Joint Injections are injections of long lasting steroids (“cortisone”) in the facet joints – which are located in the back area the spinal bony structure. These joints are actual joints with joint capsule that contains lubricating fluids. Facet joints are paired (one on each side) and are present from the top of the cervical spine in the neck all the way down and through the lumbar spine in the lower back. Common causes of facet joint pain include arthritis, degenerative disease of the spine, and trauma. In the absence of injury or accident, the most common cause for facet mediated pain is degenerative disease of the spine or arthritis. Therefore, older patients are more commonly afflicted with facet joint pain. In whiplash injuries of the neck, commonly seen in motor vehicle accidents and other traumatic events, the cervical facet joints can be traumatized, and this can lead to chronic neck pain and headaches.