Neck Pain (Cervical Facet Pain)

Pain from the cervical facet joints accounts for 40-60% of neck pain. Pain from these joints commonly radiates to the neck and shoulder areas. Headache can also occur from involvement of the joints in the upper cervical spine. Pain is usually in the back of the head ortemples in such cases. Arthritis can arise as a normal part of aging or trauma including whiplash type injuries.

Diagnosis and treatment for this neck pain can be accomplished by injecting the specific joint or blocking the nerve that supplies the joint with numbing medicine. This is conducted under an x-ray machine with a very small needle. Temporary neck pain relief confirms the diagnosis.

Usually substantial pain relief can be obtained from injection therapy. However, if sustained relief is not possible, longer relief can often be obtained with radiofrequency of the nerves that transmit pain to the the joints. This involves placement of a special needle with a tip that heats up enough to disable the nerve from carrying pain signals. Usually a range of 6-18 months of benefit can be obtained.

Pre Injection Instructions

If you are anxious about your procedure, sedation can be provided. If you choose this option you must meet the following criteria:

  • Come to your appointment with a responsible adult driver
  • Fast for at least 6-8 hours prior to our appointment time. Morning medications can be taken with a sip of water no later than 2 hours prior to you appointment time. Exceptions may include diabetic medications, in this case please call the office for specific instructions
  • If you are taking blood thinners or supplements, we may ask that you discontinue them prior to your procedure. Never stop these medications without approval from the physician prescribing them.

Here is a short list of blood thinners and the amount of days they should be discontinued prior to your procedure:

Coumadin/Warfarin/Jantoven 5 days, PT/INR must be taken the day of procedure
Plavix 7 days
Pradaxa 3-5 days
Prasugrel/Effient 7 days
Ticlid 14 days
Lovenox 24 hours
Cilostazol/Pletal 7 days
Heparin 24 hours
Aggrenox 7 days
Xarelto/Rivaroxaban 5 days
Pentoxil 5 days
Fragmin 24 hours

If you are taking any supplements such as Fish Oil, Garlic, Ginseng, Vitamin A&E, Ginger, Kava Kava, Clove, White Willow bark, or Gingko please stop these 7 days prior to your procedure.

   Cervical Facet Neck Pain
   Neck pain from cervical facet joint
   Cervical Facet Injection for Neck Pain
  St. Clare
1055 Bowles Ave.
Suite 200
Phone (636) 496-3900
Fax (636) 496-3939
  St. Peters
4800 Mexico Rd, Ste. 101,
St. Peters, MO 63376
Phone (636) 442-5035
Fax (636) 442-5036
1601 Wentzville Pkwy
Suite 101
Phone (636) 332-8902
Fax (636) 332-8904

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