Facet Joint Pain Treatment in Fort Worth, TX | WOW Spine

Facet Joint Pain Treatment in Fort Worth, TX

Dr. Mike Martinez providing facet joint pain treatment consultation at WOW Spine in Fort Worth, Texas

Experiencing sharp back or neck pain that worsens when you twist or bend? It could be your facet joints. At WOW Spine in Fort Worth, Dr. Mike Martinez—a double board-certified Pain Management Specialist and Anesthesiologist—provides advanced, minimally invasive treatments for facet joint pain to help you find lasting relief.

Facet joints are small joints located at each level of your spine that allow movement and provide stability. When these joints become arthritic, inflamed, or injured, they can cause significant pain in your neck, mid-back, or lower back. We offer cutting-edge solutions including facet joint injections, medial branch blocks, and radiofrequency ablation. Our patient-centered approach focuses on accurately diagnosing the source of your pain and providing effective, long-lasting relief.

Don’t let facet joint pain limit your life. Schedule a consultation to discover which treatment option is right for you.

Call 682-285-1044

Serving Fort Worth, Weatherford, Benbrook & surrounding DFW areas

How We Treat Facet Joint Pain at WOW Spine in Fort Worth

At WOW Spine, Dr. Martinez uses a proven, step-wise approach to diagnose and treat facet joint pain. We start with diagnostic injections to confirm the source of your pain, then provide targeted treatments for long-lasting relief.

1 Comprehensive Diagnostics

  • Detailed history & physical examination
  • Assess pain patterns and aggravating factors
  • X-rays and MRI to evaluate facet joints
  • Identify cervical, thoracic, or lumbar involvement

2 Facet Joint Injections

  • Intra-articular injection directly into the joint
  • Corticosteroid and local anesthetic
  • Fluoroscopic-guided for precision
  • Both diagnostic and therapeutic benefits

3 Medial Branch Blocks

  • Targets nerves that supply the facet joint
  • Key diagnostic tool for facet pain
  • Determines candidacy for ablation
  • Typically requires two successful blocks

4 Radiofrequency Ablation (RFA)

  • Gold standard for long-term facet pain relief
  • Uses heat to disrupt pain-transmitting nerves
  • Relief typically lasts 6-12+ months
  • Minimally invasive outpatient procedure

5 Regenerative Medicine

  • Platelet-Rich Plasma (PRP) Therapy
  • May promote healing in arthritic joints
  • Uses your body’s own healing factors
  • Option for select patients

6 Physical Therapy & Prevention

  • Core strengthening to support the spine
  • Posture correction and ergonomics
  • Stretching and flexibility exercises
  • Long-term strategies to prevent recurrence

Ready to find relief from facet joint pain?

Call 682-285-1044

Serving Fort Worth, Weatherford, Benbrook & surrounding DFW areas

Frequently Asked Questions About Facet Joint Pain Treatment in Fort Worth

What are facet joints and what causes facet joint pain?

Facet joints are small, paired joints located at the back of each vertebra in your spine. They allow your spine to bend and twist while providing stability. Facet joint pain (also called facet syndrome or facet arthropathy) occurs when these joints become inflamed due to arthritis, injury, or degeneration. It’s a common cause of chronic neck and back pain, especially in adults over 50. Pain typically worsens with extension (bending backward), twisting, or prolonged standing. Dr. Martinez specializes in diagnosing and treating this condition.

How do I know if my back pain is from facet joints?

Facet joint pain has characteristic features: it’s typically located on one or both sides of the spine (not in the midline), worsens with extension and twisting, improves with rest, and may refer pain to nearby areas (buttocks for lumbar facets, shoulders for cervical facets) but usually doesn’t radiate past the knee or elbow. However, the only definitive way to confirm facet joint pain is with diagnostic injections—either facet joint injections or medial branch blocks.

What is radiofrequency ablation and how long does it last?

Radiofrequency ablation (RFA) uses heat generated by radio waves to disrupt the medial branch nerves that transmit pain signals from facet joints. It’s performed after successful diagnostic medial branch blocks confirm the facet joints as your pain source. RFA typically provides relief for 6-12 months or longer. When pain returns (as nerves regenerate), the procedure can be repeated. Many patients undergo RFA every 9-18 months with continued success.

What’s the difference between facet joint injections and medial branch blocks?

Facet joint injections deliver medication directly into the joint itself—they can be both diagnostic and therapeutic. Medial branch blocks target the small nerves (medial branches) that supply sensation to the facet joint, rather than the joint itself. Medial branch blocks are primarily diagnostic, used to confirm facet joints as the pain source before radiofrequency ablation. Both are performed under fluoroscopic guidance for precision.

Can facet joint pain be treated without surgery?

Yes, facet joint pain responds very well to non-surgical treatments. The combination of diagnostic blocks followed by radiofrequency ablation is highly effective and considered the gold standard for facet-mediated pain. Most patients can achieve significant, long-lasting relief without ever needing surgery. Physical therapy and lifestyle modifications can also help prevent recurrence and maintain spinal health.

Does WOW Spine accept my insurance for facet joint treatment?

We accept most major insurance plans including Aetna, Blue Cross Blue Shield Texas, Cigna, Humana, United Healthcare, and Medicare. Facet joint injections, medial branch blocks, and radiofrequency ablation are typically covered by insurance when medically necessary. Call 682-285-1044 and our staff will verify your coverage before your appointment.

Have more questions about facet joint pain treatment? Call 682-285-1044 or contact us online to schedule a consultation.