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Pain Management

Medial Branch Blocks

Medial Branch Blocks (MBB) are a precise, minimally invasive procedure used to diagnose and relieve chronic neck or back pain. By injecting a small amount of anesthetic near the medial branch nerves—those that carry pain signals from the spine—we can identify the source of pain and provide effective relief. This quick, image-guided treatment is often the first step toward long-term solutions like radiofrequency ablation.

Overview of the Treatment

Understanding the purpose, benefits, and suitable candidates for this procedure.

Conditions It Treats

  • Chronic neck or low back pain linked to facet joint dysfunction

  • Headaches originating from cervical (neck) facet joints

Benefits of the Treatment

  • Pinpoints the exact source of spinal pain; provides rapid, targeted pain relief

  • Minimally invasive with no downtime

  • Enhances mobility and daily function

Candidates for the Treatment

  • Patients with suspected facet joint-related spinal pain

  • Individuals who have not found relief with conservative management

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Treatment Process and Preparation

A diagnostic and therapeutic injection that targets the small medial branch nerves responsible for transmitting pain signals from the spinal facet joints, performed under image guidance for precise targeting and enhanced safety.

How to Prepare

  • Discuss all current medications with your provider. Some, such as blood thinners, may need to be temporarily paused to ensure a safe procedure.

  • If sedation is part of your treatment plan, arrange for a responsible adult to accompany you and provide transportation home, as you may not be able to drive afterward. 
What to Expect During the Treatment

  • A local anesthetic is injected around the medial branch nerves to block pain signals.

  • The procedure is performed under ultrasound guidance for precise targeting.

  • Patients are briefly monitored afterward to assess immediate pain relief.

Recovery Time

  • Most patients experience minimal downtime and can return to their regular activities within 24 hours.

  • The pain relief typically lasts anywhere from a few hours to several days, determining whether you're a suitable candidate for more lasting treatments.

Insurance Coverage

 We work with most insurance providers. Send us your insurance details - we’ll verify your benefits and let you know what services may be covered by your plan.
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