Assessing the Safety of Steroid Injection Into the C1-C2 Joint


  • 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.