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Medial Branch Block

We offer cervical, thoracic, and lumbar medial branch blocks. This is an outpatient procedure for diagnosing and treating headaches, neck, shoulder, upper back, mid back, lower back, buttock, hip, and groin pain.

During a cervical medial branch block a local anesthetic (numbing medicine) is injected near the medial branch nerve. This stops the transmission of pain signals from the facet joint. If your pain is reduced and you are able to move normally, then the doctor will know which facet joints have been causing your pain.

Commonly, the procedure is performed without any sedation. A local anesthetic will be used to numb your skin.

Fluoroscopy, a type of x-ray, is used to ensure the safe and proper position of the needle. Once your physician is sure the needle is correctly placed, the medicine will be injected.

After the injection you will be monitored for up to 30 minutes. You may feel immediate pain relief and numbness for a brief period of time after the injection. This means the medication has reached the right spot. You should be able to return to work the day after the injection, but always check with your doctor.

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