inflammation at C1, C2 of cervical spine causing cervicogenic headach

Posted by kathy513 @kathy513, Feb 5, 2024

Has anyone received injections or ablation at C1, C2 for inflammation at this level of the cervical spine or any other treatments? Limited to what medications I can take due to Eliquis. Thank you!

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Profile picture for snowmass @snowmass

Hello
I came across this post after searching for c1-c2 arthritis. My symptoms are similar with occipital area pain. Have you had any success in finding a resolution? Thank you

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@snowmass no success yet. But I go to a nonorthopedic Dr on Jan 14 & possibly have a Botox shot. Oral medication only makes me tired & sleepy!

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Dr doesn’t want to do injections into C1 or C 2, but is suggesting Botox. I’m about ready to try anything! Oral medication just makes me tired & I sleep a lot! I’m open to have any suggestions!

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Profile picture for roxanne @rodanne

Dr doesn’t want to do injections into C1 or C 2, but is suggesting Botox. I’m about ready to try anything! Oral medication just makes me tired & I sleep a lot! I’m open to have any suggestions!

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@rodanne I’m also on Eliquis which is restrictive for other medications!

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Hi I had commented on your post a while back and got another alert from a post so I figured I will update my story for reference. After dealing w neck pain and tos pain w failed occipital nerve block, medial branch bloc, epidural injection and stem cell injections that all of these went nowhere, I found out that I have a significant congenital defect on my c1 posterior arch. Half of the back part of my c1 is absent and likely w menopause as bones and muscles and ligaments lost its strength, it I believe cause ddd, stenosis, occipital neuralgia, arthritis, cranio cervical instabiliy meaning instability at c0/1/2 areas w more wear and tear at lower levels w most significant being at c5/6 common site. Along this journey of seeing so may neurosurgeons and denied multiple times from Mayo as well, I learned that there are only 5/6 neurosurgeons (Dr bolognese in ny, Dr Henderson in Md, Dr virojanapa in Ohio, dr Buchanan in co… etc) who are familiar with upper cervical instability as the are usually familiar w chiari malformation and connective tissue disorder, EDS. I spent close to 3 years deteriorating with no clue. Most of these professionals inclusive of neurosurgeons and radiologists do not or are not familiar with looking above c2. Now I am working towards getting a fusion from c0-2 or more pending on further test findings. Hope this helps someone who may be lost like I was. There is a Facebook group called Cervical Instability where people with upper cervical issues support each other. Best wishes to all.

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Profile picture for kathy513 @kathy513

@cathy1111, thank you so much for all the information! I greatly appreciate it. Of the things that you mentioned, I have been following an anti inflammatory diet for a couple of weeks. My husband has been looking up recipes and making many soups and breads. He understands No sugar, no dairy, no processed foods, no white flour, and him being a vegetarian and doing all the cooking, we do not have meat at all.
I also use a tens unit but it hurts on my neck and makes my muscles move and contract, even on the lowest setting. I also use a THC/CBD cream 1:1 ration and apply a heating pad. I use a lot of ice on my neck and head. As you mentioned at the beginning, I never thought it was my neck but for 5 years, up until this started last May, I was swimming 40 laps 5 days a week. I use to run. I ran for 40 years until my neck and back could not stand it anymore. While swimming, I wore a snorkel as to not move my neck.
I really need to learn relaxation techniques, progressive relaxation, guided imagery, and self hypnosis. If you could send me some links, I would appreciate it.
At the beginning my scalp burned, so went to a dermatologist, then ear and facial pain, I thought I had an ear and sinus infection so ENT. Both told me it was neurological but having neck issues in the past , I went to Orthopedic. I was convinced it was occipital neuralgia. They gave me a nerve block that did not work. Eventually , the pain in my head, face ear and behind my eye was so great I started taking muscle relaxants and Opiates. I also have Pelvic Organ prolapse that I was scheduled to have surgery for but had to cancel due to the tremendous head pain. I knew I could not recover with the head pain. I had to stop most medications because they caused constipation which worsens the prolapse. I also take Eliquis so no nsaids. I can only take Tylenol. I fear I may be damaging my liver. Eventually, I saw a local neurologist, who only wanted to prescribe Lamotrigine and I refused to take it. I was already taking gabapentin.
I am being treated at Mayo and so far they have done an SPG, which has been very effective but needs repeating every so often. The also have done a Dorsal Root Ganglion block at C2 and will be repeating it at the end of this month. The 1st was in January.
Iwebt to my local ER about 5 times and was sent away with the muscle relaxers and opiates, before going to Mayo ER. They admitted me for 3 days and tested me very thoroughly. After aCT Spect scan they determined I have structural/ arthritic issues and much inflamation at C1, C2. It also revealed issues at C3 , C4 but surgery is the only fix for it. Like you I do not want any surgeries. I already have put a very necessary, long recovery surgery on the back burner. I am 70 and the longer I put the prolapse surgery off the greater the risks with age.
I think the relaxation techniques, imagery, hypnosis would greatly help me. I 100 % need it. I do get a massage and she constantly tells me how tight I am and says relax but I literally don’t know how!
I also cannot find a comfortable position for sleeping. I have gone through half a dozen pillows. Even when I do fall asleep out of sheer exhaustion, I am easily awaken. I need something to help me sleep. I had a medical marijuana card when we lived in Florida for other issues but we now live in Georgia and it is illegal. What are the terpenes and cannabinoids for pain and sleep?
I have asked you for so much information but at times I am desperate! My life has come to a stand still because I don’t know when I will be at a 10 so I stay home to be close to pain relief!
Thank you again!!!!

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@kathy513 i am going through the terrible knife like pain in my neck as well right now. I was given a shot,and it lasted less than a month. I refuse to take the Debilitating harsh drugs that damage your body as well. I have found if I do not use a pillow and lie on my back at night flat that my neck pain subsides. I’m a firm believer that relaxation is important. I have neuropathy very bad. My feet are unbearably painful at night. I am on 1000 mg of Tylenol at night. This came in after I went to Florida for Scrsmbler after I was put on a decompression machine if it was discovered that my doctors had never told me I had a herniated disc on L4 and L5, which was keeping my scrambler from doing its job. I am on a decompression machine for 20 more days and question whether that’s having some negative effects on my neck, but since that seems to be my only hope to help with the pain in my feet I’m staying on it until the end I’m $20,000 doen at this point as Medicare will not pay gorvanything except shot.This is all due to a boy putting a box down behind me at Joanne‘s fabric shop three years ago and I turned around hit it, up in the air and landed 5 feet away flat on concrete. Jo-Ann refused to acknowledge the fall and lawsuit then finally took bankruptcy,Leaving me with no way of getting financial assistance. I can’t understand why Medicare cannot acknowledge neuropathy and these pains as there are millions of people going through this pain. Neuropathy is an epidemic expanding for those who have gone through the horrible trip of being cured from cancer, and Covid as well. I feel your pain and understand where you’re coming from and it’s just an every day hope and prayer. I am 81 and his e been very active with golf, pickleball and volunteering. Stay strong, we have few advocates.

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I also have inflammation at C 1 & 2 - diagnosed as arthritis after MRI & CT. I’m scheduled for Botox neck injections in February. Anybody else been treated with Botox?

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I’m also on Eliquis with C 1 & 2 pain. Scheduled for Botox in February.

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Profile picture for roxanne @rodanne

I’m also on Eliquis with C 1 & 2 pain. Scheduled for Botox in February.

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@rodanne Where will the injection be given? At C1,C2 or just in your neck?
I had injection a steroid at C2 but they said it is very risky.

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Profile picture for kathy513 @kathy513

@rodanne Where will the injection be given? At C1,C2 or just in your neck?
I had injection a steroid at C2 but they said it is very risky.

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@kathy513 It will be a Botox injection in the neck, bot not in C1 or C2. Dr said too much inflammation in too small of an area. I had the steroid & lidocaine but it did not work - hoping Botox does. The pain just never stops, so I hope this injection works !

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Profile picture for roxanne @rodanne

@kathy513 It will be a Botox injection in the neck, bot not in C1 or C2. Dr said too much inflammation in too small of an area. I had the steroid & lidocaine but it did not work - hoping Botox does. The pain just never stops, so I hope this injection works !

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@rodanne I had the steroid and lidocaine directly in C2. My pain is on and off. Ice is my friend.

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