Doctor insights on:
Medicine For Cervical Facet Syndrome
Similar Pains: Sometimes the facet joint nerves can connect with the occipital nerve causing both. Sometimes they are separate issues altogether. Generally speaking extending and rotating your neck with cause facet pain syndrome and pressing on the back of your head may cause occipital neuralgia. See a pain specialist to help you determine the difference between the two. ...Read more
Apart from the obvious location what is the difference between Cervical Facet Injections and ESI? E.g what risks apply and which one is less dangerous
Facet injections place anti-inflammatory steroid into the joint (s) in the spine and the epidural steroid injection places steroid around the spinal cord, nerves and discs.
Joint injection is very localized and usually requires more than one. ESI can have greater spread. Since the epidural space is just outside of the spinal cord, this is more risky. Either injection should be done under XRAY. ...Read more
Under Xray Guidance: A facet injection is a minimally invasive procedure that can temporarily relieve back pain caused by inflamed facet joints. A facet injection includes both a long-lasting corticosteroid and an anesthetic numbing agent. The drugs are delivered to the painful facet joint, either inside the joint capsule or in the tissue surrounding the joint capsule. ...Read more
Arthritis: Cervical spine refers to the neck. The facet joints are the joints in the back of the neck. They can develop a degenerative, arthritic change in them the same as you can get degenerative arthritis in the hip or knee. In the neck this can cause neck pain, headaches and crackling and popping with rotation. ...Read more
Neck joints: Most people think of their spine as the vertebrae and discs, but those are the structures in the front. The spinal cord sits in the middle, and is protected by additional bony structures in the back. Where the back bones meet the front bones, there are joints on either side of the midline called facet joints. These joints are tiny, typically capable of holding less than less than 1cc of fluid. ...Read more
How big is the chance that a cervical facet block injection may go wrong, cause more pain or nerve damage? Worth doing with all the risks?
Cervical injx: Risks are low if doctor uses fluroscopy and contrat to insure needle position he needs to avoid injectate with particulates as well, can lead to a confirmed diagnosis of pain generator and effective treatment it worth doing but go to the cervical experienced and trained. ...Read more
Help! How effective is cervical facet nerve burning when steroid injection relief only lasts 2 days? I want something long term, w/no more meds!!
Very successful: Radio frequency ablation is the process that heat the nerve to prevent it from relaying a pain message to the brain. Generally, benefits last up, to a year. BUT you must be certain that the treated nerve is the pain source, or the treatment will fail. Often, there is more than 1 cause for your pain. ...Read more
Neck pain for 1yr had c3.4.5 cervical facet inj which relieved pain for 2days then pain came again had another facet inj a week later same result. Help?
Good idea.: This may be possible in the future. I do not know of any technology such as this that we have access to currently. Artificial discs are being used in the spine, but so far, no replacement for the actual facet joints. ...Read more
How is a facet injection done in the neck? And when is it donw? Can a cervical MRI show a root nerve impingement in the neck? Please help
X-Ray Flouroscopy: Facet Joint Injection is done under x-ray guidance with special equipment to help guide the needle. Its done for neck pain due to facet joint arthritis or facet syndrome/whiplash. MRI may show nerve root impingement, however the limitation the MRI has is its a static image and unfortunately your spine and discs move so can't see that movement. Consider Weight-bearing MRI for better clarity. ...Read more
When cervical facet joint has inflammation, can interlaminar cervical epidural block have effect on facrt joint?
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. ...Read more
Is cervical interlaminar epidural block always better than cervical facet block? If interlaminar was no help, can facet joint block be helpful?
Pain Management: How long can the positive effects of a cervical facet joint nerve block diagnostic test last before retreatment (been 1 month now)?
Facet block: Most patients report a benefit lasting 1-3 months although some patients report longer benefit. Benefits in the cervical paraspinals are limited compared to lumbar intra-articular facet blocks. ...Read more
Is there a way to unlock a locked cervical facet joint on the left of my spine that was caused by an excersie? I am looking for a cure not a treatment
Osteopathic Eval: Some osteopathic physicians do manipulation to see if a vertebrae is dislocated and he/she can offer treatment by trying to correct the pathology. If this does not help, it could be pathology in your spine that needs to be further evaluation. Recommend seeing a pain/spine specialist. ...Read more