Facet Joint Injections in Leamington Spa
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Ultrasound Guided Facet Joint Injections for Neck, Mid Back and Lower Back Pain
The facet joints are small stabilising joints running the full length of the spine, from the neck down to the lower back. When they become inflamed or irritated, from wear and tear, injury, or arthritis, they can cause persistent pain in the neck, mid back, or lower back that often worsens with twisting, bending, or extending the spine.
At Renew Skin and Health Clinic in Leamington Spa, facet joint injections for the neck, mid back, and lower back are performed by Mr Amit, Consultant Neurosurgeon, GMC 6047850, priced from £695. An MRI scan is essential before treatment, since we cannot inject the spine without knowing exactly what we are treating.
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Urgent Symptoms
Contact your GP or NHS 111 promptly, rather than waiting for a routine appointment, if you experience loss of bladder or bowel control, numbness around the back passage, rapidly worsening weakness in an arm or leg, or fever alongside severe back pain.
Facet Joint Injections at a Glance
Facet Joint Injections for Neck Pain (Cervical Facet Injections)

Neck pain from the facet joints, known clinically as cervical facet pain, often causes stiffness and aching around the base of the skull and across the shoulders, worsening with turning or tilting the head. A cervical facet joint injection delivers anti inflammatory medication directly to the affected joint in the neck, under ultrasound guidance, to reduce inflammation and confirm the joint as the source of pain. We treat neck pain patients from Leamington Spa, Warwick, Kenilworth, and Coventry, and patients also travel to us from across the United Kingdom.
Facet Joint Injections for Mid Back Pain (Thoracic Facet Injections)

Middle back pain, or thoracic facet pain, often develops due to irritation or degeneration of the facet joints in this part of the spine. It can cause localised aching, stiffness, pain that worsens with twisting or spinal rotation, and occasionally referred pain into the chest wall or ribs. Middle back pain caused by facet joint problems is frequently misdiagnosed, meaning patients often go without effective treatment for longer than necessary. Patients travel to our Leamington Spa clinic from Rugby, Stratford upon Avon, and Warwick for mid back pain treatment, and from across the United Kingdom.
If you have ongoing discomfort in the middle of your back, understanding what causes middle back pain and how facet injections may help can give you a clearer idea of the possible treatment options.
Facet Joint Injections for Lower Back Pain (Lumbar Facet Injections)

Lower back pain from the facet joints, or lumbar facet pain, is one of the most common causes of persistent back pain, often confused with sciatica or a disc problem. A lumbar facet joint injection can help confirm the facet joint as the true source of pain as well as treating it, particularly where pain is worse with standing, extending, or twisting the lower back. Our lower back pain patients come from Leamington Spa, Solihull, and Birmingham, and from across the United Kingdom.
If you are experiencing persistent middle or lower back pain, it may be helpful to understand when facet joint injections may be considered for pain relief, particularly when other treatments have not provided sufficient improvement.
What Causes Facet Joint Inflammation?
● Degenerative spinal changes associated with age
● Poor posture or prolonged desk based work
● Repetitive strain or occupational overuse
● A previous spinal injury or trauma
● Arthritis of the facet joints
● Inflammatory conditions such as ankylosing spondylitis
Types of Facet Joint Injections
| Injection Type | Injection Location | Purpose |
|---|---|---|
| Intra articular facet injection | Directly into the facet joint | Diagnostic and therapeutic pain relief |
| Medial branch nerve block | Near the nerves supplying the facet joint | Primarily diagnostic, confirms pain source |
Understanding the cause and location of your back pain can help determine which injection may be more appropriate, so it is useful to know the difference between a facet joint injection and an epidural steroid injection.
Who Is Suitable for Facet Joint Injections?
● Experience persistent neck, mid back, or lower back pain lasting more than six weeks
● Have not achieved adequate relief from physiotherapy, painkillers, or rest
● Show signs of facet joint involvement on clinical assessment or MRI
● Wish to avoid or delay spinal surgery
● Are seeking a same day, minimally invasive treatment option
The Facet Joint Injection Procedure
| Step | Treatment Process |
|---|---|
| 1 | A thorough clinical assessment is carried out and your MRI is reviewed |
| 2 | The skin over the treatment area is cleaned and a local anaesthetic is applied |
| 3 | The needle is guided precisely to the target facet joint using real time ultrasound |
| 4 | Anti inflammatory medication is injected carefully and accurately |
| 5 | A short observation period follows before you are discharged the same day |
Who Should Not Have This Treatment?
This treatment may not be suitable if you have any of the following. Your consultant will discuss this with you at your assessment.
● An active infection, at the injection site or elsewhere in the body
● You are taking blood thinning medication, until this has been discussed and a plan agreed
● A known allergy to local anaesthetic or steroid
● You are pregnant
● Poorly controlled diabetes, since a steroid injection can raise blood sugar for a few days
Recovery After Facet Joint Injections
Most patients notice mild soreness at the injection site for 24 to 48 hours. Pain relief may begin within hours or build gradually over several days, and results can last from several weeks to several months depending on individual response. A repeat course may be considered if the initial treatment proves effective.
Pain procedures are not guaranteed to work. Most patients get meaningful relief, but a small number get little or no benefit, and how long the relief lasts varies from person to person. Mr Amit will explain what to realistically expect in your case before you decide.
What If Facet Joint Injections Do Not Work?
● A repeat course of diagnostic or therapeutic injections
● Structured physiotherapy or spinal rehabilitation
● Radiofrequency ablation for longer term relief
● A specialist pain management review with Mr Amit
Facet Joint Injection Cost
All prices at Renew Skin and Health Clinic are transparent and all inclusive, with appointments available within two weeks, a free follow up review, and every procedure performed by an experienced consultant.
| Treatment | Price |
|---|---|
| Consultation with Mr Amit | £300, credited in full against treatment if proceeding the same day |
| Facet joint injection, one level, one side | £695 |
| Facet joint injection, two levels or both sides | £850 |
| Follow up: the first is free, further follow ups. | £150 |
Included: your consultation, the injection itself under ultrasound guidance, and a written report. Not included: MRI scans, nerve conduction studies, take home medicines and private prescriptions, and anything that would need a hospital. We do not have an MRI scanner at the clinic. Where a scan is required, you can bring one you already have, obtain one through your GP, or we can recommend a private imaging centre. You pay the imaging centre directly at their own price. For more Treatment Cost Details check our price list
Meet Your Specialist
Mr Amit, Consultant Neurosurgeon

| GMC Number | 6047850 |
| Title | Consultant Neurosurgeon |
| Specialist Register | Neurosurgery |
| Experience | Over 25 years of experience |
| Primary Focus | Spinal surgery since 2013, with expertise also in orthopaedic surgery, pain management, neurosurgery, and neurology |
| Professional Memberships | British Association of Spine Surgeons, Eurospine, Society of British Neurological Surgeons |
| Practises At | Renew Skin and Health Clinic, Leamington Spa, and Woodlands Hospital, BMI Three Shires Hospital, The Meriden Hospital, and Nuffield Health Warwickshire Hospital, all in the West Midlands |
Mr Amit is an experienced Consultant Neurosurgeon who specialises in neurosurgery and spinal surgery. He trained internationally in India, the United States, and the United Kingdom, including at the Royal Free Hospital in London, Frenchay Hospital in Bristol, and the Royal Victoria Hospital in Belfast, before completing a two-year clinical fellowship in Ohio, USA.
Alongside facet injections, he treats a range of spinal, pelvic, and nerve related conditions, including epidural steroid injections, sacroiliac joint injections, piriformis syndrome injections, and pudendal nerve blocks. He also provides carpal tunnel syndrome treatment and migraine injection treatment.
Mr Amit is a member of the British Association of Spine Surgeons, Eurospine, and the Society of British Neurological Surgeons. All consultations are private and handled with discretion and complete sensitivity. View Mr Amit’s full specialist profile
Why Choose Renew Skin and Health Clinic for Facet Joint Injections?
| At Renew Skin and Health Clinic | What This Means for You |
|---|---|
| Consultant neurosurgeon led treatment | Expert assessment across neck, mid back, and lower back pain |
| All three spinal regions treated at one clinic | No need to be referred elsewhere depending on where your pain is |
| Real time ultrasound guidance | Precise, safer needle placement |
| Transparent, all inclusive pricing | You know the exact cost before you book |
| Appointments available within two weeks | No long NHS style wait |
| Free follow up review included | No extra bills to check your progress |
| CQC registered clinic | Independently inspected for quality and safety |
| Trusted locally, 4.9 stars from 850+ Google reviews | Chosen by thousands of patients across United Kingdom |
Facet Joint Injections Near Leamington Spa
Patients searching for facet joint injections for neck, mid back, or lower back pain in the Midlands regularly choose Renew Skin and Health Clinic in Leamington Spa. Our clinic is easily accessible from Coventry, Birmingham, Warwick, Rugby, Stratford upon Avon, and across United Kingdom.
Frequently Asked Questions (FAQs)
1. How long do facet injections last?
Relief varies between patients, typically lasting from several weeks to several months. Results are not guaranteed, and depend on the underlying cause and individual response.
2. Are facet injections safe?
Facet joint injections are generally well tolerated when performed under ultrasound guidance by an experienced consultant. As with any injection, there is a small risk of infection, bleeding, or temporary worsening of symptoms.
3. Do I need an MRI before treatment?
Yes. An MRI is essential before facet joint injections, since the spine cannot be treated safely without knowing exactly what is being addressed. Bring your report and images if you already have them.
4. Can facet injections treat neck pain as well as back pain?
Yes. Facet joint injections can be used for pain in the neck, mid back, or lower back, since facet joints run the full length of the spine.
5. Can facet injections cure back or neck pain?
Facet injections treat the pain coming from the joint, they do not reverse underlying degenerative changes. Many patients get meaningful, lasting relief, though results vary and are not guaranteed.
6.Is pain worse after facet injections?
Mild soreness at the injection site for 24 to 48 hours is common and expected. This usually settles before the treatment’s pain relieving effect begins.
7. How quickly will I feel relief?
Some patients notice improvement within hours, others over several days as inflammation settles.
8. Are facet joint injections painful?
Local anaesthetic numbs the area before the injection, so most patients describe mild discomfort rather than significant pain.
9. How many facet injections can I have?
This depends on your individual response. Some patients need only one course, others benefit from repeat injections, reviewed at follow up.
10. Can facet injections replace surgery?
For many patients they provide enough relief to avoid or delay surgery, though they are not a substitute for surgery in every case.
11. What is the difference between a diagnostic and a therapeutic facet joint injection?
A diagnostic injection, such as a medial branch nerve block, is used mainly to confirm the facet joint as the source of pain. A therapeutic injection aims to reduce inflammation and provide lasting relief, and can serve both purposes at once.
12. How much do facet joint injections cost in Leamington Spa?
Treatment is priced from £695 for one level on one side, £850 for two levels or both sides, and £150 for each additional level. Consultation is £300, credited against treatment if you proceed the same day.
13. Can I have my neck and lower back treated on the same day?
The number of levels that need treating decides this, and each additional level is £150. Mr Amit will advise at your consultation on how many can safely be treated in one visit.
14. How soon can I go back to work?
Most people are able to resume their normal daily activities within 24 hours. Please avoid strenuous physical activity for a short time afterwards, and Mr Amit will give you personal advice on the day.

