact Us

If you are experiencing chronic back pain and considering injections as a treatment option, contact the Spine and Pain Clinic of Texas today at +1 (214) 256-3900. Our experienced medical professionals are dedicated to providing personalized care to help you achieve pain relief and improved quality of life.

Book an Appointment