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hello iamp;#39;m dr green ceo of preferred pain center here in phoenix and scottsdale arizona what i want to talk to you about today briefly is facet injections facet is spelled f-a-c-e-t it is a term that refers to the small joints in the back of the neck and the low back and the thoracic spine that are on each side of the spine so you have a symmetrical so oneamp;#39;s on the right ones on the left and each one of them can develop pain the facet joints are synovial joints that have cartilage just like your knee joint has cartilage your shoulder joint has cartilage and they can be subjected to arthritis just like any other joint so oftentimes when youamp;#39;re having low back or neck pain itamp;#39;s the facet joint that may be the culprit so the treatment for that right now there really is no facet replacement although thatamp;#39;s in the works and thatamp;#39;s a bit extreme that would be surgery one of the best options in addition to all the other treatments that we had pre