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What is the effective treatment for chronic cervical neck pain?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have had right-sided chronic cervical neck pain for the past six months. My MRI revealed bulging discs, C6-C7 and C5-C6 osteophytes, severe bilateral stenosis, and typical degenerative disc disease. I visited a pain doctor hoping for a cervical steroid procedure, but got a cervical medial branch block, which provided relief for only one day.

He wants to do a facet radiofrequency ablation in the cervical area. Would it be better to do a cervical steroid injection before the ablation? Four years before, I had the same condition and was treated with cervical steroid injections. I am currently on Lidocaine patches and Voltaren cream. Also, taking Quinine sulfate for leg cramps.

Please guide.

Answered by Dr. J. Mariano Anto Bruno Mascarenhas

Education:

MBBS

Professional Bio:

Dr. J. Mariano Anto Bruno Mascarenhas is a highly experienced Neurosurgeon specializing in the diagnosis and surgical management of complex neurological conditions. His expertise includes brain and spine surgeries, minimally invasive neurosurgical techniques, trauma management, and patient-focused care. He is dedicated to advanced treatment planning, precision surgery, and improving neurological outcomes for his patients.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I have gone through your query with diligence and would like you to know that I am here to help you. Four years ago, you had had the same condition and were treated with cervical steroid injections (three), and the pain disappeared. Now, the pain has reappeared.

Hence, steroids may not be of use now. You have to undergo the following procedure. In the future, if you develop numbness or weakness, neither steroids nor ablation will help. You may need surgery.

I hope this helps you.

Thank you.

Medically reviewed by iCliniq medical review team
Published At October 1, 2016
Reviewed At December 11, 2025

Education:

MBBS

Professional Bio:

Dr. J. Mariano Anto Bruno Mascarenhas is a highly experienced Neurosurgeon specializing in the diagnosis and surgical management of complex neurological conditions. His expertise includes brain and spine surgeries, minimally invasive neurosurgical techniques, trauma management, and patient-focused care. He is dedicated to advanced treatment planning, precision surgery, and improving neurological outcomes for his patients.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Chronic Cervical Neck Pain Treatment Decision Helper

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Education:

MBBS

Professional Bio:

Dr. J. Mariano Anto Bruno Mascarenhas is a highly experienced Neurosurgeon specializing in the diagnosis and surgical management of complex neurological conditions. His expertise includes brain and spine surgeries, minimally invasive neurosurgical techniques, trauma management, and patient-focused care. He is dedicated to advanced treatment planning, precision surgery, and improving neurological outcomes for his patients.

This doctor is not available for online consultations on the platform anymore.

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