Neck Archives - Auzenne Pain

Cervical Epidural Steriod injections

Cervical radiculopathy, or pinched nerves in the neck, can often be treated with an epidural steroid injection. We usually use what’s called a translaminar approach with catheter guidance.... MORE

Cervical Facet Joint Injections

Cervical facet joint injections are also used to treat mechanical and axial neck pain, mostly from an arthritic condition or inflammatory state. So in this case, we take the needle and place it directly into the facet joints of the cervical spine, usually in the area between C3 and C7.... MORE

Cervical Medial Branch Nerve Blocks

Cervical medial branch nerve blocks are commonly applied much in the same way as the lower lumbar spine. Again, patients can develop degenerative changes of the facets, or the neck itself, where they’re experiencing pain from arthritic changes.... MORE

Cervical Selective Nerve Root Blocks

Selective nerve root blocks are mostly a diagnostic utility that we employ for the use of the surgeons; it is usually at the surgeon’s request. Again, if you have a herniated disc that is having a pinched nerve, and the surgeon is trying to contemplate exactly which level to do the surgery at, a selective nerve root block can often help he or she identify the level of the surgery.... MORE

Cervical Trigger Point Injections

So trigger point injections are also meant to treat a disease process or pathology of Myofascial pain syndrome, also known as trigger points. Again, you may have tightness in the muscle that has been persistent for several days to weeks, it is not relinquishing itself.... MORE

Stellate Ganglion Blocks

So, a stellate ganglion block is again used for sympathetically maintained pain or complex regional pain syndrome of the upper extremities. The stellate ganglion lives at the base of the cervical spine and what we do there is we place a needle at the base of the neck, under fluoroscopic guidance, under sedation, and just proximal, just above the level of the stellate ganglion, inject local anesthetic and medication again.... MORE

Translaminar Epidural Steroid Injections

Epidural steroid injections are another modality we use for back pain. We typically use this for more of what we call radicular pain or nerve root pain, and in colloquial terms we talk about that as a pinched nerve. And so, we treat that a little bit differently than we would do a mechanical or axial pain because we are actually trying to treat the nerve root.... MORE