Mild retrolisthesis of c6 on c7 and mild anteolisthesis of c7on t1 t2 t3. Marked multilevel cervical spondylosis contributing to mild central steosis and multilebel foraminal compromise. At c-4 moderate-severe bilateral stenosis c-5 there is a more focal left lateral recess disc osteophyte component. C-5 c-6 mild/moderate bilateral stenosis c-6 c-7 moderate to severe bilateral foraminal stenosis. Suspicious central right sided disc hernitation T2-3. The cervical spinal chord is normal in both caliber and signal. The craniocervical junction is within normal limits"
I have had chronic neck pain for years. Unfortunately, the pain has gotten worse and worse. My neck is stiff. I have limited ROM. I often get areas that feel painful to the touch. My traps are so sore that I can not wear a bra as the straps start to hurt within 30 minutes.
I recently went to a physiatrist who did facet injections but more in the muscle area two weeks ago. For the first several hours, I experienced reduced spasms but as the lidocane wore off, symptoms returned. The doctor warned me that this may happen and said that it could take up to two weeks for the steroids to kick in. In my case, they did not work. I saw the doctor today and he did injections in the facet joints. I couldn't believe it but about 90% of the pain was gone and ROM improved. Now, I could tell that the lidocane wore off. Some pain returned but not all of it. I am hoping that the steroids will kick in.
Depending on the results of this treatment, another possibility discussed was radio frequency ablation. If I were to be a candidate for radiofrequency ablation, first the doctor would do a diagnostic block and I would be given a pain diary. There are three doctors in the practice. They all do facet injections. One does most of the disc injections and another the radiofrequency so that they can be highly specialized. Both doctors had received training at the Mayo Clinic, Hospital for Special Surgery and Columbia Presbetarian so they have received training at top hospitals.
Could anyone shed information about these mri results?
What are the advantages/disadvantages of facet injections vs radiofrequency ablation?
Any additional insights would be appreciated.
Thanks a lot for your feedback. I am new to pain management. I have just been living with pain but now it is getting too difficult to live with