Neck & cervical spine
Neck pain, and the headaches that come with it.
Cervical facet arthritis, disc problems and whiplash produce overlapping symptoms — including headaches that are routinely treated as migraine.
Why neck pain is under-diagnosed
The cervical spine refers pain in patterns that do not feel like neck pain. Facet joints in the neck send pain into the shoulder blade, the base of the skull, and the head. A large share of people carrying a migraine diagnosis have cervicogenic headache — headache generated in the neck — which responds to entirely different treatment.
Neck pain also follows a common trajectory after a car accident: a few bad weeks, gradual improvement, and then a plateau that never quite resolves. That plateau is usually facet-mediated and is treatable long after the accident.
What we see
What we see most
- Cervical facet arthritis — worse looking up or turning the head
- Cervical disc herniation with pain radiating into the arm
- Whiplash-associated pain that plateaued after an accident
- Cervicogenic headache — headache starting at the base of the skull
- Cervical spinal stenosis
- Pain across the top of the shoulder and shoulder blade with a normal shoulder examination
How it works
Getting to the source
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01
Examination and referral pattern
Where the pain travels is diagnostic in the neck more than anywhere else in the spine. We map it before imaging.
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02
Imaging reviewed together
Cervical MRI and X-ray, read alongside your symptoms — degenerative change is near universal after 40 and rarely the whole story.
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03
Medial branch blocks
The definitive test for facet-mediated neck pain and cervicogenic headache. Numbing the specific nerves under live X-ray shows whether they are carrying the signal.
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04
Durable treatment
Where blocks confirm the facets, radiofrequency ablation of those nerves commonly gives relief measured in months rather than weeks.
Treatment options
Cervical medial branch block
Confirms whether facet joints are producing your neck pain or headache.
Learn moreRadiofrequency ablation
For confirmed facet-mediated neck pain and cervicogenic headache.
Learn moreCervical epidural steroid injection
For arm pain from a cervical disc pressing on a nerve root.
Learn moreRegenerative therapy
For ligament and tendon contributors around the cervical spine and shoulder girdle.
Learn moreIn their words
Patients treated for this
Dr.Loch and his staff are the best! Professional but very friendly and make you feel so comfortable! Dr.Loch’s treatment on my neck gave me a lot of pain relief. He really knows his stuff. I had a great first experience and would definitely go back if needed. 4/16/26. Had a 2 week follow up with Dr.Loch. I am pain free and was able to go on a hunting trip to Patagonia. Shot a huge red stag! Thank you Dr Loch & his amazing staff!
Dr. Loche and staff are the best. I had a cervical ablazion which was a walk in the park. I drove an hour and a half because it’s worth the time and effort! Love these people.
The staff was great, directing me to complete necessary documents to initiate treatment. Dr. Loch reviewed my extensive surgical history, Lumbar implant surgery, multiple Lumbar Ablations, Cervical neck & back surgery, left shoulder replacement, year of spinal Steroid injections, multiple prostate bladder surgeries. Dr Loch listened, he was very professional, kind, caring. My very extensive medical issues required his expertise, and medical training. THANK YOU DR LOCH ! Best, Tom Fischer
No reviews mention that treatment yet.
Questions we get asked
My headaches were diagnosed as migraine but nothing helps. Could it be my neck?
My accident was two years ago. Is it too late?
Is radiofrequency ablation in the neck safe?
Eliminate pain and reclaim your life.
Request an appointment with Dr. Loch, or call the office at (904) 750-3787. Most patients are seen within a week.