Dr. Montgomery: In my experience we will occasionally try the epidural steroid injections. That would typically be in a group of patients having more neurologic symptoms, perhaps having radiating pain into their shoulders or arms, or some numbness and tingling. Maybe we're concerned about some nerve root compression. I have not had as much experience with the facet injections . Our pain doctors, our physiatry colleagues, who do a lot of pain management, would try things like nerve root blocks or trigger point injections . I have not seen as much of the facet injections in the cervical spine as I have in the lumbar spine or the low back.
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