Patient with Severe Neck Pain

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Presenting Complaint

50 year old patient presented with long standing neck pain. He complained of severe pain all across the neck, with radiation to both shoulder blades. Pain would be exacerbated with standing, walking, working on a computer and driving. He was significantly limited with his day to day chores because of the ongoing pain. He also complained of constant headaches. His sleep was disturbed.

Previous Investigations/ Treatments

The patient had seen various specialists in the past including physiotherapists, osteopaths and orthopaedic surgeons. He was told surgery was not an option in his case. He tried TENS machine, acupuncture and physiotherapy without benefit. He tried various pain killers including morphine based medications, but could not tolerate the side effects.

Treatment from Dr. Krishna at Pain Spa

The patient saw Dr. Krishna in his clinic at the Nuffield Hospital in Bristol, desperate for some pain relief. Dr. Krishna felt that his pain was emanating from the cervical facet joints. Dr. Krishna offered him diagnostic cervical medial branch blocks, followed by cervical radiofrequency denervation treatment. This treatment was performed under x-ray guidance without any problems.


The patient was reviewed 2 months post procedure, when he reported significant improvement in his neck pain. His function also improved significantly and he was now able drive to work without pain. He was also able to sleep without interruption. A further review was conducted after 30 months and patient confirmed that he has excellent pain relief for more than 24 months from the cervical radiofrequency procedure.

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Cervical Facet Radiofrequency Denervation