Cervical Facet Joint Injection and Medial Branch Blocks
- 100 Downloads
The purpose of this chapter is to present the historical background, indications, current evidence, and detailed procedural recommendations on intra-articular cervical facet and cervical medial branch blocks in the treatment of axial neck pain. The preferred injection methods are largely guided by the patient’s anatomy, symptomatology, imaging findings, and the physician’s familiarity with a particular technique. Regardless of the approach, patient positioning and fluoroscopic imaging quality optimization will maximize patient comfort and procedural safety. Cervical medial branch block is an important procedure as it is the basis for cervical medial branch radiofrequency ablation as the next-step treatment.
KeywordsCervical facet block Cervical medial branch block Diagnostic injection Neck pain
- 2.Binder AI. Neck pain. BMJ Clin Evid. 2008;2008:1103.Google Scholar
- 6.Fernández-de-las-Peñas C, Hernández-Barrera V, Alonso-Blanco C, Palacios-Ceña D, Carrasco-Garrido P, Jiménez-Sánchez S, Jiménez-García R. Prevalence of neck and low back pain in community-dwelling adults in Spain: a population-based national study. Spine. 2011;36(3):E213–9. PMID: 21079541.CrossRefGoogle Scholar
- 8.Hogg-Johnson S, van der Velde G, Carroll LJ, Holm LW, Cassidy JD, Guzman J, Côté P, Haldeman S, Ammendolia C, Carragee E, Hurwitz E, Nordin M, Peloso P, Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. The burden and determinants of neck pain in the general population: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine. 2008;33(4 Suppl):S39–51. PMID: 18204398.CrossRefGoogle Scholar
- 10.Manchikanti L, Manchikanti KN, Damron KS, Pampati V. Effectiveness of cervical medial branch blocks in chronic neck pain: a prospective outcome study. Pain Physician. 2004;7(2):195–201.Google Scholar