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hello this is dr david green ceo of the arizona pain network today the topic is what you need to know about facet injections first of all what is a facet joint its spelled f-a-c-e-t these are small thumbnail size joints that are located on either side of the spinal joints at every level all the way from your neck down to your sacrum they do have cartilage just like other joints of the body the hip the knee and in combination they allow for incredible range of motion of one spine well what makes them painful they are prone to arthritis just like other cartilaginous joints even though they are small only the size of a thumbnail each one when it gets arthritic can cause an incredible amount of pain and typically the pain that is experienced will lead to pain in the vicinity of that area and it can radiate down into the buttock if its in the neck it can cause headaches or it can radiate into the shoulders thats what what can occur and its very very common if you have arthritis in one