When cervical facet joint has inflammation, can interlaminar cervical epidural block have effect on facrt joint?

Epidural block: Some data suggests thay epidural blocks are not effective in the long run.

Yes: Usually if facet degeneration is widespread, inter laminar esi can permit spread of steroid kind of coating the whole area, multiple levels at once. However, if the pain is more focal, the joint itself, or the nerve to the joint, is usually my preferred injection target.

No: These are two different potential sources for pain. Injecting at one would not give relief at the other.

Possibly: If there is certainty about the diagnosis of facet mediated pain them the best procedure is a facet block. If that works then a more permanent procedure (rfa) can be done.

Maybe: There have been some studies that show that getting the injectate even close to the facet can give some relief. Plus when there is facet issues there is usually other stuff going on in the neck as well. If i were treating facet inflammation or instability, i would directly inject the facet and not do the epidural personally.