Saturday, October 25, 2014
Tuesday, June 08, 2010 leg78, Community Member, asks

Q: Cervical Facet Injections for Chronic Daily Headache with Migraine?

Hello.  I've had migraines since age 12 and two years ago they "transformed" and I now have chronic daily headache with severe pain approximately 3x per week. I am seeing a new set of doctors to try to find the origin of the pain, one of which is a pain management anesthesiologist with alot of chronic headache experience. For the first time, he asked if perhaps my headache is cervicogenic and not migraine. We're still not sure, but both occipital and supraorbital blocks on the left side (where my headaches are located) didn't provide immediate relief. He thinks the pain may be originating in my cervical spine, as the left side of my neck is tender and muscles are bulky and in spasm. I am scheduled for left cervical facet injections next week, but am a little hesitant. It is invasive and I can't find much information about their effectiveness in chronic daily headache. I don't have any pain in the back of my head, nor my neck, but the dr. thinks the pain may be referred to the front. If anyone has any experience with cervical facets and their effectiveness, please let me know! I'm a bit worried that the pain will flare up afterwards, as it normally does for me after procedures, and can't risk much more downtime. Thank you!

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Answers (1)
Nancy Harris Bonk, Community Member
6/ 9/10 8:54pm

Hi leg78,



I'm not sure how much more relief you will get from a facet injection if you didn't find much from a nerve block. Another option is to see a "true" Migraine specialist. This is an expert who only treats patients with one disease - ours - Migraines and headaches. It's important to note that neurologists aren't necessarily Migraine and headache specialists. Even if they say they are "headache specialists." A Migraine specialist is a doctor who specializes in headache medicine, goes to scientific conferences and stays current on all things Migraine and headache realted. Take a look at the article Migraine and Headache Specialists - What's So Special? If you need help finding a Migraine specialist, check our listing of Patient Recommended Migraine and Headache Specialists.


Good luck


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By leg78, Community Member— Last Modified: 12/25/10, First Published: 06/08/10