CERVICAL FACET BLOCK

Patient Evaluation:

The process typically begins with a thorough evaluation of the patient's medical history, symptoms, and any diagnostic tests such as imaging studies. This helps us determine whether a cervical facet block is an appropriate diagnostic or therapeutic intervention for the patient's condition.

Informed Consent:

Before the procedure, we explain the purpose, risks, benefits, and alternatives of the cervical facet block to the patient. Informed consent is obtained, ensuring that the patient understands what will happen during the procedure and any potential complications.

Preparation:

The patient is positioned appropriately on the examination table, typically lying face on the side. The skin overlying the targeted facet joint(s) is cleaned with an antiseptic solution, and a sterile drape is placed to maintain aseptic technique.

Anesthesia Administration:

Local anesthesia is injected into the skin and deeper tissues to numb the area where the needle will be inserted. This helps minimise discomfort during the procedure.

Fluoroscopic Guidance:

Using fluoroscopy, a type of real-time X-ray imaging, we identify the precise location of the facet joint(s) to be targeted. Fluoroscopy provides visualisation of the bony structures and allows for accurate needle placement.

Needle Insertion:

A thin needle is inserted through the skin and directed toward the target facet joint under fluoroscopic guidance. The needle placement is confirmed using contrast dye, which is injected to visualise the spread of medication within the joint space.

Medication Injection:

Once proper needle placement is confirmed, a mixture of local anesthetic and corticosteroid medication is injected into the facet joint. The local anesthetic provides immediate pain relief, while the corticosteroid helps reduce inflammation and provide longer-lasting pain relief.

Post-procedure Care:

After the injection, the patient may be monitored for a short period to ensure stability and check for any immediate complications. Post-procedure instructions, including activity restrictions and potential side effects, are provided to the patient.

It's normal to experience some soreness or discomfort at the injection site after the procedure, but this should improve within a few days. If you have any concerns or experience unusual symptoms, it's essential to contact our team for guidance.

Follow-up:

The patient's response to the cervical facet block is assessed during follow-up appointments. Depending on the outcome, further diagnostic tests or treatments may be recommended to manage the patient's pain effectively.

Throughout the procedure, we prioritise patient safety, accuracy in needle placement, and effective pain management. Close attention is paid to minimising discomfort and complications while maximising the potential benefits of the cervical facet block for the patient.