Does a lumbar facet joint injection hurt and how long is recovery?

Medically reviewed by

Ajith Nair, M.D., board certified in Anesthesiology, Pain Medicine, Addiction Medicine, and Integrative Medicine

Last reviewed: July 2026

A lumbar facet joint injection is usually well tolerated. The skin is numbed first, so most people feel pressure and a brief sting rather than sharp pain. The procedure itself is short, often only a few minutes, and is done with imaging guidance for accuracy.

If you feel nervous about the needle, it helps to know the numbing medicine goes in first, and many people say the discomfort was less than they expected. You stay awake, and light sedation is sometimes available if you feel very anxious.

Recovery is quick for most people. You may feel some soreness at the injection site for a day or two, which ice and rest usually settle. Many people go home the same day and return to light activity soon, following the specific guidance their physician gives.

If you feel a temporary increase in pain right after, that is common and tends to fade as the injection site calms down. The steroid then begins reducing inflammation over the next few days.

Most physicians suggest taking it easy for the rest of that day, then gradually returning to normal. If you feel ready to move, gentle activity is usually fine, but heavy lifting or intense exercise is best held off briefly.

Full pain relief often builds over several days rather than appearing right away. If you feel your usual back pain start to ease within a week, the injection is working.

Keep a simple note of how you feel each day afterward. Tracking your pain and what movements still bother you gives your specialist clear information to guide the next step if more relief is needed.

At Kentuckiana Pain Specialists, lumbar facet joint injections is provided under the care of Ajith Nair, M.D., at our Louisville and Radcliff, Kentucky clinics. Our phones are answered 24/7 at (502) 995-4004, and a consultation is the best way to find out what fits your situation.

This is general information, not medical advice. Whether a treatment is right for you is determined by a physician after an evaluation.