Medical professional assisting an Asian male patient with a cervical neck collar, highlighting the treatment process for cervical neck pain.

Injections for Cervical Neck Pain: A Guide for Long Island Patients

Understanding Injections for Cervical Neck Pain

Injections for cervical neck pain” is a term used for various treatments involving medication or nerve-blocking techniques to relieve pain caused by inflammation or nerve irritation in the cervical (neck) spine. When traditional treatments like medication and physical therapy don’t relieve the pain, these injections can offer targeted relief by addressing inflammation, nerve irritation, or arthritis in the neck. 

 

Given our more than 25 years of experience treating spine conditions at Long Island Neuroscience Specialists, I know firsthand how powerful these injection therapies can be for patients in Long Island seeking relief without undergoing surgery. The cervical spine consists of seven vertebrae that connect your skull to the thoracic region of your spine, allowing movement and protecting the spinal cord. 

 

However, this complex area is prone to problems like herniated discs, degeneration, and arthritis, leading to chronic neck pain. Injections aim to reduce inflammation and irritation around these structures, bringing significant relief for many patients.

TL;DR (Too Long; Didn’t Read)

  • Cervical neck pain can result from conditions like herniated discs, spinal stenosis, and arthritis.
  • Injections for cervical neck pain provide relief by reducing inflammation and pain.
  • Types of injections include epidural steroid injections, facet joint injections, and radiofrequency ablation.
  • Injections are a minimally invasive option and may reduce the need for surgery.
  • Results vary, but injections often provide short- to long-term relief that can enhance other treatments like physical therapy.
Man wearing a cervical neck collar, seated at a reception desk, waiting for treatment options like injections for cervical neck pain.

Causes of Cervical Neck Pain and When Injections Are Recommended

Cervical neck pain can arise from numerous causes, often involving inflammation or irritation of the spinal nerves. Conditions such as herniated discs, degenerative disc disease, osteoarthritis, and cervical spinal stenosis are common culprits. 

 

A herniated disc occurs when the soft inner material of the disc pushes through its tougher exterior, often pressing on nerves and causing pain that may radiate to the shoulders and arms. Degenerative disc disease and osteoarthritis, meanwhile, result from wear-and-tear on the discs and facet joints, respectively. 

 

These conditions can lead to narrowing of the spaces within the spine, creating pressure on nearby nerves. If you experience persistent neck pain despite trying medications or physical therapy, injections may be a viable option. 

 

The goal of injection therapy is to directly target the pain source, often providing relief so that patients can resume their daily activities or participate in physical therapy with less discomfort. As a spine specialist, I’ve seen many patients who initially tried conservative treatments and later found lasting relief from injections, avoiding or postponing surgery altogether. 

 

Our team at Long Island Neuroscience Specialists assesses each patient’s symptoms, history, and response to previous treatments before recommending an injection approach to ensure it’s the best path forward.

How Injections for Cervical Neck Pain Work and Their Effectiveness Compared to Other Treatments

Injections work by targeting inflammation and blocking pain signals in specific areas of the neck. For example, epidural steroid injections reduce swelling around nerve roots, which relieves pressure on the nerves and reduces pain. 

 

In comparison, facet joint injections and RFA address pain in different structures, each with its specialized approach. Injections can offer more direct relief than oral medications because they’re placed precisely where pain and inflammation originate.

 

In my practice, I’ve found that injections often complement physical therapy by allowing patients to engage in exercises with reduced pain levels. While injections don’t permanently cure the underlying condition, they’re a valuable part of a comprehensive pain management plan that may include physical therapy, lifestyle changes, and, in some cases, surgery. 

 

Compared to oral medications, injections for cervical neck pain provide longer-lasting relief with fewer systemic side effects, making them a preferred choice for patients with chronic neck pain.

What to Expect During the Injection Procedure

Before the procedure, your doctor will review your medical history and imaging studies to determine the exact area for treatment. The injection procedure is straightforward, typically taking 15–30 minutes and performed on an outpatient basis. 

 

At Long Island Neuroscience Specialists, we use imaging guidance to ensure precise needle placement, minimizing risks and maximizing effectiveness. Once you’re prepared for the injection, a local anesthetic numbs the area to reduce discomfort. 

 

For some injections, you may feel slight pressure or tingling, which is normal and usually subsides once the procedure is complete. After the injection, patients typically rest for a short observation period before heading home. 

 

Most patients can resume normal activities the following day, though we often recommend avoiding strenuous activities for the first 24 hours.

Woman consulting with a doctor for cervical neck pain treatment, considering options such as injections.

Pain Relief Duration and Frequency of Injections

The relief from injections varies depending on the type and each patient’s response. For example, epidural steroid injections can offer relief for a few weeks up to several months, while RFA often provides relief for a year or more. 

 

The longevity of relief depends on factors like the severity of the underlying condition, lifestyle, and whether patients follow a pain management plan that includes physical therapy. As a general guideline, we may repeat injections if pain returns and the initial treatment was effective. 

 

However, to prevent overuse, we typically limit injections to two to three times a year. Combining these injections with other treatments can extend the relief period and improve outcomes, creating a balanced approach to pain management.

Risks and Side Effects of Cervical Neck Injections

While injections for cervical neck pain are generally safe, there are some potential risks and side effects. Common temporary side effects include soreness at the injection site and minor headaches. 

 

Rare complications, such as infection or nerve damage, are possible but minimized with imaging guidance and careful technique. At Long Island Neuroscience Specialists, we take every precaution to ensure safety. 

 

Our specialists discuss each patient’s medical history, allergies, and any medications to mitigate risks. We also educate patients on what to expect post-procedure and signs that may require follow-up, such as prolonged numbness, weakness, or fever, which could indicate a complication.

Determining Candidacy for Cervical Neck Injections

Injections are a suitable option for many patients, but certain factors determine whether someone is a good candidate. Chronic neck pain that hasn’t responded well to medication or physical therapy is often an indicator that injections might help. 

 

Patients with specific diagnoses, like herniated discs or cervical arthritis, typically benefit from targeted injection treatments. Some health conditions or allergies to steroids may make injections less suitable. 

 

That’s why we conduct a comprehensive evaluation, including reviewing imaging results and medical history, to ensure the best treatment plan.

A close-up view of a woman receiving a neck assessment, part of treatment for cervical neck pain.

Preparing for a Cervical Neck Injection and Post-Procedure Care

Preparation for an injection can involve a few essential steps to ensure safety and effectiveness. Your doctor may ask you to avoid certain medications, such as blood thinners, leading up to the procedure. 

 

Fasting may be required for a few hours beforehand, especially if sedation will be used. We also recommend that patients arrange for someone to drive them home after the procedure, as mild sedatives can leave patients feeling drowsy.

 

After the injection, some patients may feel minor soreness at the injection site, which can be alleviated with ice packs or over-the-counter pain relievers as recommended by their doctor. Generally, patients are advised to take it easy on the day of the procedure and avoid heavy lifting or strenuous activities for at least 24 hours. 

 

Pain relief from the injection may not be immediate; it often takes 48 to 72 hours for the full effects to set in. We provide a thorough list of post-procedure guidelines and a follow-up plan to monitor progress and address any questions that arise.

 

Knowing what to expect after the injection can make the process smoother and reduce anxiety. Patients can often resume normal activities the next day, but we emphasize avoiding anything that could strain the neck initially. 

 

Our team is always available to answer questions about aftercare, helping patients get the most benefit from their injections for cervical neck pain.

Complementary Treatments for Enhanced Pain Management

Injections for cervical neck pain often work best when combined with other treatments that support neck health and manage pain more comprehensively. Physical therapy is one of the most effective complementary treatments, as it helps strengthen the muscles that support the cervical spine and improves flexibility. Read more here. 

 

Strengthening the neck muscles can also reduce the likelihood of re-injury or chronic tension in the area, which can prolong the pain relief effects of the injection. In addition to physical therapy, lifestyle modifications like improving posture, adjusting workspaces to be more ergonomic, and avoiding prolonged positions can make a significant difference. 

 

Chiropractic care, massage therapy, and acupuncture may also provide added benefits by reducing muscle tension and promoting relaxation. For some patients, oral medications such as NSAIDs or muscle relaxants may complement injection therapy. Read more here. 

 

Each patient’s pain management plan is customized to their needs and lifestyle, with the goal of achieving long-term relief and functionality. By combining injections with supportive treatments, patients often see enhanced results, reducing the need for repeated injections and promoting a more active lifestyle.

Working with Your Healthcare Provider on a Personalized Pain Management Plan

At Long Island Neuroscience Specialists, we believe that a personalized pain management plan is essential to successfully treating cervical neck pain. Pain is complex and personal, so we work closely with each patient to create a plan that reflects their unique symptoms, lifestyle, and goals. 

 

We begin by discussing the history of the pain, prior treatments, and any specific activities or goals the patient hopes to achieve. This initial consultation forms the foundation for a tailored approach.

 

Collaboration with a healthcare provider allows patients to make informed decisions about their care. Open communication is vital, as it enables patients to feel supported and involved in their treatment journey. 

 

During follow-up visits, we assess how well the injections are working, discuss any changes in symptoms, and make adjustments to the treatment plan if necessary. A personalized plan may include a combination of injections, physical therapy, lifestyle changes, and, in some cases, medication. 

 

This holistic approach not only addresses immediate pain relief but also supports long-term spine health, helping patients maintain function and reduce the risk of recurring pain. We encourage patients to share their experiences and provide feedback, as this collaboration helps refine the plan for optimal results.

Conclusion and Encouragement to Seek Expert Advice

Injections for cervical neck pain are a minimally invasive yet effective approach to managing chronic neck pain. For many patients, these treatments offer an opportunity to avoid or delay surgery while achieving relief that supports a more active, comfortable life. 


With over 25 years of experience, our team at Long Island Neuroscience Specialists has guided countless patients through injection therapies, helping them regain function and reduce pain. If you’re experiencing chronic cervical neck pain, it’s essential to explore all your options. 


Our specialized team is here to provide expert advice, personalized care, and a comprehensive approach to pain management. Schedule a consultation to see if injections for cervical neck pain could be the right solution for you, and take the first step toward a pain-free life.