The facet joints are located on each level of the posterior aspect of the spine, with one located on each side. They can be found in the cervical, thoracic, and lumbar spine. The facet joints are synovial joints that have articular cartilage that covers the ends of the bones. Articular cartilage has a smooth, shiny surface allowing the ends of the bones to slide freely over one another. Facet joints are surrounded by a protective sleeve of soft tissue called a capsule, which is lubricated by synovial fluid. Each joint can be a source of pain if irritated or inflamed. Each facet joint has two medial nerves that carry signals (including the signal for pain) to the body. If these nerves are damaged or degenerating they can produce irritation and chronic pain.
Facet nerve blocks, or medial branch blocks, may be used to confirm the source of pain as coming from the nerve. Patients who have not responded to other conservative interventions such as facet injections, medication and physical therapy may be candidates for Endoscopic Laser Facet Rhizotomy.
Laser facet rhizotomy is a minimally invasive spinal surgery usually done as an outpatient procedure while the patient is under local anesthesia. During the procedure, the surgeon will make a small incision to insert an endoscope (a small flexible tube with a video camera) into the targeted location, so as to see the nerve branches. The surgeon then uses a laser to deaden these nerve branches thereby eliminating the patient’s pain.
The patient may feel immediate relief, and recovery time is short due to this minimally invasive approach.
I have been coming here for 5 years and i love them. Everyone is so professional and sweet. I see Dr Freeman who does everything he can to stop my back pains and it really helps and he’s very honest. He is the best at what he does and I wouldn’t recommend anyone else.
I found Dr Freeman through workman’s comp and since than I have seen him for multiple issues with my spine. I have and will in the future recommend him to everyone. The staff is amazing and try to accommodate me in every way possible.
Dr. Eric D. Freeman is a top-rated, best-in-class pain management doctor. He is a nationally recognized pain relief specialist and is among the top pain care doctors in New Jersey and the country. He is an award-winning expert and contributor to prominent media outlets. Dr. Eric D. Freeman has been recognized for his thoughtful, thorough, modern approach to treating chronic pain. He has been named a “top pain management doctor in New Jersey” and one of “America’s Top Physicians” for advanced sports injury treatments.
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Edison, NJ 08837
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Hamilton, NJ 08690
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Mount Laurel, NJ 08052
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Newark, NJ 07105
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Newton, NJ 07860
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Paterson, NJ 07503
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102 Heritage Valley Drive, Suite C
Sewell, NJ 08080
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860 Route 168, Ste 104
Turnersville, NJ 08012
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Union, NJ 07083
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Vineland, NJ 08360
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Wall, NJ 07719
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West Orange, NJ 07052
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70 Hatfield Lane, Suite 201
Goshen, NY 10924
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