#backpainblog, #BACKPAINBLOGUK, #backpainweek, #fibromyalgia, BACK PAIN, CHRONIC PAIN, facet joint injections, facet joint syndrome, HEALTH, nerve block injection


As my readers will have read before I had great success with lumber facet joint injections for low back pain. I have never had facet joints injections in my cervical spine but nor have I had a nerve block in my lumber spine so it’s interesting to find out the difference between them both.

The cost is definitely different for these two injections with the facet joint ones coming out a lot more expensive.

To explain the difference with these two types of injections I will start with a facet joint injection which is a type of steroid injection that is administered to a very specific set of joints. Steroid injections directly into these joints of concern can help relieve both inflammation and pain in the neck or back. Several injections to different facet joints may be needed depending on the site of pain.

As explained by the Spine Institute of North America a nerve block injection can be done anywhere along the spine. This particular injection targets the sympathetic nervous system and helps to reduce inflammation in nerves that branch from the spinal cord and the ganglia that is present at a particular location. Nerve blocks are a form of pain management as the substance that is injected numbs the nerves and helps to block pain signals. This one can consist of a local anesthetics, steroid and lidocaine (a numbing agent).

In a facet injection procedure, a physician uses fluoroscopy (live X-ray) to guide the needle into the facet joint capsule to inject lidocaine (a numbing agent) and/or a steroid (an anti-inflammatory medication). If the patient’s pain goes away after the injection, it can be inferred that the pain generator is the specific facet joint capsule that has just been injected.

A nerve block injection is also done using Fluoroscopy (live X-ray) to ensure the medication is delivered to the correct location. If the patient’s pain goes away after the injection, it can be inferred that the back pain generator is the specific nerve root that has just been injected.

So, basically both injections administer similar drugs and both are done using live X-ray but they are put into different parts of the spine. Why they vary so much in price is something I cannot seem to find out about except that you seem to need more than one facet joint injection at each session. Let’s hope that nerve block injections funding doesn’t change to a postcode lottery like the facet joint ones have done.

Back Pain, CHRONIC PAIN, FIBROMYALGIA, HEALTH, hip pain, homeopathy, MS


“I have been given this product as part of a product review through the Chronic Illness Bloggers network. Although the product was a gift, all opinions in this review remain my own and I was in no way influenced by the company. “

THE FAY FARMHandmade Organic Bodycare....

The Fay Farm Serenity CBD Lotion was sent to me to try for Fibromyalgia and nerve pain and to then write a review on it.

The CBD Lotion is said to help with nerve pain and the added cannabidiol oil in this lotion can help to improve relief from anxiety as well as nerve pain.

The Fay Farm was started by Stacy Anderson and Michael Yocco, both from the Bay Area in Whidbey Island, Washington. They both had farming in their roots and began to search the Northwest for land when they came across Whidbey Island. They made an immediate connection with the Island and it’s locals and natural landscape.

They are dedicated to creating quality natural body care products and offer extensive lines of natural Shea body butters as well as highly acclaimed Healing Hemp Salve. Their warming muscle rub has been used for the relief of sore muscles, rheumatoid arthritis, cluster headaches, migraines and as a pre and post workout balm.

The Serenity CBT Lotion which I tried is made with organic ingredients which included hemp oil, grape seed oil, jojoba oil, essential oils, chamomile, green tea, passion flower, skullcap and much more.

They added the cannabidiol oil to their Serenity Lotion to provide improved relief from anxiety and nerve pain. I have been putting the lotion on nightly before bed as I was suffering badly with nerve pain in my feet and low back at the moment. As many fibromyalgia sufferers know, nerve pain can suddenly start anywhere in our bodies and arrive out of the blue.

For a number of years I used to go regularly to see an aromatherapist who would massage me with oils that had relaxing effects on my muscles to help with my pain. When she retired I never found anyone that mixed the oils the way she did, but the minute I opened the bottle of the CBD Lotion the scent took me back to those treatments which I found so beneficial.


I found the scent of this lotion extremely relaxing which I am sure helped me to go off to sleep. It definitely helped my foot nerve pain which frequently woke me up. Several of their ingredients come right from their farm which is located in the rain shadow of the Olympics near Seattle, Washington. The milk from their herd of Nubain goats and herbs from their greenhouse ends up in many of their products so you can’t get closer to nature than that.

My sister is also suffering from nerve pain at the moment and has Myasthemia Gravis and is riddled with Rheumatoid arthritis and I feel this lotion would help her greatly.

The Fay Farm has offered a discount for my readers on their products. If you type in ‘back pain’ in the comments box while placing your order you will receive 10% off and free shipping for any products you may buy. For further details head to The Fay Farm Product page.




As you will see from my post on 11th March I was about to embark on trying Duloxetine for my chronic pain.

However, in order to try Duloxetine I have had to reduce my Tramadol right down to 100mg a day and my Amitriptyline to the lowest I could manage on. I started on 30mg of the Duloxetine tablet a day increasing it to two a day of 30mg and then in after two weeks just one a day of 60mg.

Unfortunately I ended up in a real mess with my pain. My worst pain is the sciatica down my leg which I was really hoping the Duloxetine would help but it didn’t touch it, and with my Tramadol down so low the pain was excruciating.

The only way I could relieve the pain slightly was lying flat with my heat pad and taking Paracetamol regularly, but my sleep was also disturbed. I cope with pain 24/7 but “I” control it, and without my usual medication I had no control over it. Sleep deprivation is bad enough anyway as I am sure many people can relate to this but pain and sleep deprivation just make it all worse.Deprived Sleep...

I saw my GP today and we decided I should just go straight back onto what I was taking before and she will let the Pain Consultant know the outcome. I have another appointment next week for some Physiotherapy so I am hoping that I can get some help with the sciatica as my next injection isn’t for another couple of months.

I’m a bit disappointed but I will always give anything they offer a try, as you just never know you could be trying something that worked great.