A facet joint injection can relieve neck or back pain caused by problems with the facet joints. The cartilage inside the facet joint can break down and become inflamed, triggering pain signals in nearby nerve endings. The facet joints are the joints between the vertebrae that give your spine its flexibility. Severe back pain is caused by degenerative changes to the joints between the spine bones. Facet joint syndrome is one of the more common causes of back and neck pain in London and the UK.

An injection of local anaesthetic and an anti-inflammatory steroid can be given directly into the facet joint to reduce inflammation and relieve pain. In some cases, the facet joint injection can also be used to diagnose the cause of back pain or to enable you to completely heal during your physiotherapy.

If you are suffering from back pain caused by facet joints in London, expert spine consultant & surgeon Mr Mangattil Rajesh offers facet joint injections along with comprehensive recovery plans to give you long-lasting relief from facet joint back pain. Call 07956 318 383 today to fix a consultation appointment!

Table of Contents

  • Treatment starts with Diagnosis of Facet Joint Arthritis
  • Procedure for Facet Joint Injection in London
  • Cost of Facet Joint Injections in London
  • What happens after the facet joint Injection Procedure
  • Why do you need Facet Joint Injections
  • What our Clients say
  • Frequently Asked Questions

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Mangattil Rajesh, Consultant Spine Surgeon in London

Mr. Mangattil Rajesh

Consultant Spine Surgeon
Royal London Hospital

I am a Consultant Spine Surgeon at Royal London Hospital, London. My experience in treating your Back pain is from the extensive training in Spine Surgery from surgical rotations in London and from further 3 Spinal Fellowships at Manchester, North Tees, Royal London Hospital in the UK and further advanced training in France and USA in Minimally Invasive Surgery.

Treatment starts with Diagnosis of Facet Joint Arthritis

An accurate diagnosis is important to determine the source of your pain in the facet joints so that the facet joint injection can be administered in the right spot. Diagnosis for facet joint injections in London generally includes…

Diagnosis is the most important first step

There is no treatment without a diagnosis and there are several stages in the diagnosis of back pain.

  • History 
  • Clinical Examination 
  • Blood Investigation 
  • Imaging
  • Nerve Conduction Test

History: Facet joint pain caused by facet joint arthritis causes back pain. Mr Rajesh carefully listens to your story of how your back pain started and progressed to the current state of pain. He will also be interested in the medications and the small adjustments that you may have tried to get relief from your back pain.

This gives Mr Rajesh a very clear idea of the problem and he will then be able to decide on the nature of the examination and the investigation that is required to study the cause of your back pain.

Clinical Examination: As guided and directed by the story of your back pain Mr Rajesh will decide on the type of examination that is required to assess the extent and severity of your back and leg pain. What he finds on the examination will give him a clue on the type of investigations that he needs to order for further information on your back pain.

Blood Investigation: Blood investigations are usually not required as a routine in the diagnosis of low back pain conditions. However if you have fever, loss of weight, loss of appetite or any other medical problems along with your back pain, then blood investigations will be necessary.

Imaging: We all think that an x-ray will be very useful to look at the bones of our spine. However, these x-rays cannot show the soft tissues around the bones of the spine and the nerves that are trapped in our spine. Therefore, we need an MRI scan to look at the nerves much more clearly to have a good idea of the cause of your back pain. 

CT scans can also be used but they carry a risk of high radiation. Whereas MRI scans do not have that risk of high radiation and they are very safe to be used in the diagnosis for the cause of your back pain.

Diagnostic facet joint injection is performed to confirm the cause and orgin of back pain due to facet joint arthritis. The facet joint is injected with a local anaesthetic and corticosteroid medication under sedation. The injection is given using X-ray fluoroscopy to ensure accurate needle placement in the facet joint. Your pain level is evaluated before and 20-30 minutes after injection, and monitored over the next 4-6 weeks.

Facet joint involvement is confirmed if your pain level decreases by more than 75%. If your pain level does not change after the injection, it is unlikely that the facet joint is the cause of your pain.

Remember the more accurate the diagnosis is, more successful will be the treatment for your back pain

As the premier back pain specialist in London, Mr Mangattil Rajesh believes in utilising all the available latest technologies in his diagnoses and treatments. Once Mr Rajesh builds up an accurate picture of his patient’s requirements, he implements preventative measures, plans and recommends the right time for your facet joint injection to help relieve you from back pain.

Get a diagnosis of your facet joint back pain from one of London’s best-reviewed back plain clinics to find out if you require a facet joint injection for your back pain treatment. Do you think a facet joint injection can help relieve your back pain? Do not guess!

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Procedure for Facet joint injection in London

Experienced spine surgeon Mr Rajesh understands that having any medical procedure, even one as simple and straightforward as a facet joint injection can cause anxiety in people. Mr Rajesh and his dedicated staff will be there to support and reassure you throughout! 

If you are living in and around London, and are suffering from facet joint back pain, call 07956 318 383 for a Consultation at one of London’s best back pain clinic.

Facet joint injection procedures can help reduce inflammation and pain while allowing you to move more freely. Facet joint injection contains a mixture of numbing solution (local anaesthetic) and corticosteroid (steroid). The local anaesthetic will improve the pain immediately and the steroid in the solution will act on the inflammation around the covering (capsule) of the facet joints and control the pain in the long term. This improvement in the pain will help you move around better and mobilise your lower back.

Facet joint injection procedure is done as an outpatient procedure. You will need to come in starved for at least 6 hours and will be at the hospital for less than a day. You will be given a sedative by the anaesthetist so that you do not feel the pain of the procedure.

The facet joint steroid injection procedure takes less than 10 minutes and is very safe

A thin hollow needle is inserted through the skin and muscles to the nerves in the facet joint. A fluoroscopy X-ray is used to place the needle in the correct position. This system gives real-time X-ray images of the position of the needle in the spine on a monitor for the surgeon to view.

A contrast dye is then injected through the properly placed hollow needle to confirm that the drug flows to the affected nerve when injected. When the doctor is satisfied with the position of the needle, the anaesthetic drug and corticosteroid are injected through the same needle inserted in the spine.

The facet joint injection procedure is painless but you may feel some pressure during the injection. The needle is removed, and the injection site is covered with a dry, sterile bandage. One or more facet joints’ may be injected depending on the location of the pain. The overall duration for the procedure will thus depend on the number of facet joint injections required to relieve pain.

After the facet joint injection procedure is done, you will be taken to the recovery room from the theatre and monitored for an hour. You will be able to leave the hospital on the same day once you are safe. A facet joint injection can reduce pain for up to three months. However, London spine specialist Mr Rajesh usually uses the facet joint  injections as a crucial part of a holistic back pain programme. The injection reduces symptoms so that physiotherapy is more effective. 


Mr Rajesh combines medication, physical therapy and nerve ablations along with the facet joint injections to give long term relief from back pain! 

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You’re in safe hands!

Mr Mangattil Rajesh understands what it’s like to live with pain and how it can be exhausting, both emotionally and physically. He is personable and approachable and believes in empowering his patients to live a pain-free life. As an experienced spine surgeon & consultant in London, Mr Rajesh’s approach is to help his patients with effective but minimally invasive treatments.

Cost of Facet joint injections in London

Depending on the underlying causes of your back pain, Spine consultant & surgeon in London, Mr Rajesh, will advise you on the best course of treatment for your back pain and help ease your pain completely. Specialist Spine consultant & surgeon Mr Rajesh offers affordable, competitive packages for Back pain treatment in London. Mr Rajesh accepts all Health Insurances for Back pain treatment in London.

If you are suffering from facet joint back pain in & around London and are seeking effective treatment, look no further than specialist spine consultant & surgeon Mr Mangattil Rajesh! He’ll be more than happy to help you with your facet joint injections for back pain treatment in London. Please don’t hesitate to give him a call today at 07956 318 383

Get a consultation for your facet joint back pain treatment in London at your convenience! Mr Rajesh now offers phone and online consultation along with walk-in consultations. Choose your pick, book an appointment for your facet joint injection procedure in London. Start your journey towards a pain-free life!

Facet joint injection procedure with Mr Rajesh offers you the ability to avoid long waiting lists or expensive insurance premiums and access treatment quickly and easily in London.

Mr Rajesh is committed to providing the highest quality of care throughout his patient’s back pain treatment in London. For facet joint injections in London, Mr Rajesh offers a full range of services, from initial assessment and diagnosis to individualised treatment and rehabilitation plans. Fix an appointment with spine specialist Mr Rajesh at 07956 318 383 and get customized individual assessment for your back pain!

What happens after the facet joint injection procedure?


Following the facet joint injection procedure, spine surgeon Mr Rajesh’s team will monitor your recovery. You will be able to go home when you are up and about and have passed urine. However, a friend or family member should escort you home.

Once the facet joint injection procedure is done, you may feel an immediate reduction or complete relief of your back pain. Because of the local anaesthetic, it may take several hours before the feeling comes back into the treated facet joint areas. You should be able to walk immediately after the procedure, although some people have some tingling or numbness for a few hours.

London spine specialist Mr Rajesh will give you exercises to improve your strength, spinal mobility, and stability. Mr Rajesh and his team are always available for support and guidance if you have any problems or concerns at any point during your recovery.

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Why do you need Facet Joint Injections?

Back pain and related symptoms can interfere with our lives while often attracting little sympathy. Facet joint injection is recommended for control of your lower back pain. Inflammation caused by the wear and tear of your spine produces chemicals around your small joints of your spine called the ‘facet joint’. This is the main cause of low back pain in the middle-aged and elderly. There are other causes of low back pain.

Facet back pain gets worse if you sit for very long – something that causes particular problems for people with office jobs.  As well as being one of the main reasons people take time off work, facet joint back pain can prevent you from:

  • Taking part in exercise or sport
  • Playing with your children and family
  • Driving 
  • Using computers for work or leisure

Facet pain is caused by deterioration or other damage to the facet joints that link together the bones in your back. Spondylolisthesis can also be a contributing factor in facet pain. The joint becomes inflamed and it is this inflammation that causes the pain. You are more likely to be affected if you are older but it can also affect young people. Some people sustain facet bone damage playing a sport, for example.

The facet joint injection procedure is a simple outpatient procedure which approximately takes just around 20 minutes, including the time for a local anaesthetic to take effect.

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What our Clients Say

Mr Rajesh is an experienced Spine consultant & Surgeon in London. He is very personable and approachable. Back pain specialist & Surgeon Mr Rajesh has the care and wellbeing of his patients at the heart of everything he does. You can read of some of the London back pain specialist reviews for Mr Rajesh

Frequently Asked Questions

1. How long do facet joint injections last?

Facet joint injections have an immediate effect of pain relief from the local anaesthetic which wears off over a few hours. The steroidal cortisone starts to work in about 3 to 7 days and it can last up to a few months. More injections may be required for longer-lasting pain relief. Most specialists would wait for at least six months before repeating the injection.

2. How painful is a facet joint injection?

Facet joint injections are virtually painless since the procedure is done under local anaesthetics. When the local anaesthetic wears off, you may experience some discomfort where the needles were placed. Although pain relief with the  Facet Joint Injections generally occurs within 3 – 5 days, some patients experience improvement & pain relief right after the injection!

3. How many Facet joint injections can you have?

Most experts recommend not more than 3 injections over a 12-month period. There are concerns about the adverse side effects of repeated steroid injections on your spinal cord, nervous system function and on your metabolism. A spine specialist would check & analyse for repeated symptoms before repeating the facet joint injection.

4. What are the risks and complications of Facet joint injections?

Infection: This is rare but there is an increased risk in skin conditions like psoriasis or eczema. The rate is less than 1 in 1000 injections

Bleeding: There is very little chance that you will bleed from a tiny puncture wound with a needle. But there is an increased risk of bleeding if you are taking medications to ‘thin your blood’ like warfarin, rivaroxaban or clopidogrel. You will be advised to stop these medications at least a week in advance of the procedure for safety.

Fascial flushing: This is a temporary side effect from the steroid injection and settles down very quickly.

Vasovagal or fainting episode: This can be due to the stress of the procedure and is not life-threatening. 1 in 100 patients do have such episodes and it settles very quickly.

5. What is the recovery time for Facet joint injections?

You are advised to take the next day off work as you had intravenous sedation. You can return to normal life with gentle activity right after, and you can return to an active lifestyle within 3 – 5 days. If your back pain persists or is worse, you may need a few days off work. Usually, it can take several weeks before you feel the full benefit of the facet joint injection. There are no limitations for work if your pain settles after a day.

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