| Manipulation Back exercises Physical Agents and Modalities Traction Transcutaneous Electrical Nerve Stimulation 
              (TENS) Shoe Insoles and Shoe Lifts Lumbar Corsets and Supports Trigger Point and Ligamentous Injections Acupuncture Epidural Steroid Injections Facet Joint Injections Biofeedback Group education: back school | Facet Joint Injections
   
                |   | Studies in chronic low back
      pain show that facet joint injections do not produce pain relief or global
      improvement. Neither the type of agent injected nor the site of injection,
      make a significant difference to outcomes. There is no evidence on the
      efficacy of facet injections in acute low back problems. (C) |   
                |     | Facet injections are
      invasive but the potential serious complications are rare. |  |