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Papers of the Week

2022 Sep

Pain Physician



The Effectiveness of Intraarticular Cervical Facet Steroid Injections in the Treatment of Cervicogenic Headache: Systematic Review and Meta-analysis.


Appeadu M, Miranda-Cantellops N, Mays B, Mason-Carino M, Reynolds J, Samarakoon T, Monteith T, Price C
Pain Physician. 2022 Sep; 25(6):459-470.
PMID: 36122255.


Cervicogenic headache (CGH) can often be difficult to treat, given the overlapping clinical features of other headaches and the varying sources of pain that patients report. While imaging is not useful in diagnosing CGH, anesthetic blockade of the atlanto-occipital joint, lateral atlantoaxial joint, or specific cervical zygapophyseal joints can be used to confirm the diagnosis. When conservative treatment measures, such as physical therapy, fail, interventional techniques, such as intraarticular steroid injections, have been shown in observational studies to provide relief in some patients.