Medial Branch Blocks - ALGOS Multispecialty Pain Clinic

Medial Branch Blocks

What is a Medial Branch Block?

A medial branch block is a diagnostic and therapeutic procedure used to treat facet joint pain. The medial branches are small nerves that carry pain signals from the facet joints to the brain. By blocking these nerves with an anesthetic, pain relief can be achieved, and the source of pain can be confirmed.

Indications for Medial Branch Block

Chronic Back or Neck Pain

Especially when the pain is suspected to originate from the facet joints.

Facet Joint Syndrome

Pain resulting from inflammation or arthritis in the facet joints.

Whiplash Injuries

Neck pain following a sudden, forceful movement of the head.

Spinal Degenerative Changes

Conditions like osteoarthritis affecting the facet joints.

Procedure

Preparation

The patient lies face down on a procedure table. The skin over the targeted area is cleaned and numbed with a local anesthetic.

Imaging Guidance

Using fluoroscopy (a type of X-ray) or ultrasound, the physician accurately guides a needle to the medial branch nerves near the facet joints.

Injection

A small amount of anesthetic is injected to block the medial branch nerves.

Observation

The patient is monitored for a short time after the injection to assess immediate pain relief and any adverse reactions

Benefits

Pain Relief: Provides significant reduction in pain and inflammation.

Diagnostic Tool: Helps confirm whether the facet joints are the source of pain.

Minimally Invasive: Less risk and recovery time compared to surgical options.

Improved Functionality: Enhances mobility and overall function by alleviating pain.

Possibility of Further Treatment: Successful pain relief may lead to more long-term solutions like radiofrequency ablation.

Risks and Considerations

Infection: Slight risk of infection at the injection site.

Bleeding: Rare cases of bleeding, especially in patients with bleeding disorders or on blood-thinning medications.

Allergic Reaction: Possible reaction to the medications used.

Temporary Increase in Pain: Some patients may experience a temporary increase in pain post-injection.

Limited Duration of Relief: Pain relief may be temporary, requiring repeat injections or additional treatments.

Post-Procedure Care

Rest

It is recommended to rest for the first 24 hours post-injection.

Activity Modification

Gradually return to normal activities, avoiding strenuous activities for a few days.

Pain Monitoring

Keep track of pain levels and any changes in symptoms.

Follow-Up

Schedule a follow-up appointment to discuss the effectiveness of the injection and any further treatment options.

Who Can Benefit?

Patients who have not responded to conservative treatments like physical therapy, oral medications, or lifestyle changes may benefit from medial branch blocks. It is particularly useful for those with chronic back or neck pain localized to the facet joints.

Conclusion

Medial branch blocks offer a targeted and effective approach to managing facet joint pain. By blocking pain signals at their source, this procedure can significantly improve quality of life and functionality. For personalized care and to determine if a medial branch block is right for you, consult the specialists at ALGOS.

Located centrally on Cunningham Road in Bengaluru, our clinic is easily accessible from all parts of the city, ensuring high-quality pain management services are available to everyone.

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