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cervical facet injection


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Hey, has anyone had any experience with cervical facet injections? My migraines are super flared up right now, worse than they have ever been with nothing working that well for them, and I have finally decided to address the cervical spine. I have significant facet arthritis and done everything I could for it, but have avoided injections. Just call me "procedure adverse". Regardless, when you are desperate, you will try anything, which is both good and bad.

But I digress. I am doing C3-4 and C4-5 on the right, hoping that it will help the facet pain which will lessen the migraines that it triggers. My question to my clusterbuddies is whether I should expect this to affect the CH one way or another? Has anyone else had these injections who has CH and did it help or not?

Fingers crossed. Like I ever uncross them.

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  • 2 weeks later...

Hi! No I haven't, but this is interesting. I've only done occipital nerve blocks twice. Each time I got relief from my episodic CH for only like 1-2 days. From a CH standpoint, this injection would likely help or do nothing. I don't think it would hurt or trigger anything. Good luck and don't forget to report back!

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  • 3 weeks later...

Well, that wasn't too fun. He had difficulty getting into the joints due to the underlying arthritis so I got extra needles and it took longer.  I think all that added up to irritating things A LOT. After the systemic effect of the steroids wore off (about 4 days), then I had a severe nerve pain on the side/back of my neck that just wouldn't quit. I tried everything. Finally topical lidocaine (which usually doesn't do anything for any pain I have) worked well.They told me all of this is not unexpected.....thanks a lot. Anyway, about 10 days after the injections I had a couple days of CH. That was only 2 days but the migraine continues to be worse than before the injections. The nerve pain is much less now also.

All-in-all, I won't be having any more needles in my neck anytime soon......

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