I've been suffering from chronic unrelenting cervicogenic "A-typical Tension Headaches." for several years. Symptoms are pressure, tightness and hangover-like Neuro & cognitive symptoms. Feels like I'm wearing a helmet that's too tight. Was diagnosed by a Neurologist with Cervical Facet Disease/cervicogenic headaches. He tried PT, chiron & a myriad of meds to no avail. Botox was suggested but is expensive, transient in relief, and not covered by insurer.
I had 3 lidocaine facet blocks under fluoroscopy at an academic hospital with no improvement. The 4th was helpful albeit, with transient results. Consquently, a Radio frequency ablation procedure was performed on the aforementioned 4th facet. It's been a couple of weeks & I've had no improvement. MD wants to do more blocks on the other side of my cervical facet joints.
At this point, I'm confused & not sure which direction to turn. The Radio Frequency Ablation was painful and it appears the results are hit or miss. I'm puzzled why the block worked, yet the ablation didn't. Can sysmptoms come from more than one Facet Joint nerve, thus ablating them all is an option? Do you have any other more benign treatment suggestions?
Yes the symptoms can come from more than one facet, and they can be coming from the disc too. In that case, facet injections won’t help. You need a diagnosis that correlates your symptoms with imaging studies.
Charles Rosen, MD
Clinical Professor of Orthopaedic Surgery
University of California, Irvine, College of Medicine
Founding Director, UCI Spine Center
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.