Facet Joint Injections in Palm Coast, FL

Our Mission Is Your Health

Interventional pain management in Palm Coast — minimally invasive care that treats pain at its source, in English and in Spanish.

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Dr. Manuel López, MD, board-certified pain management physician at Seaside Spine and Pain Center in Palm Coast, Florida

Facet Joint Injections in Palm Coast, FL

A targeted, image-guided injection placed directly inside an arthritic facet joint — treating inflammation where it actually lives, without surgery.

What it treats

Facet joint injections address pain coming from the small stabilizing joints along the spine, including:

If your exam and imaging point to a specific arthritic joint as your pain source, this direct approach is often part of Dr. López’s plan.

How it works

Facet joints are lined with cartilage and enclosed in a small, fluid-filled capsule — much like the joints in your knee or hip — and that capsule can become inflamed with wear and tear or injury. Rather than treating the surrounding nerves, this procedure places anti-inflammatory medication directly inside the joint space itself, calming the inflammation at its actual source.

Dr. Manuel López, a board-certified pain management and rehabilitation physician, performs each injection under image guidance, using a small amount of contrast dye to confirm the needle tip has reached inside the joint before any medication is delivered.

What to expect

This is an outpatient procedure performed in a controlled clinical setting — you come in and go home the same day.

  • Before: the skin over the joint is cleaned and numbed with local anesthetic.
  • During: guided by live imaging, Dr. López advances a thin needle into the joint space, confirms placement with a small amount of contrast, and injects the medication. Most patients feel pressure rather than sharp pain.
  • After: you’ll rest briefly in our office before heading home with a driver. Some patients notice a short window of extra flexibility from the anesthetic before it wears off.

Every case responds differently, and Dr. López will talk through what’s realistic for your specific joints at your consultation — a personal answer, not a generic one.

Is it right for you?

You may be a strong candidate if:

  • Your neck or back pain worsens with twisting, arching backward, or standing up from sitting
  • Imaging or an exam points to a specific facet joint as the likely source
  • Other conservative measures haven’t given you lasting relief
  • You’d rather address the joint directly than rely on ongoing pain medication

As with any injection, certain conditions — active infection, bleeding disorders — need review first. An exam and your imaging will tell Dr. López whether this is the right fit, or whether a different approach makes more sense for your case.

Take the first step

If an arthritic joint is behind your neck or back pain, find out directly rather than continuing to guess. One consultation gives you a diagnosis, a plan, and straight answers.

Call (386) 222-7746 or request an appointment.

Frequently Asked Questions

If your question is not answered here please call or message our office.

A medial branch block numbs the small nerves that carry pain signals from a facet joint. A facet joint injection places medication inside the joint itself, where contrast dye confirms proper placement under image guidance. Dr. López will recommend whichever fits your case, and sometimes uses both at different points in your care.
Most patients are awake and comfortable, with only local anesthetic at the injection site. If anxiety about the procedure is a concern for you, mention it at your consultation — we're happy to talk through what to expect beforehand.
Everyone's response is different, and Dr. López will ask you to pay attention to your pain over the following days rather than judge it in the first few hours. What you notice tells him a great deal about your diagnosis and about which treatment fits your case best.
As with any joint injection, there's a small risk of infection or a temporary increase in pain as local anesthetic wears off. Image guidance and sterile technique are both used specifically to keep these risks low, and Dr. López will review what applies to your health picture before scheduling anything.

Book Your Appointment

Tell us about your pain and we'll help you take the next step — request an appointment or ask us a question.

Office Hours

Monday – Thursday: 8:00 AM – 5:00 PM

Friday: 8:00 AM – 12:00 PM

Saturday – Sunday: Closed

Contact Information

Phone: (386) 222-7746

Fax: (386) 310-2381

Our Location

4863 Palm Coast Parkway NW, Units 2 & 3

Palm Coast, FL 32137

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