What To Know About Cervical Facet Joint Injections

Cervical facet joint injections are a targeted treatment option for managing pain associated with the facet joints in the cervical spine. These joints are located between the vertebrae in the neck and are crucial for movement and stability. When these joints become inflamed or arthritic, they can cause significant pain and discomfort, which may radiate into the shoulders or upper back. This blog post will explore what cervical facet joint injections are, their benefits, how they are administered, and what patients can expect during and after the procedure.

Understanding Cervical Facet Joint Injections

Cervical facet joint injections serve both a diagnostic and therapeutic purpose. They involve the injection of a corticosteroid and an anesthetic into the painful facet joints. The corticosteroid helps reduce inflammation, while the anesthetic provides immediate pain relief.

Indications for the Procedure

Cervical facet joint injections are typically recommended for patients experiencing:

  • Neck pain with or without radiation to the shoulders or upper back.
  • Pain resulting from degenerative changes, such as arthritis.
  • Symptoms that have not improved with conservative treatments like physical therapy or medications.

How the Procedure Is Performed

The procedure for administering cervical facet joint injections includes several key steps:

  1. Preparation: The patient is positioned comfortably, usually lying face down. The skin around the neck area is cleaned and sterilized.
  2. Guidance Technique: Using fluoroscopic (X-ray) guidance, the physician precisely locates the affected facet joints.
  3. Injection: A needle is carefully inserted into the target facet joint, and once properly positioned, a mixture of anesthetic and corticosteroid is injected.
  4. Post-Procedure Care: Patients are monitored for a short period following the injection before being allowed to go home. They are usually advised to rest on the day of the procedure and may resume normal activities the following day.

Benefits of Cervical Facet Joint Injections

The primary benefits of cervical facet joint injections include:

  • Pain Relief: Many patients experience significant relief from neck and associated pain, which can improve mobility and quality of life.
  • Reduced Inflammation: Steroids can effectively reduce inflammation within the facet joints, providing long-term pain relief.
  • Diagnostic Function: The immediate relief provided by the anesthetic can help confirm that the facet joint is the source of pain.

What to Expect After the Injection

After receiving a cervical facet joint injection, patients can expect:

  • Immediate Relief: The anesthetic provides quick pain relief, often within hours of the injection.
  • Long-Term Benefits: The steroid begins to reduce inflammation over the following days and weeks, potentially leading to prolonged pain relief.
  • Minimal Downtime: Most patients can return to their daily activities with little to no downtime, although strenuous activities should be avoided for several days.

Potential Risks and Considerations

While cervical facet joint injections are generally safe, they do carry some risks, such as:

  • Infection at the injection site.
  • Bleeding or bruising.
  • Temporary increase in pain.
  • Rarely, allergic reactions to the injected substances.


Cervical facet joint injections are a valuable treatment option for individuals suffering from neck pain due to facet joint issues. They provide both diagnostic clarity and therapeutic relief, helping patients return to their normal activities with reduced pain and discomfort. At Texas Spine & Pain, we are committed to using such advanced treatments to effectively manage and alleviate pain, ensuring that each patient receives the personalized care they need.

If you’re experiencing persistent neck pain, consider speaking with a specialist at Texas Spine & Pain to determine if cervical facet joint injections might be an appropriate treatment option for you.


The information provided in this blog is for educational purposes only and does not substitute for professional medical advice. For specialized services, contact Texas Spine & Pain or other related doctors.

Tags :

Share This :

Leave a Reply

Your email address will not be published. Required fields are marked *