Cervical facet joints are located at the neck and top of spine. They are a set of small joints between every two adjacent vertebrae in the spine. Cervical facet joints are those responsible for the cervical spine’s ability to rotate, as well as bending forwards and backwards.

Problems can be caused in the Cervical facet joints by degeneration, dislocation, fracture injury, instability from trauma, and osteoarthritis. Twisting injuries are also a frequent cause of damage to the facet joints. Pain caused by injuries in the Cervical facet joints can be be felt in the head, neck, shoulder or arm.

Spine surgeon and Consultant Mr Mangattil Rajesh has provided effective neck pain treatment in London for a number of years now. He understands how Neck pain can be painful and debilitating. Mr Rajesh has an excellent reputation as a neck pain specialist in London for ensuring that his patients are correctly diagnosed and for delivering the right treatment plan for the individual’s Neck pain.

If you live in London, UK, and are suffering from neck pain caused by Cervical facet joints, expert Spine Consultant & surgeon Mr Mangattil Rajesh offers Cervical facet joint injections along with comprehensive recovery plans to give you long-lasting relief from facet joint neck pain. Call 07956 318 383 today to Book a consultation appointment!

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Table of Contents

  • Benefits of Cervical Facet joint Injection for neck pain
  • Why do you need Cervical Facet Joint Injections?
  • Treatment starts with Diagnosis of Facet Joint Arthritis
  • Procedure for Cervical Facet Joint Injection
  • Cost of Facet Joint Injections in London
  • What happens after the facet joint Injection Procedure?
  • What our Clients say?
  • Frequently Asked Questions

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Mangattil Rajesh, Consultant Spine Surgeon in London

Mr. Mangattil Rajesh

Consultant Spine Surgeon
Royal London Hospital
London

I am a Consultant Spine Surgeon at Royal London Hospital, London. My experience in treating your Back pain is from the extensive training in Spine Surgery from surgical rotations in London and from further 3 Spinal Fellowships at Manchester, North Tees, Royal London Hospital in the UK and further advanced training in France and USA in Minimally Invasive Surgery.

Benefits of Cervical facet joint injection for neck pain

An Cervical facet joint injection can be extremely beneficial during an acute episode of back and/or leg pain. Typically, if the initial injection is effective, up to 3 injections may be given in one year.

When administered in the cervical space, cervical facet joint injections may have the following benefits:

Temporary or prolonged reduction of nerve pain and inflammation in the region of the spine that causes neck pain. Enhanced ability to perform daily life activities without the previous restrictions caused by pain.

Pain relief from these injections may help limit or eliminate the need for oral medications, some of which may have side effects when taken long-term. Cervical facet joint steroid injections could reduce the need for invasive procedures. Cervical facet steroid cortisone joint injections allow the body mechanisms time to heal the underlying condition

A Cervical facet joint injection may provide sufficient neck pain relief to allow a patient to progress with their physical therapy program. Pain relief experienced from Cervical facet joint injections may help postpone surgery, and if physical therapy is effective, it may eliminate the need for surgical intervention

A Cervical facet joint injection may provide sufficient neck pain relief to allow a patient to progress with their physical therapy program. Pain relief experienced from Cervical facet joint injections may help postpone surgery, and if physical therapy is effective, it may eliminate the need for surgical intervention

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Do you think a cervical facet joint injection can give you the much-needed neck pain relief you were looking for? Book an appointment with expert Spine Consultant & Surgeon Mr Mangattil Rajesh to confirm if an cervical facet joint injection is absolutely necessary for your neck pain!

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Why do you need Cervical facet joint injections?

Neck pain and related symptoms can interfere with our lives and can be debilitating. Even something as simple an activity as buttoning your shirt may become difficult on bad days. Cervical facet joint injection is recommended for control of your neck pain. Inflammation caused by the wear and tear of cervical facet joints in your spine can cause considerable pain in the neck and shoulders.

Neck pain gets worse if you sit in font of a computer and type for very long – something that causes particular problems for people with office jobs. If you have injured your neck while exercising or simply lifting a box from the ground you may believe it has nothing to do with the way you sit at your desk. Yet analysis shows us that the way we maintain the strength, balance and alignment of our musculoskeletal system, the more resistant our bodies are to such injuries.

The Cervical facet joint injection procedure is a simple outpatient procedure which approximately takes just around 20 minutes, including the time for a local anaesthetic to take effect. Combined with some physical therapy and lifestyle changes, a Cervical facet joint injection can help you get long-term pain relief from neck and shoulder pain. Timely administration of Cervical facet joint injection will help save you from future complications such as paralysis due to the facet joint degeneration/injury.

Treatment starts with Diagnosis of Facet Joint Arthritis

An accurate diagnosis is important to determine the source of the cervical facet joints that is causing your neck pain so that the cervical facet joint injection can be administered in the right spot. London neck pain specialist Mr Mangattil Rajesh takes the time to not only identify the source of his patient’s neck pain, but also develop a clear picture of your symptoms and any underlying factors.

Diagnosis is the most important first step

Diagnosis for cervical facet joint injection in London generally includes:

  • History 
  • Clinical Examination 
  • Blood Investigation 
  • Imaging
  • Nerve Conduction Test

History: Facet joint pain caused by facet joint arthritis causes neck pain. Mr Rajesh carefully listens to your story of how your neck pain started and progressed to the current state of pain. He will also be interested in the medications and the small adjustments that you may have tried to get relief from your neck pain.

This gives Mr Rajesh a very clear idea of the problem and he will then be able to decide on the nature of the examination and the investigation that is required to study the cause of your neck pain.

Clinical Examination: As guided and directed by the story of your neck pain Mr Rajesh will decide on the type of examination that is required to assess the extent and severity of your neck pain. What he finds on the examination will give him a clue on the type of investigations that he needs to order for further information on your neck pain.

Blood Investigation: Blood investigations are usually not required as a routine in the diagnosis of neck pain conditions. However if you have fever, loss of weight, loss of appetite or any other medical problems along with your neck pain, then blood investigations will be necessary.

Imaging: We all think that an X-ray will be very useful to look at the bones of our spine. However, these x-rays cannot show the soft tissues around the bones of the spine and the nerves that are trapped in our spine. Therefore, we need an MRI scan to look at the nerves much more clearly to have a good idea of the cause of your neck pain. 

CT scans can also be used but they carry a risk of high radiation. Whereas MRI scans do not have that risk of high radiation and they are very safe to be used in the diagnosis for the cause of your neck pain.

Diagnostic facet joint injection is performed to confirm the cause and orgin of neck pain due to facet joint arthritis. The facet joint is injected with a local anaesthetic and corticosteroid medication under sedation. The injection is given using X-ray fluoroscopy to ensure accurate needle placement in the facet joint. Your pain level is evaluated before and 20-30 minutes after injection, and monitored over the next 4-6 weeks.

Facet joint involvement is confirmed if your pain level decreases by more than 75%. If your pain level does not change after the injection, it is unlikely that the facet joint is the cause of your neck pain.

Remember the more accurate the diagnosis is, more successful will be the treatment for your neck pain

Mr Rajesh ascertains the severity of your injury in the cervical facet joints and devises an appropriate neck pain treatment plan in the initial consultation sessions by conducting a thorough physical examination.

Get a diagnosis of your facet joint back pain from one of London’s best-reviewed back plain clinics to find out if you require a facet joint injection for your back pain treatment. Do you think a facet joint injection can help relieve your back pain? Do not guess!

Book an online consultation today with expert neck pain specialist, Mr Rajesh in London on

07956 318 383

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Procedure for Cervical facet joint injection

Experienced spine surgeon Mr Rajesh understands that having any medical procedure, even one as simple and straightforward as an cervical facet joint injection can cause anxiety in people. Do not worry! Mr Rajesh and his dedicated staff will be there to support and reassure you throughout!

If you are living in and around London, and are suffering from neck pain, call 07956 318 383 for a consultation appointment at one of London’s best spine clinic.

Cervical facet joint injection procedures can help reduce inflammation and pain while allowing you to more freely and heal faster. Cervical facet joint injection contains a mixture of numbing solution (local anaesthetic) and corticosteroid (steroid). The local anaesthetic will improve the pain immediately and the steroid in the solution will act on the inflammation around the covering (capsule) of the cervical facet joints and control the pain in the long term. This improvement in the pain will help you move around better and mobilise your neck and shoulder.

Cervical facet joint injection is done as an outpatient procedure. You will need to come in starved for at least 6 hours and will be at the hospital for less than a day. You will be given a local or general anaesthetic by the anaesthetist so that you do not feel the pain of the procedure.

The facet joint steroid injection procedure takes less than 15 minutes and is very safe

A thin hollow needle is inserted through the skin and muscles to the nerves in the facet joint. A fluoroscopy X-ray is used to place the needle in the correct position. This system gives real-time X-ray images of the position of the needle in the spine on a monitor for the surgeon to view.

A contrast dye is then injected through the properly placed hollow needle to confirm that the drug flows to the affected nerve when injected. When the doctor is satisfied with the position of the needle, the anaesthetic drug and corticosteroid are injected through the same needle inserted in the spine.

When Mr Rajesh is satisfied with the position of the needle, the anaesthetic drug and corticosteroid are injected through the same needle inserted in the Cervical facet joints.

The Cervical facet joint injection procedure is painless but you may feel some pressure during the injection. One or more spots in your spine may be injected depending on the location & cause of the pain. The overall duration for the procedure will thus depend on the number of cervical facet joint injections required to relieve pain.

After the cervical facet joint injection procedure is done, you will be taken to the recovery room from the theatre and monitored for an hour. You will be able to leave the hospital on the same day once you are safe. A cervical facet joint injection can reduce pain for up to three months. However, London spine specialist Mr Rajesh considers cervical facet joint injections as a crucial part of a holistic neck pain programme. The injection reduces symptoms so that physiotherapy can be more effective.

Mr Rajesh combines medication, physical therapy and nerve ablations along with the facet joint injections to give long term relief from neck pain! 

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You’re in safe hands!

Mr Mangattil Rajesh understands what it’s like to live with pain and how it can be exhausting, both emotionally and physically. He is personable and approachable and believes in empowering his patients to live a pain-free life. As an experienced Spine surgeon & Consultant in London, Mr Rajesh’s approach is to help his patients with effective but Minimally invasive treatments.

Get a consultation for your neck pain treatment in London at your convenience! Mr Rajesh now offers phone and online consultation along with walk-in consultations. Choose your pick, book an appointment for your cervical facet joint injections procedure in London. Start your journey towards a pain-free life!

Cost of Facet joint injections in London

Depending on the underlying causes of your back pain, Spine consultant & surgeon in London, Mr Rajesh, will advise you on the best course of treatment for your back pain and help ease your pain completely. Specialist Spine consultant & surgeon Mr Rajesh offers affordable, competitive packages for Back pain treatment in London. Mr Rajesh accepts all Health Insurances for Back pain treatment in London.

If you are suffering from facet joint back pain in & around London and are seeking effective treatment, look no further than Specialist Spine Consultant & Surgeon Mr Mangattil Rajesh! He’ll be more than happy to help you with your facet joint injections for neck pain treatment in London. Please don’t hesitate to give him a call today at 07956 318 383

Get a consultation for your facet joint back pain treatment in London at your convenience! Mr Rajesh now offers phone and online consultation along with walk-in consultations. Choose your pick, book an appointment for your facet joint injection procedure in London. Start your journey towards a pain-free life!

Facet joint injection procedure with Mr Rajesh offers you the ability to avoid long waiting lists or expensive insurance premiums and access treatment quickly and easily in London.

Mr Rajesh is committed to providing the highest quality of care throughout his patient’s neck pain treatment in London. For Cervical facet joint injections in London, Mr Rajesh offers a full range of services, from initial assessment and diagnosis to individualised treatment and rehabilitation plans. Book an appointment with Spine specialist Mr Rajesh at 07956 318 383 and get customised individual assessment for your neck pain!

What happens after the Cervical facet joint injection procedure?

RECOVERY AND AFTERCARE

You may begin to notice an improvement in your pain 2-5 days after the injection. You should rest for the remainder of the day after getting the cervical facet joint injection. 

You may slowly resume gentle activity without overexerting yourself the first day. If any discomfort is felt, apply ice packs to the injection site for few times a day.

It is advisable not to soak in a tub for 24 hours after the procedure. You showers instead. Report any signs of infection or other unusual symptoms to our office such as redness at the injection site, Increasing pain, swelling or drainage at the injection site, chills, night sweats, or fever.

Following the Cervical facet joint injection procedure, spine surgeon Mr Rajesh’s team will monitor your recovery. You will be given specific instructions to follow by Mr Rajesh’s team. You will be able to go home when you are up and about. However, it is advisable to have a friend or family member should escort you home.

Once the Cervical facet joint injection procedure is done, you may feel an immediate reduction or complete relief of your neck pain. Because of the local anaesthetic, it may take several hours before the feeling comes back into the treated spine areas. 

London neck pain Specialist Mr Rajesh will give you exercises to improve your strength, spinal mobility, and stability. Mr Rajesh and his team are always available for support and guidance if you have any problems or concerns at any point during your recovery.

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What our Clients Say

Mr Rajesh is an experienced Spine consultant & Surgeon in London. He is very personable and approachable. Back pain specialist & Surgeon Mr Rajesh has the care and wellbeing of his patients at the heart of everything he does. You can read of some of the London back pain specialist reviews for Mr Rajesh

Frequently Asked Questions

1. How long do the effects of Cervical facet joint injections last?

Cervical facet joint injections have an immediate effect of pain relief from the local anaesthetic which wears off over a few hours. The steroidal cortisone starts to work in about 3 to 7 days and it can last up to a few months. More injections may be required for longer-lasting pain relief. Most specialists would wait for at least six months before repeating the injection.

2. Are Cervical facet joint injections safe?

With Cervical facet joint injections the risks are minimal to none. However, similar to any procedure involving a needle placement complications such as infection, allergic reaction to the anesthetic or contrast dye can happen in some rare cases. Be sure to inform your Spine specialist before the injection if you have any known allergies.

3. Are Cervical facet joint injections painful?

Cervical facet joint injections are virtually painless since the procedure is done under local anaesthetics. When the local anaesthetic wears off, you may experience some discomfort where the needles were placed. Although pain relief with the cervical facet joint injections generally occurs within 3 – 5 days, some patients experience improvement & pain relief right after the injection!

4. How many Cervical facet joint injections can you have?

Most experts recommend not more than 3 cervical facet joint injections over 12 months. There are concerns about the adverse side effects of repeated steroid injections on your spinal cord, nervous system function and your metabolism. A spine specialist would check & analyse for persisting symptoms before repeating the cervical facet joint injection.

5. Can I take my regular pain medications after the Cervical facet joint steroid injection procedure?

Yes. You may take your regular pain medications after the first 4-6 hours after getting the injection. This will ensure that the diagnostic information obtained from the procedure is accurate. You may be referred for physical or manual therapy after the cervical facet joint injection while the numbing medicine is effective and/or over the several weeks while the cortisone is working

6. What is the recovery time for Cervical facet joint injections?

You are advised to take the next day off work as you had intravenous sedation. You can return to normal life with gentle activity right after, and you can return to an active lifestyle within 3 – 5 days. If your neck pain persists or is worse, you may need a few days off work. Usually, it can take several weeks before you feel the full benefit of the cervical facet joint injection. There are no limitations for work if your pain settles after a day.

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