By following the Spine Intervention Society (SIS) guidelines and using preprocedural imaging, steroid injection into the C1-C2 may be a potentially safe treatment for neck pain.
Why this matters
Inflammation in the lateral C1-C2 joint can cause headaches, pain, and decreased range of motion, and the therapeutic options of physical therapy and medications are ineffective.
Steroid injection into the joint is effective but has been considered high risk due to potential damage to important structures near the joint.
Clinicians and patients can be reassured that steroid injection can be conducted safely if SIS guidelines are followed.