What is a Medial Branch Block?

A Medial Branch Block is a minimally invasive diagnostic procedure used to identify the source of chronic neck, middle back, or lower back pain. This procedure involves injecting anesthetic medication near the medial branch nerves, which transmit pain signals from the facet joints to the brain.

Conditions Treated

  • Facet joint arthritis
  • Chronic neck pain
  • Chronic back pain
  • Spinal arthritis
  • Spondylosis

How Does the Procedure Work?

Using fluoroscopic (X-ray) guidance, the physician inserts a thin needle near the medial branch nerves that supply the painful facet joints. Once proper needle placement is confirmed with contrast dye, an anesthetic medication is injected to temporarily block pain signals.

What to Expect

  1. Pre-Procedure Preparation: Patients may need to stop certain medications and avoid eating or drinking for a few hours before the procedure.
  2. Procedure: The patient lies on their stomach, and the targeted area is cleaned and numbed. The physician uses imaging guidance to accurately place the needle and administer the injection.
  3. Post-Procedure Care: Patients may experience immediate pain relief, helping the physician confirm whether the facet joints are the source of pain.

Benefits

  • Minimally invasive
  • Diagnostic and therapeutic benefits
  • Provides temporary pain relief
  • Quick recovery time
  • Helps determine the next step in treatment

Risks and Side Effects

Though rare, potential risks include:

  • Temporary soreness at the injection site
  • Infection
  • Bleeding
  • Nerve damage (very rare)
  • Allergic reaction to medication

Is a Medial Branch Block Right for You?

If you’re experiencing persistent back or neck pain that hasn’t responded to other treatments, a medial branch block may help determine the source of your pain. Our pain management specialists will evaluate your condition and recommend the most appropriate treatment plan.

Schedule a Consultation

Contact Lone Star – Interventional Pain Management today to schedule your consultation and learn more about how a medial branch block can help diagnose and relieve your pain.