Facet Injections/Medial Branch Blocks for Neck Pain
At Paragon Sport Spine & Wellness, we offer Facet Injections and Medial Branch Blocks as effective treatments for managing chronic neck pain caused by issues in the facet joints of the cervical spine. These minimally invasive procedures target pain at its source, providing relief for patients dealing with conditions such as arthritis or injury-related neck pain.
What are Facet Injections and Medial Branch Blocks?
- Facet Injections involve the injection of an anesthetic and anti-inflammatory steroid directly into the facet joints, which are small stabilizing joints located at each vertebral level of the spine. These joints can become inflamed due to arthritis, injury, or degeneration, causing significant neck pain.
- Medial Branch Blocks are similar, but instead of injecting into the facet joints, the medication is injected near the medial branch nerves, which transmit pain signals from the facet joints to the brain. By blocking these nerves, the procedure can effectively reduce or eliminate neck pain.
Both of these procedures are used to diagnose the source of pain and provide lasting relief.
How Do Facet Injections and Medial Branch Blocks Relieve Neck Pain?
- Facet Injections deliver a combination of anesthetic and anti-inflammatory medication directly into the facet joints, reducing inflammation and pain.
- Medial Branch Blocks work by temporarily interrupting the pain signals sent from the medial branch nerves to the brain, offering relief and confirming if the facet joints are the source of your pain.
These injections are typically performed under live X-ray (fluoroscopic) guidance to ensure accuracy and precision.
Conditions Treated by Facet Injections/Medial Branch Blocks
These procedures are particularly effective for treating neck pain associated with:
- Facet Joint Arthritis (Osteoarthritis)
- Cervical Facet Syndrome
- Whiplash Injuries
- Degenerative Disc Disease
- Post-Traumatic Neck Pain
Patients suffering from stiffness, headaches, and neck pain that radiates into the shoulders may find these injections helpful in reducing pain and improving mobility.
Is the Procedure Safe?
Both Facet Injections and Medial Branch Blocks are considered safe, minimally invasive procedures. Performed under the guidance of live imaging, the injections ensure precise placement of medication. Patients may experience some temporary soreness or discomfort at the injection site, but serious side effects are rare.
These injections may provide temporary pain relief lasting from weeks to months. In cases where pain returns, repeat injections or additional treatments like radiofrequency ablation (RFA) may be recommended for longer-term relief.


