Injection

Thoracic Facet Injection

A thoracic facet injection is a procedure used to reduce pain in the upper back or chest caused by trauma, mechanical stress, or arthritis. Thoracic facet joints are small joints that stabilize the vertebrae, and an injection delivers a local anaesthetic and steroid solution directly into the joint’s membrane. This helps reduce inflammation, relieve pain, and relax surrounding soft tissues to improve movement.

While the injection can reduce pain, it does not treat the underlying cause. Physiotherapy is essential to restore upper back strength, mobility, and independence, helping you return to your daily and recreational activities.

Symptoms Following a Thoracic Facet Injection

Some discomfort may occur at the injection site initially. Pain relief can vary, with most people noticing improvement within 3–5 days.

Physiotherapy Following a Thoracic Facet Injection

Starting physiotherapy soon after your injection maximises its effectiveness. At acephysiosports.com, our physiotherapists provide a structured rehabilitation programme designed to safely reintroduce previously painful activities, increase upper back mobility and strength, and prevent re-injury.

Goals of Physiotherapy Include:

  • Restoring range of movement and muscle strength
  • Improving posture
  • Increasing confidence with daily tasks such as driving, lifting, and reaching
  • Teaching self-management strategies to control symptoms
  • Returning to activities you enjoy

1–2 Weeks

The first phase of rehabilitation focuses on reducing pain and inflammation while gently restoring movement. Your physiotherapist will assess how your symptoms affect daily life and develop a personalised programme. Treatment may include:

  • Ice and heat therapy
  • Gentle active and passive range-of-motion exercises
  • Soft tissue massage to relax muscles and reduce spasms
  • Pain management advice
  • Guidance on positioning and movement during daily tasks

2–6 Weeks

Treatment progresses to strengthening exercises for the upper back, chest, and shoulder girdle, as well as general fitness activities like walking. Physiotherapy may include:

  • Continuation of range-of-motion exercises
  • Stretching to lengthen tight muscles
  • Graded joint mobilisation to reduce stiffness and pain
  • Aerobic conditioning: walking, swimming, or stationary cycling
  • Ergonomic advice for home and work to prevent further issues

6–12 Weeks

Rehabilitation focuses on targeted strengthening and stability of the back muscles. Exercises are tailored to the activities that matter most to you. Physiotherapy may include:

  • Core and back strengthening exercises, sometimes using external apparatus
  • Continued aerobic exercises
  • Stretching to maintain mobility
  • Functional and sport-specific exercises

12+ Weeks

At this stage, therapy emphasises achieving your personal functional or recreational goals. Focus areas include:

  • Enhancing flexibility and strength
  • Long-term self-management and injury prevention
  • Returning safely to daily, work, and recreational activities

Physiotherapy following a thoracic facet injection is vital for optimising your recovery. By improving strength, posture, and movement, it helps you regain independence and safely return to the activities that matter most.

To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.

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