Chronic neck pain with radiation to the shoulders, arms and head may originate from cervical facet joints. Whiplash type trauma, strain and degenerative changes are responsible for cervical facet joint pain. Chronic pain is the main symptom and it may be of unilateral or bilateral. Restricted and painful movements and paravertebral tenderness are considered as sign of joint pain. High precision local anesthetic block is the only test to diagnose the pain. X ray is unable to investigate these joint pains since the damaged joints don’t have any symptoms. Complete history and physical examination should be taken care to evaluate the degree of pain. Specific spinal pathology, radicular pain and nonspecific neck or low-back pain are three classification system for neck and low-back pain. Standard analgesics are used as first line treatment for neck pain and further clinical examination are carried out in needed cases. Medial branch block is the only recommended treatment. Dizziness, recur of pain, and sensory loss in the skin from the neck are symptoms found after the treatment.