Medial Branch Block
Medial branch blocks are injections of a local anesthetic, sometimes combined with an anti-inflammatory medication, delivered near the medial branch nerves. These small nerves carry pain signals from the facet joints in the neck, mid-back, or lower back. By temporarily numbing these nerves, a medial branch block can quickly reveal whether the facet joints are the true source of pain and provide significant short-term relief.
During the procedure, our physicians use advanced fluoroscopic (X-ray) guidance to ensure precise needle placement. The medication is injected directly around the medial branch nerves that supply the affected facet joints. Relief may be immediate, confirming the role of these joints in a patient’s pain. This information also helps determine whether a longer-term treatment, such as radiofrequency ablation (RFA), would be effective.
- Diagnostic Clarity – Confirms whether facet joints are the source of pain.
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Immediate Relief – Provides short-term pain reduction and improved mobility.
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Minimally Invasive – Outpatient procedure with little downtime.
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Step Toward Long-Term Relief – Guides the decision for further treatments like RFA.
Inflammation in the facet joints causes localized back or neck pain. A medial branch block interrupts the pain signals from the irritated nerves, providing immediate relief.
Degeneration of the spinal joints can create chronic stiffness and discomfort. By numbing the medial branch nerves that transmit this pain, the block can restore mobility and reduce inflammation.
Persistent spinal pain that hasn’t responded to physical therapy, medication, or other conservative care may be tied to the facet joints. A medial branch block helps confirm this connection while offering short-term relief.