Home

What is a Facet Joint Pain Syndrome?

Facet joints are joints between two vertebral bones. They are arranged in the back part of your spine from the neck all the way down to your low back. They can be painful due to bad posture, "whiplash" injuries of the neck, arthritis or degeneration in the low back.

These joints may cause pain in and around the spine and can markedly limit how you use your neck or back.

When facet joints are painful, it can be difficult to bend the spine backward / sideways.

Each facet joint is served by medial branch nerves, and if these nerves are blocked with local anesthetic, the pain from the joints will stop. These nerves do not serve any other function in the body. Blocking it by local anaesthetic or radiofrequency current is absolutely safe method of relieving facet joint pain

How to diagnose if facet joint is cause of your back or neck pain?

Under X-ray control, a thin needle is inserted in the facet joint or near the medial branch which supplies sensation to facet joint. A small amount of local anaesthetic is injected.

RESULT -  Facet joint is cause of pain if 50% or more pain is relieved, range of movement improves dramatically post injection, and patient feels very good after the injection.

This is the only test to tell the doctor the pain is coming from facet joint.

Once test is positive (i.e. you get more than 50% pain relief), radiofrequency ablation of medial branches will provide your lasting pain relief.

Facet Joint Pain
Facet Joint Injection
Facet Joint Pain
Facet Joint Injection

What next if my diagnostic test is positive?

Once your diagnostic test is positive for pain relief and we confirm facet joint as a cause of your pain, we plan for radiofrequency (RF) ablation of medial branch to facet joint.

This procedure is same as diagnostic test. Instead of injecting local anaesthetic over nerve RF current is used to block the nerve.

This procedure requires a RF generator and special needles called RF cannula. The tip of cannula is placed parallel to the nerve and RF current is applied. The nerve is heated and thus gets coagulated. This stops painful sensations going to the spinal cord.

Once RF provides pain relief the next steps are

Rehabilitation and physical therapy

Muscles strengthening exercises

Posture correction

How long the effect lasts?

The coagulatednerves grows again and usually it takes 6m to 18 months for sensation to come back. Some patients do well even after 18 months.

What if My pain comes back after few months?

The best thing is about RF ablation is that it can be repeated after the pain comes back.

Conditions Treated at PCI

  • Neck pain

    Neck pain is described as an aching, burning, stabbing, shooting, or cramping pain and frequently spreads

    Read More

  • Back Pain

    Back pain is a common complaint. Four out of five people in the United States will experience lower back pain

    Read More

  • Cancer Pain

    Pain in cancer is one of the most common symptoms. It is of vital importance to provide adequate pain relief

    Read More

  • Knee Joint

    The shoulder is the most movable joint in the body. However, it is an unstable joint because of the range of motion

    Read More

  • Trigeminal Neuralgia Treatment

    Tic doloureux (also known as proeopalgia) is a neuropathic disorder of the trigeminal nerve

    Read More

  • Slipped disc

    Our spine consists of the vertebral column through which spinal cord runs. From the spinal cord various nerves

    Read More

Fellowship Training For Doctors at PCI

Eligibility - Post graduation in Anesthesiology, Orthopedics, Neurosurgery, and Radiology

Schedule Appointments

Pain is a way your body reacts to injury or illness. Everybody reacts to pain differently. Schedule an appointment for the pain you suffer. 

Read More

Testimonials

  • Posted By : Suraj Kumar Roy
    2017-06-12

    Hare Krishna! On 15-Dec-16, I had difficulty to walk and stand which I ignored and later I had trouble bending my knee. But I ignored and went on. The next day I contiuned distributing pamphlets and the knee pain only increased So I purchased knee ointment thinking this would relieve my pain. Next day morning I had oversee Newspaper insertions I was barely able to walk and my knee had swollen.

    I rushed to the Residency and took rest and immediately went to physiothreapist. Momentarily, I got rid of the pain and felt better by the treatment. On Physiothearpist advice I got X-ray of my Right knee, later in report it indicated there was patellar spur. I was take complete bedrest, use crutches. Thanks to my Boss, I took bed rest. and my nature of job was changed to calling. But since I was not able to dance infront Lord Gaura-Nitai, I was very unhappy. The swelling had gone but I was not able to walk normally even in late January.

    I was disgusted with physiotherapist and Orthopaedic because each had a different version for my case and everyone was hinting Surgery or Ligament Repair. I got an MRI done of my Right Knee on 6-Feb-17. And MRI Report said, Vertical tear in Anterior Cruciate Ligament(ACL) and meniscus tear. I did not want surgery. I searched on Internet and consulted many doctors online. One of the doctors suggested PRP. But he was in Delhi. Hence I searched for PRP in Mumbai and later I contacted Pain Clinic of India. And Dr.Kothari suggested two therapies Dextrose Prolotherapy and Platelet Rich Plasma injections(PRP). Since I follow Srila Prabhupada, I wanted to be sure that any therapy administered to me was purely vegetarian and Dr. Kothari assured me that Dextrose was 100% vegetarian. I took 12%, 18%, 25% and 25% of Dextrose respectively from 12-Feb-17, 6-Mar-17, 27-Mar-17 and 11-May-17. And parallely I underwent Physiotherapy treatment and INTERFERENCE Therapy, I could see the difference and I was able to walk normally. Though there is slight pain, while climbing stairs, I am far better than what I was on 16-Dec-16.

    I especially thank Dextrose Prolotherapy, Dr.Kailash Kothari and all the treatments which helped me heal.

  • Posted By : Dr Jariwala
    2017-05-03

    I am 70 Year old & pathologist by profession. I had a pyogenic arthritis of hip joint at the age of 14 years. Post surgery hip was fused & by the age of 20 I had shortening of the leg by four inches.

    At the age of 27 I started getting pain in lumbar region which was progressive. All lumbar spine movements were gradually reduced by the age of 60. Pain and spasm were severe. I could not stand and walk for more than few minutes. No surgery was indicated and was advised pain management. Physiotherapy also did not help much. Facet block gave a temporary relief and confirmed facet joint arthropathy. Subsequently radio frequency was done which gave me relief for a year. Since then practically every year I have been undergoing radio frequency treatment.

    This treatment gives me a relief for about a year. Procedure is not very painful. Post procedure pain lasts for about two to seven days. There is no side effect of the procedure. I am very happy with the treatment and there is no hesitation in recommending the same whenever it is indicated.

  • Posted By : Asha Gaikwad
    2017-04-21

    Treated in March 2017. My name is Asha Gaikwad. I underwent surgery for my left lung bullae removal. After surgery I suffered severe nerve pain which was shooting from back to the front of the chest and abdomen.My surgeon gave me many medicines but all failed. My life was horrible and I wanted to die rather than suffering so much. My surgeon then referred me to Dr. Kailash Kothari at Pain clinic of India.

    I went there with only one aim - to become painfree. The clinic was very calming and there was no waiting. During the first consultation Dr. Kothari explained me all about neuralgic pain and how he is planning to manage my case. I felt so much relieved by his knowledge about my condition.

    He explained me that these kind of complications post thoracic surgery are common and can be managed. He started medicines for me and advised some blood tests, he performed pain management procedure called thoracic epidural injection of steroid. My pain reduced by 80% within 3 weeks.

    In subsequent visits he identified some muscle pains and given trigger point injection there. Now I feel almost 90% better. I am so much thankful to my surgeon and god that my pain is gone now. I am thankful to the team of Dr kothari for curing me.

  • Posted By : Stella Noronha
    2013-08-03

    In October 2015, my mother Mrs Stella Noronha, aged 66 was diagnosed with liver cancer (stage 4) with a metastasis growth in the form of a tumour around her right hip region spread across the right pelvis. The oncologists had stated that she would not live for more than 6 to 9 months.

    The pain at this stage of cancer is enormous and we could sense that when she used to continuously cry out of pain in her right hip resulting in many a sleepless nights. There is nothing we could do to save her and therefore out entire focus turned to palliative care and pain management and we were looking out of options that could give her relief from pain and improve her quality of life as long as she lived.

    The oncologists did suggest fentanyl patches however the extent of pain was much greater than what these patches could control. While searching for other options on the internet, I read about Dr. Kailash Kothari and his clinic, Pain Clinic of India. The website had detailed information about management of cancer related pain which based on my experience I can say that the oncologists may not necessarily be aware of.

    I visited Dr. Kailash Kothari and after looking at all the reports he suggested that we do a nerve block wherein after the procedure the pain causing nerves would no longer be able to relay pain and the effect could last for three to four months. The nerve block procedure was conducted on 12th October 2015 and today, i.e. after a little over two weeks, I see that the results are fantastic.

    Immediately after the process my mother was on a low dosage of oral morphine i.e. 5mg a day however that was required as the nerve block process to take full effect I was informed by Dr. Kothari that it may take about two weeks. She does not take morphine or any other kind of pain killers and still sleeps well without complaining of pain. She does complain of little pain when moved but not when she is stable.

    We did experience the side effects of fentanyl patches and oral morphine i.e. itchy feeling, rashes on the body, constantly being in semi-conscious state affecting appetite and acute constipation. However without these and with the nerve block process which now appears to have taken full effect, she is very comfortable as she sleeps well, is alert when awake, appetite is good, no other side effects such as rashes etc and motions are regular.

    It is sad that my mother will not live for long, however to see her comfortable as long as she does is a huge consolation. I feel extremely grateful to have met Dr. Kailash Kothari and wish to thank him for having recommended and conducted the procedure on my mother which has resulted in her having a much better quality of life.

  • Posted By : Rupesh Nimbolkar(student)
    2013-08-05

    hello , I had knee injury in 2005 while playing cricket. It was in right knee. I always had pain in my knee but used to have painkillers. As time passed pain also aggravated. Slowly my knee started locking while doing daily chores. It was so embarrassing as it used to happen even in public places. Then I went for doing MRI of my right knee.

    Which showed grade 3 miniscule tear. Then my dad suggested me to consult Dr Kailas Kothari sir. Because he was the only person who relieved my dad out of pain. On Aug 31 I consulted him and he studied my MRI and suggested me "prolotherapy".

    And it's results are amazing. I can now walk for a long distance, can do daily chores normally and even there is strength in my knee and leg and most importantly there is no pain. This has become possible only because of one person, Dr Kailas Kothari and Pain Clinic India who have brought smile on face once again.

  • Posted By : Mr. Nasrullah Khan
    2015-08-31

    I had been suffering from Trigeminal Neuralgia on the right side of my face since 2007-08. Since then i had tried a lot of things like acupressure, acupuncture, ayurvedic, homeopathic, Unani, innumerable Allopath physicians and consulted quite a few Neurologists. But there was no letting up from the Trigeminal Neuralgia. Fortunately for me, i came across Pain Clinic Of India at apollo spectra where they directed me to Dr. Kailash Kothari, MD. I Met the Doctor on 8th of August 2015 .

    He heard me very patiently, explained what are the procedures available that could be done, making me feel comfortable and assured. A procedure/surgery called RF ablation was fixed up for 10th of August. I must admit that this was one of the best decisions I took on the doctors assurance. The procedure involved injection under short general anesthesia which was very comfortable and painless.

    I was assured and comforted by PCI team right from pre operative time and also the post procedure/operative care. ( it was a short hospital stay till late noon/evening). I was free from the pain after the procedure.  I recommend Dr. Kailash Kothari and team for pain management.

  • Posted By : Miss Monaz Billimoria
    2015-09-04

    I was suffering from very severe Low Back Pain (Scitica / Facet Joint) for around Five (5) years.  I was given only painkillers by different doctors, I tried accupuncture but didn't help much & pain contiuned. Then I came to know about Pain Clinic of India & Dr kailash Kothari Through A Family Friend.

    I underwent few investigations including MRI. He explained me what is the root cause of my pain. He was the first one to identify that something is a cause of pain. He told me that it’s my facet joint which is causing the pain. After Dr Kothari performed test injection I felt very good and subsequently he performed RadioFrequency Abalation Procedure, I found a lot of Relief.

    This helped me to walk properly & venture out of the house. I am very happy with the treatment, personal care of the PCI team. Treated for Lumbar Facet joint pain November 2011

  • Posted By : Miss Binaifer Billimoria
    2015-09-04

    I had developed pain in my right knee due to early osteo-arthritis, my sister advised me to take advise from Dr Kothari. He treated me with medicine & explained me about treatment called Prolotherapy.

    I decided to go for it as I felt satisfied with his explanations. During my next visit he gave me Prolotherapy injection in my right knee. It worked very well for me and today I am free of pain. I thank whole team for making me pain free. Treated for Right Knee osteoarthritis August 2015

  • Posted By : Shilpa Anand(actress)
    2015-09-14

    I used to suffer form acute migraines for over 10 yrs.I had tried every possible treatment and medications.In fact some medications were also causing memory loss.Then i met Dr.kailash kothari in 2013 and he explained me about cervical headache originating from my neck.

    He first gave me a nerve block test injection over my neck which gave me instant relief.But within 2 weeks the pain was back .Then he recommended a radio frequency nerve ablation treatment .That treatment was the best thing that happened to me .No more medications and no more migraines.

    I only get my migraines before my periods now .But i'm not complaining ,since earlier i used to get it almost everyday.This treatment has truly been a blessing in my life.I am so much more energetic and lively and full of enthusiasm now.Life is very different when you no longer get migraine.Thank you doctor.

  • Posted By : Vijay Nimbolkar(retired)
    2015-10-30

    I was detected with ankylosis spondilitis in 1994. I consulted many doctors but all said that there is neither cure nor treatment. Slowly I started bending from vest and had immense pain and my both shoulders were fixed and couldn't do any movement. At that time I came to know about Dr Kailas Kothari who was visiting Akola. So I consulted him and he studied my case and MRI, X RAY Reports suggested me about RFA (Radio Frequency Abilation).

    After 15 days he came from Mumbai along with his portable machine to Akola only for my sake. He treated my "lumbar spine facet joint" for nearly 3 hours. Because of the treatment my pain slowly reduced and my back bending was gone. Today also there is stiffness in my back but in past 6 years don't have any kind of severe pain.

    This all credit goes to Dr Kailas Kothari, because no doctor travels such long distance along with a portable machine for the sake of single patient. Also today even money can't cure anything. I really thank him for being very kind and gentle towards me. Hats of to Dr Kailas Kothari who is changing lifestyle and bring smile back once again.

  • Posted By : Mrs Jhaliyadevi Pandit
    2016-02-15

    I was suffering from severe back and leg pain with foot drop on left side. I was not fit for surgery due to cardiac problem. I came to know about Pain clinic of India through my employer. Dr. Kailash Kothari examined me and seen my all reports including MRI. He suggested me ozone discectomy with epidural injections at 2 levels.

    I was not sure if this will work for me. But as I was in bad pain and no choice left, I decided to go for it. After 8 days post the treatment I started feeling good pain relief in my back and legs, my foot drop also improved by 30%. I could walk much better. After 4 weeks he advised 2nd epidural injection and I took it.

    Now I am having good life at 6 months post injection and with very little pain. I am on occasional medicines for pain. I am very happy that I decided to go for pin management therapy at pain clinic.The Staff at Clinic is very supportive.

  • Posted By : Siratunisa Khan
    2016-02-22

    I am very much overweight and have severe knee, back and shoulder pains. I was referred to pain clinic of India by one of my friend who took treatment here and felt very good. I was not able to walk or stand without support. My knee used to hurt a lot. Back and shoulder pain were comparatively less.Dr. Examined me and informed me that there is osteoarthritis of knee and pain is because of that.

    Dr. suggested me that I need to undergo prolotherapy to strengthen my knee and also it will help in regeneration of tissues. Since I was against surgery (as suggested by few doctors I met earlier) I happily agreed for the same. I took prolotherapy in both my knee. At 2 months post injection I am feeling almost 50% better. Hopefully with next 1-2 injection I will feel almost normal. I suggested this treatment to my relatives and friends.

  • Posted By : Akash S.
    2016-02-22

    I had cancer of tongue. which was operated and I have taken chemo and radiotherapy. my cancer is healed but I have lot of deformity of the face due to surgery. Now I have pain in the jaw, tongue and face including headache. It was very severe and I could not sleep at night for many months.I was referred to pain clinic by my cancer surgeon.

    At pain clinic I was re-assured and was started on morphine and other drugs. In few days my pain reduced by 50% and I could eat something. Sleep improved. He adjusted my doses during each visit and this helped me a lot. He said I may need some nerve block but fortunately drugs did a trick for me and I am better with medical treatment. Thank you Pain clinic for your support

  • Posted By : Dr. Tasneem Kamath
    2016-03-30

    I can actually say I had lost hopes of ever getting better with this pain over my back and on outer thigh (for many many years), as no one wanted to put that diagnosis of greater trochanter bursitis or treat it, but on coming to your clinic at Thane and the way you examined me it raised my hopes of getting better again.

    I was advised Si and greater trochanteric injections, and after discussion I chose to take Greater trochanter injection first. After the injection I feel at least 50% pain relief and hoping for some more by end of this week. It yet pains me at the buttocks area which you had examined but I am better over the lateral side of thigh so thanks to your team for making me better.

  • Posted By : Shobha Devidas Karapurkar
    2016-06-22

    I Shobha Devidas Karapurkar residing in Malbhat, Margao, Goa. I was suffering from waist and leg pain, I can not stand too long and a lot of trouble in sitting down and specially while sleeping. I've been through many doctors around Goa, Manipal, Belgaum, Kolhapur. I spent money in lacs, but without any results. I took all my reports Ultrasound, Scanning, X-Ray, MRI as per doctor’s suggestions but no results.

    Since 25 years I was suffering from pain, I have to be admitted in the hospital multiple times. One day I was just passing by and I read Padma Spine & Pain Centre (Franchise of Pain Clinic Of India) Board, I immediately went to the Pain physician Dr. Venkatesh Nevagi (also known as Dr. Vicky) and shown all my reports. After checking me and my MRI reports he told me that I have bulged disc pressing on my nerves.

    I was surprised when I heard that because I had shown my reports to many doctors and they said that my all reports are normal. I decided to take my last chance by taking pain management treatment from this doctor. On 06/01/2016, doctor gave me diagnostic facet joint block and I felt very good, I then underwent RF ablation next day. After a week, he gave me physiotherapy treatment, and also showed me some exercises.I got relief within few days and felt very good.

    I found a great doctor at Pain Clinic Of India Pvt Ltd that’s why I am well now without having any operation. I am really thankful to him. We pray God for Dr. Venkatesh nevagi to live long to serve the suffering people. We also thank to all staff of Pain Clinic Of India too.Thank you very much indeed.

  • Posted By : Ramita Ramesh Harlankar
    2016-06-23

    I Ramita Ramesh Harlankar, age 58 years, living at Borda, Margao. I was suffering from pain in the waist since 5 years. This time it was too bad. My waist hurts so much that I was not able to get up. My son took me to orthopedic and Joint surgeon. But I did not get any relief from treatment. Then they took me to the another surgeon. He told me to admitted to the hospital.

    I was admitted to hospital for many days but I do not feel any good. Pain was unbearable. After that I was admitted in government medical college for 4 days. I was discharged but without any relief. They did not know what to do, at that time my brother got reference for Dr. Venkatesh Nevagi, Pain management consultant at Pain clinic of India, Goa branch. so my brother and my son took me at his clinic.

    Dr. Nevagi gave only one injection - Epidural block and I felt better within four days. After few days he advised me to do Endoscopic discectomy - a stitchless surgery and I got it done. Right now I am so well and can walk as usual. I am really very happy and thankful. If you have similar problem Give Pain clinic of India a call !!

  • Posted By : Anthony D'souza
    2017-01-05

    I Anthony D'souza, 7years ago all of a sudden I had pain, tingling, numbness, burning sensation in my right side.MRI showed that I had some cysts in my spine , I was seen by top neuro surgeon in Hinduja Hospital , and I was told that surgery involves lot of complication, so I cannot be operated and was left on pain killers.

    life was not the same, it was miserable I couldn't sleep at night, due to the pain ,and all the symptoms, then I went to the massage therapy, there was no relief , only made it worse, last month my daughter took me to pain clinic of India as Dr.Das had recommended Dr. Kailash Kothari from Pain Clinic of India, Dr.Kailash examined me and wrote MRI and blood tests, All the tests were done in few hours.

    the next day I had my lumbar epidural done, it was such a relief ,as I was able to walk straight after so many years , after 2 weeks I had my cervical epidural done, After nearly 7 years I was able to sleep at night, and my pain is gone. I really appreciate Dr. Kailash Kothari and his wonderful team who took the effort to listen to my pain complaints and treat it accurately. In general when I went to Doctors they just wrote the pain killers, but I was so glad that in Pain clinic they found out the cause and also how to treat it from the root , not just superficially .

    So Thankful to God , for bringing me in contact with Dr. Kailash Kothari and the pain clinic. Dr. Kailash your profession is such a great work , there could not be anything great than taking away pain from the person who has been suffering for years. Thank you so much. God bless your hands with His Grace to care for many patients who have been suffering with pain.

  • Posted By : Nancy Syed
    2017-01-05

    My name is Nancy, and I am a Registered Nurse working in St.John of God, Subiaco, Australia. 6 months back, I had having severe pain in my heel, which my GP Doctor said it was plantar fasciitis, and prescribed me pain killers.

    It didn't help me at all, one morning I couldn't keep my heel on the floor when I woke up, I had to see podiatrist urgently that day, He did acupuncture and strapped my foot for a week, pain was there , but it was less,but the day the sticky straps came out, pain was worse.

    It was really bothering me as I work in operating theatre and it was difficult for me to stand even for few hours, I was on sick leave for few days, Finally I came on emergency leave to India, and I saw Dr.Kailash Kothari from Pain Clinic of India, Chembur, Dr. Das from Ireland had recommended Dr.Kailash to me. Couldn't imagine when I visited pain clinic of India Chembur, everything was so quickly diagnosed, Dr. Kailash wrote an Xray for me, which was done in an hour , and He could see the problem I had spur, which was causing pain, He gave me injection in my heel area.

    After injection I had pain for a week, and after that week, pain was completely gone. I work 10 hour shift for 4days in a week, and there is no pain. Thank You so much Pain Clinic of India for the excellent care and treatment .

    I really don't have words to express my gratitude. It means so much to me. Thank you seems like so little to say God Bless You Abundantly, Dr.Kailash and Pain Clinic of India.

  • Posted By : Altaf Hussein
    2017-02-01

    I am a BSF soldier posted in Kashmir in tough situations. I started getting severe shooting pain on my face in last 4months. I was not able to talk, ear, brush, even open my mouth during severe pain. I was having trigeminal neuralgia.

    On MRI I was told by neurosurgeons that my nerves is being irritated by a vascular loop. I was treated with medications which gave me good relief but in last one month I started getting pain again. I was given higher doses of medication and that caused lot of sedation and other side effects. I was referred.

    Y my neurologist to Dr Kothari at pain clinic of India. Dr Kothari informed me about treatment called RF Ablation which may give long term relief in my pain. I was advised some blood investigations and next day RFA was performed under local anesthesia.

    My pain is gone immediately post procedure. My mediCations were stopped. Now I can do my duty without any drug side effects. I am thankful to Dr Kothari and recommend the treatment to anyone having trigeminal neuralgia.

  • Posted By : Mr. Abdul Qureshi
    2017-02-01

    I was having severe back and leg pain for 1year. I was not able to walk even few steps and felt weak legs. On MRI I was told by spine surgeons that my nerves are compressed due to slipped disc. I was advised spine surgery. I have seen very bad results with spine surgery in my friends and relatives so me and my wife were totally against it.

    I came across pain clinic of India through one of my friend who had similar problem and got completely cured with simple injections at PCI. When I met Dr Kothari, he gave me hope that the problem can be solved with injections and physiotherapy.

    I agreed and went for the injection immediately. Very next day I got injected (epidural injection). I immediately felt huge difference in my pain and functions. My pain was 90% less.

    I was put in physiotherapy for 2 weeks. It's almost 4 months now after the treatment, I am completely painfree, except some pain in the back on more exertion. I am thankful to team of PCI specially Dr. Kothari who gave me new Painfree life.

Read more

Dr. Kailash Kothari
Director

+91-93200-27500

This email address is being protected from spambots. You need JavaScript enabled to view it.

LET US KNOW EACH OTHER