Medial branch blocks are used specifically in the treatment and diagnosis of facet mediated pain in the cervical, thoracic, or lumbar region of the spine. Facet mediated pain is typically localized pain of specific region of your spine that can be caused by arthritis (spondylosis) in the facet joints. The facet joints are the joints that give your spine mobility and flexibility. Sometimes when there is inflammation in these joints it will cause pain in your neck or lower back.
A medial branch nerve block is a procedure in which an anesthetic is injected near small medial branch nerves connected to a specific facet joint. Sedation or a pre-medication is offered for patient comfort and safety during the procedure, as well as an x-ray technique known as fluoroscopy is used to position the needles accurately.
When the medial nerves are blocked with an anesthetic the patient should experience pain relief or numbness to the injected area. Typically several levels of the spine are injected in one procedure. This relief is only intended to last up anywhere from 8-24 hours. This pain relief tells your provider that your facets are the source of your neck, or back pain.
Relief is considered a positive response to the injection and because of this positive response the next step is a radiofreqency ablation of the nerve which is designed to provide more long term relief.
“The office people are great and my current provider is an excellent healthcare giver. It only took 45 mins from walking in the door and checking out at the end of the appointment. I recommend this healthcare facility.”
“Compassionate and understanding medical dr that understands my pain. Front desk and staff are very nice. The radio frequency ablation on my neck and back have improved my pain and range of motion.”
“I have al ot of problems. I have had neck fusion and SI joint fusion and now have a disc put in lower back. Now planter fastic in foot and nuro told me couple of weeks ago I have fibromyalgia and said they know that I’m in alot of pain and to go to pain management i
I found APS and f I didn’t have this kind of place I don’t know what I would do.
I have been taking pain meds since 2004 but right now it’s at the point I think I have so much pain that the meds only last 2-3 hrs but I love the people the work with you and the treatment I’ve gotten.”
“Great staff Michael Gilmore is good and Jennifer Stacey is an awesome Apn and she is really smart and professional every visit”
“Doctor was really nice and all the people in the office were nice.
“The front staff was terrific, friendly, and very prompt with their check in procedures and my wait time was amazingly short!!! The initial nurse was so efficient & professional as well as very nice. My provider is Samantha who REALLY IMPRESSED me with her knowledge and her thorough coverage and knowledge of my extensive medical records upon seeing me. She (Samantha is quite amazing) and I truly felt she recognized my issues and grasped the severity of my situation and orthopedic mobility issues”
“They are all very efficient and professional at APS. I am looking for relief from my pain but cannot take opioids for my job. I appreciate that they don’t try to push opioids on me.”
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