Facet joints are first treated with heat / cold, physical therapy and medications. If pain continues we may offer a facet joint injection.Facet joints are small joints at the back of the spine (back bone.) They allow us to twist, turn and bend. Facets joints are exposed to a lot of stress or work as they allow the spine to move. This can lead to wear and tear changes, irritation, inflammation and arthritis. We first try to treat this with heat / cold, physical therapy and medications. If pain continues we may offer a facet joint injection.