
Cervical facet joint injections are a common procedure for managing neck pain. At Liv Hospital, we know these injections can help but also have risks. Learn 12 common cervical facet joint injection side effects and what to monitor post-procedure.
These injections use a local anesthetic and sometimes a corticosteroid. They aim to treat pain in the facet joints. Understanding the possible side effects is key for patients to make good choices.
We know patients looking for neck pain relief need to know about possible complications. In this article, we’ll look at common side effects and what to watch for.

Learning about cervical facet joint injections is key for those with neck pain. These injections help find and treat pain in the facet joints of the neck.
Cervical facet joints are small joints in the neck. They help keep the neck stable and moving. When these joints get inflamed, they can hurt a lot.
Facet joint injections use a numbing medicine and sometimes a steroid to reduce swelling. This helps find and treat the pain in these joints.
These injections are used for both finding and treating pain. They help figure out if the joints are causing the pain. They also give relief by reducing swelling and numbing the area.
Being able to find and treat the pain makes these injections very helpful. They can help avoid more serious treatments.
| Purpose | Description | Benefits |
| Diagnostic | Determine if facet joints are the source of neck pain | Helps in accurate diagnosis |
| Therapeutic | Provide pain relief by reducing inflammation and numbing the painful area | Reduces pain, avoids invasive procedures |
During the procedure, you’ll lie on your stomach or back. The area will be cleaned and numbed. Then, a needle is guided into the joint using imaging.
The medicine is injected, and the needle is taken out. You might feel some pain, but it’s usually not too bad.
After, you’ll rest for a bit before going home. You might need to rest for a day or two. You’ll also have a follow-up to see how it worked.

Cervical facet joint injections are usually safe but can cause some side effects. These side effects are often mild and go away in a few days. Knowing about these side effects can help patients prepare and understand what to expect.
One common side effect is pain and tenderness at the injection site. This pain is usually mild and can be treated with over-the-counter pain meds. Applying ice to the area can help reduce swelling and ease pain.
Swelling and bruising at the injection site are also common. These symptoms are minor and usually go away in a few days. Applying gentle pressure and elevating the head can help minimize bruising.
| Symptom | Management |
| Localized Pain | Over-the-counter pain medications, ice application |
| Swelling and Bruising | Gentle pressure, elevation of the head |
Minor bleeding or oozing at the injection site can happen but is usually minimal. It stops on its own. Keeping the area clean and dry can help prevent infection.
“The most common side effects of cervical facet joint injections are generally mild and temporary, but it’s vital for patients to be aware of them to ensure proper post-procedure care.”
Numbness or tingling around the injection area may occur. This is usually temporary and goes away as the local anesthetic wears off.
Understanding these common side effects can help patients prepare for the procedure and recovery. If you have concerns or if these side effects persist or worsen, it’s important to contact your healthcare provider.
Many people feel pain after getting cervical facet joint injections. This pain is usually short-lived and can be handled with the right care. Knowing about these reactions helps both patients and doctors manage them well.
Some folks might feel more neck pain after the shot. This is called a steroid flare. It’s key to watch your pain and tell your doctor if it gets worse.
When the anesthetic fades, some might feel pain rebound. This makes the pain seem worse than before. Following your after-care instructions can help ease this discomfort.
A steroid flare happens when the steroid in the shot causes more pain. This usually doesn’t last long and can be eased with pain meds. It’s vital to stick to the dosage and talk to your doctor if the pain doesn’t go away.
Here are important things to know about pain after cervical facet joint injections:
Knowing about these reactions helps patients get ready for possible pain after the shot. We aim to give full care and support to ease any discomfort.
Corticosteroids used in cervical facet joint injections can affect the body systemically. These medications are good at reducing inflammation and pain. But, their effects are not just at the injection site. It’s important for patients to know these effects to manage their treatment well.
Corticosteroids can change blood pressure, which is a big concern for those with high blood pressure. Monitoring blood pressure regularly after the procedure is key to catch any changes early.
People with diabetes need to know that corticosteroids can raise blood sugar levels. Close monitoring of glucose levels is a must to handle this effect well.
Mood swings, irritability, and insomnia are possible side effects of corticosteroids. These effects are usually short-term but can be upsetting. Patients should tell their healthcare provider about any big mood changes.
Corticosteroids can cause fluid retention, leading to weight gain and swelling. Managing salt intake and monitoring weight can help lessen these effects.
It’s key for patients getting cervical facet joint injections to understand the systemic effects of corticosteroids. Knowing the possible side effects helps patients manage their treatment better and avoid any bad reactions.
Neurological problems, though rare, can happen after cervical facet joint injections. These issues can be serious. So, it’s key to watch patients closely after the treatment.
Nerve irritation or damage is a possible problem. This might happen if the needle touches a nerve or if the medicine irritates it. Symptoms can be pain, numbness, or tingling in the neck or arms.
Most of the time, these symptoms go away by themselves. But sometimes, they don’t, and more medical help is needed.
Spinal cord issues, though rare, are very serious. They can include spinal cord injury or inflammation. This might happen if the needle is placed wrong or if medicine goes into the spinal cord.
Symptoms can be severe pain and numbness to paralysis. If you experience these, get medical help right away.
The vertebral artery is close to the cervical facet joints. There’s a chance it could get hurt during the injection. Vertebral artery injury can cause serious problems like stroke or pseudoaneurysm formation.
This is a very rare issue, but it’s something patients should know about.
Phrenic nerve palsy is another possible problem. The phrenic nerve controls the diaphragm. Injury to this nerve can make breathing hard.
This issue is usually short-lived but can be scary for patients. It’s important to watch for signs of trouble breathing after the procedure.
In summary, while rare, neurological issues from cervical facet joint injections can be serious. Knowing about these risks and keeping a close eye on patients after treatment helps catch and manage these problems early.
Allergic reactions and immune system responses can happen with cervical facet joint injections. These reactions are not common but knowing about them is important. It helps ensure patients get the right care quickly.
Some people might be allergic to the medicines used in these injections. Symptoms can range from mild skin rashes to severe reactions like anaphylaxis. We check for allergies before starting the procedure.
Contrast dye used in the injections can cause reactions. Common symptoms include itching, rash, and in rare cases, anaphylaxis. Our team is ready to handle these situations quickly.
Corticosteroids in the injections can weaken the immune system. This makes infections more likely. Patients are told to watch for signs of infection, like fever or pain, and to seek help if they notice anything.
There’s a chance of infection with these injections. We use strict sterile techniques to lower this risk. Patients are taught to look out for signs of infection and to get help if they see them.
Knowing about these risks and taking steps to prevent them helps ensure good results. This is true for patients getting cervical facet joint injections.
Knowing when to get help after cervical facet joint injections is key. It helps avoid serious issues. Always watch your health closely after the procedure.
Severe or getting worse pain is a warning sign. If the pain is too much or feels different, get medical help right away. It might mean you have a problem that needs quick care.
Fever or signs of infection, like redness or swelling, mean you need to see a doctor fast. Infections can get worse fast. Don’t wait if you see these signs.
Neurological symptoms like numbness or weakness are serious. They mean you might have nerve problems. You need to see a doctor quickly.
Breathing hard or chest pain is a big emergency. If you have these symptoms, get help right away. They could mean a serious problem.
Knowing about these risks and when to get help is important. It can help your recovery a lot. If you’re not sure about your symptoms, always talk to your doctor.
Managing side effects starts before the procedure, with good preparation. Knowing how to prepare for, recover from, and follow up after cervical facet joint injections helps reduce risks. This way, patients can avoid many problems.
Getting ready is key to avoiding side effects. Patients should tell their doctor about all medications, including blood thinners. They should also mention any allergies, like to contrast dye or local anesthetics.
It’s important to share medical history, including past reactions to injections or steroids. Having someone drive you home is a good idea. The injection and sedation might make it hard to drive safely.
After the procedure, follow your doctor’s care instructions closely. This might mean avoiding hard activities, using ice for swelling, and watching the injection site for infection signs.
Following these steps carefully helps avoid complications. Be aware of possible soreness or numbness and know how to handle it.
Going to follow-up appointments is key. It helps check if the treatment is working and catches side effects early. Your doctor can adjust treatment or offer new strategies as needed.
For those getting corticosteroid injections, long-term checks are important. This includes watching blood pressure, sugar levels, and for fluid retention or mood changes.
| Monitoring Aspect | Frequency | Action |
| Blood Pressure | Regularly, as advised by healthcare provider | Adjust medication or lifestyle as necessary |
| Blood Sugar Levels | Regularly, for diabetic patients | Adjust diabetes plan as needed |
| Fluid Retention | Watch for swelling in feet, ankles, and hands | Limit sodium and watch weight |
By managing and monitoring these areas, patients can reduce risks and get the most from cervical facet joint injections.
Cervical facet joint injections are a valuable treatment for neck pain. They can have side effects, but the benefits often outweigh the risks for the right patients.
It’s important to understand the side effects and how to manage them. This helps patients make informed decisions about their care. Many patients find relief from neck pain thanks to these injections.
When considering cervical facet injections, it’s key to balance the benefits and risks. We must look at the advantages and possible complications. With careful patient selection and care, these injections can be very effective.
Side effects include pain and tenderness at the site, swelling, and bruising. You might also see minor bleeding and numbness. These effects are usually mild and don’t last long.
Yes, some people might feel more neck pain or a temporary increase in pain. This can happen due to the medication used. These reactions are usually short-lived and can be managed.
Corticosteroids can affect your blood pressure and blood sugar levels. They might also cause mood swings, sleep issues, fluid retention, and weight gain. People with diabetes or high blood pressure should be aware of these risks.
Yes, though rare, nerve irritation or damage can occur. There’s also a risk of spinal cord issues, vertebral artery injury, and phrenic nerve palsy. Close monitoring after the procedure is essential.
Yes, you could be allergic to the local anesthetic, corticosteroids, or contrast dye. Allergic reactions are a possible risk with these injections.
Follow the prep and post-procedure instructions carefully. Attend all follow-up appointments. Long-term monitoring is also important, mainly for those with pre-existing conditions.
Seek immediate help if you have severe pain, fever, or signs of infection. Also, watch for neurological symptoms like numbness or weakness, breathing issues, or chest pain.
Relief from facet joint injections can vary. Some people get relief for months, while others experience shorter effects. The duration depends on your condition, the medication, and the technique used.
Success rates vary based on how success is measured and the patients treated. Generally, these injections help diagnose and treat neck pain related to facet joints in selected patients.
Signs of infection include fever, increased pain, redness, swelling, or warmth at the site. General malaise is also a sign. If you notice these symptoms, seek medical attention right away.
No, bilateral lumbar facet injections target the lower back, while cervical injections are for the neck. Though similar, they treat different spine areas.
You’ll receive a local anesthetic and possibly a corticosteroid in the cervical spine’s facet joints. Expect a clean environment, imaging guidance
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