Medial Branch Block (Cervical)

Medial Branch Block (Cervical) 2018-01-11T23:11:32+00:00

Overview

This diagnostic procedure is performed to identify a painful facet joint. The facet joints are the joints between the vertebrae in the spine. They allow the spine to bend, flex and twist.

Preparation

In preparation for the procedure, the patient is positioned on his stomach. The physician injects a local anesthetic. This numbs the skin and tissue around the facet joint that is suspected of causing the patient’s pain

Contrast Dye Injected

Once this tissue is numb, the physician inserts a needle into the skin. The needle is carefully guided down to the facet joint. The physician injects a contrast solution through this needle. The contrast solution helps the physician see the area on a camera called a fluoroscope. The fluoroscope provides live x-ray images. The physician uses the fluoroscope to confirm the location of the needle’s tip.

Anesthetic Injected

Once the physician has confirmed that the needle is positioned correctly, the physician attaches a syringe containing an anesthetic medication. This medication is injected around small nerves called the medial branch nerves. These carry signals to and from the facet joints. The anesthetic will temporarily block sensation in these nerves.

End of Procedure

If the temporary injection relieves the patient’s pain, the physician may inject a more long-lasting anesthetic. If the temporary injection does not relieve the pain, the physician may test nearby facet joints to identify the correct one.

TYPES OF PAIN WE TREAT

GASTROINTESTINAL

Hiatial Hernia
Peptic Ulcer

EAR, NOSE AND THROAT

Trigeminal Neuralgia

GENERAL HEALTH

Herniated Disk
Lumbar Radiculopathy (Sciatica)
Osteoarthritus of the Knee
Osteoporosis
Trigger Point Injections
Where Lower Back Pain Begins
Where Neck Pain Begins
Whiplash

Brain and Mental Health

Depression
Generalized Anxiety Disorder
Post-Whiplash Headache
Stroke
Substance Abuse
Traumatic Brain Injury
Occipital Neuralgia (Arnolds Neuralgia)
Post Traumatic Stress Disorder
Substance Dependence
Tension Headache
Trigeminal Neuralgia

Diabetes Conditions

Diabetic Foot
Hyperglycemia (High Blood Glucose) and Diabetes
Hyperglycemia (Low Blood Glucose) and Diabetes
Prediabetes
Diabetes (Type 2)

Diabetes Treatments

Diabetes and Foot Care
Diabetes and Exercise
Diabetes and Healthy Eating
Managing Type 2 Diabetes

Digestive and Urinary Systems Conditions

Constipation (Adults)

Heart, Blood and Blood Vessel Conditions

High Blood Pressure (Hypertension)

Infectious Diseases

Shingles (Herpes Zoster)

Lung Conditions

Asthma
Bronchitis
COPD
Emphysema

Medications

Opioids Medications
Opioids (Common Side Effects)
Opioids (Dependence and Addiction)
Opioids and Chronic Pain Management
Using Opioids Safely

Sleep Disorders

Insomnia
Restless Leg Syndrome
Sleep Apnea

Systemic and Genetic Disorders and Conditions

Anemia
Chronic Fatigue Syndrome
Complex Regional Pain Syndrome
Fibromyalgia
Overweight and Obesity

Head Non-Surgical Procedures

Botox Injections for Chronic Migraine

Peripheral Non-Surgical Procedures

Fascia Illiaca Block
Brachial Pleaxus Block
Femoral Nerve Block
Poplitea Fossa Block

Spine Conditions

Cervical Radiculopathy
Compression Fractures of the Spine
Facet Joint Syndrome
Herniated Discs
Lumbar Radiculopathy (Sciatica)
Myelopathy
Spinal Stenosis
Spondylolisthesis
Spondylosis
Where Lower Back Pain Begins

Spine Non-Surgical Procedures

Caudal Epidural Steroid Injection
Cervical Epidural Steroid Injection
Discography
Facet Joint Injections
Flouroscopic Guided Piriformis Injection
Lumbar Epidural Steroid Injection
Lumbar Epidural Steroid Injection (without contrast)
Lumbar Transforaminal Epidural Steroid Injection
Medial Branch Block (Cervical)
Radiofrequency Neurotomy of the Lumbar Facets
Sacrolliac Joint Steroid Injection
Stellate Ganglion Block

Spine Surgical Procedures

Anterior Cervical Discectomy and Fusion
Cervical Posterior Foraminotomy
Laminectomy
Laminectomy (cervical) with Fusion
Lumbar Disc Microsurgery
Lumbar Discoscopic Discectomy
Micro Endoscopic Discectomy
Minimally Invasive Lumbar Microdecompression
Posterior Lumbar Interbody Fusion
Spinal Fusion (Lumbar)
Selective Endoscopic Disectomy

Foot and Ankle Procedures

PRP Therapy
PRP Therapy for Achilles Tendon Pain
PRP Therapy for Peroneal Tendonitis
PRP Therapy for Plantar Fasciitis

Hip and Thigh Conditions

Sacroiliac Joint Pain
Hip Joint Injection
PRP Therapy
Ultrasound-Guided Illoinguinal Nerve Block

Knee Procedures

PRP Therapy
Flouroscopic Guided Steroid Injection for Knee Pain
Genicular Nerve Block
HYALGAN Injection for Knee Pain (Flourscopic Guided)
Visco-supplementation for Arthritis of the Knee

Shoulder Procedures

Suprascapular Nerve Block (Flouroscopically Guided)