Characteristics of patients with cervical pain originating from the lateral atlanto-axial joint (C1-C2)

Victoria Schouela, Christopher Mares, Évelyne Théberge, Marie-Claude Bois, Samuel Côté, Laurence Roy-Bélanger, Isabelle Denis · 2026

Read Characteristics of patients with cervical pain originating from the lateral atlanto-axial joint (C1-C2) by Victoria Schouela, Christopher Mares, Évelyne Théberge, Marie-Claude Bois, Samuel Côté, Laurence Roy-Bélanger, Isabelle Denis (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13449365.txt.

Description

Victoria Schouela and colleagues profile in 2026 patients whose upper neck pain may come from the small lateral joint between the first two vertebrae, the C1-C2 joint. This source is usually considered only after tests at the levels below come back negative. Fifty patients with persistent pain after such negative work-ups joined a prospective study at a specialty clinic between 2022 and 2025, receiving a guided injection of anesthetic and steroid into the joint.

At thirty minutes, 22 of 49 patients, 44.9 percent, gained at least half pain relief from the diagnostic block. Facial pain predicted a poorer response, while dominant neck pain or combined neck and head pain predicted a better one. Three months out, a third of patients still met the benefit criteria, and an immediate block response did not predict who they would be. Electric shock-like pain lowered the odds of lasting benefit, while pain on touch raised them.

Catalog record

CREATORVictoria Schouela, Christopher Mares, Évelyne Théberge, Marie-Claude Bois, Samuel Côté, Laurence Roy-Bélanger, Isabelle Denis
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE45 KB
LICENSEhttps://creativecommons.org/licenses/by/4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/article/MED/PMC13449365

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