We are Back, Muscle and Joint Specialists. We accept all patients, self paying and insured.

Medial Branch Block Diagnostic Injections

These injections can be given to various areas of the spine for pain arising from the small joints in the spine known as facet joints. You can have lumbar (low back) or cervical (neck) medial branch block injections. The doctor injects a small amount of local anaesthetic around a tiny nerve which supplies the pain sensation to the facet joint. This helps to diagnose where your pain is coming from and aids in diagnosis.

These injections can be given to various areas of the spine for pain arising from the small joints in the spine known as facet joints. You can have lumbar (low back) or cervical (neck) medial branch block injections. The doctor injects a small amount of local anaesthetic around a tiny nerve which supplies the pain sensation to the facet joint. This helps to diagnose where your pain is coming from and aids in diagnosis.

Conditions treated with Medial Branch Block Diagnostic Injections

Once the anaesthetic has been injected you will be asked to monitor your pain levels on a graph over the next few hours. This gives the doctor the information he needs to make an accurate diagnosis.

On your next visit the doctor will discuss the graph and your pain levels after the block. Once it is clear that the painful joint has been accurately located, the doctor may suggest a steroid injection around that joint to decrease inflammation and pain. Radiofrequency denervation is also an option. Prolotherapy (using hypertonic dextrose sugar injections) is another option depending on the outcome of the block. These procedures are described elsewhere in this website.

Discogenic Low Back Pain

Discogenic back pain is caused by one or more of the intervertebral discs. It accounts for 39% of chronic low back pain. The intervertebral discs have...

Degenerative Disc Disease

Disc degeneration is one of the most common cause of back pain. Disc degeneration involves a structural, functional, mechanical, nutritional and chemi...

Whiplash

The term “whiplash” was first used in the early twentieth century to describe the particular mechanism of injury to the head and neck during a sudden ...

Thoracic Back Pain

The thoracic spine connects with the cervical spine above and the lumbar spine at the base of the spine and is attached to the rib cage. Thoracic back...

Slipped Disc

This is also called a prolapsed disc, herniated disc or disc protrusion. A disc is made up of a softer centre, and a tough fibrous external ring. In s...

Sacroiliac Joint Pain / SI Joint Pain

The sacroiliac joints connect the sacrum (the wedge-shaped bone at the bottom of the spine) to the iliac bones (the two bones that make up the pelvis)...

Osteoarthritis

Osteoarthritis is the most common form of arthritis. It occurs due to the breakdown of joint cartilage and the underlying bone. Osteoarthritis commonl...

Neck Pain

Neck pain is very common. Most people will suffer from one or more episodes of neck pain during their lives. It often starts suddenly and gets better....

Low Back Pain

The lower back is a complex structure of bones, ligaments, muscles and tendons which all work together to provide the low back with support, strength ...

Arthritis

There are many different types of arthritis, with the  the two most common types being osteoarthritis (wear and tear) and rheumatoid arthritis. Osteoa...
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Treatment for acute and chronic sports injuries, arthritis, soft tissue injuries and exercise medicine consultations

Our Medial Branch Block Diagnostic Injections Clinicians

Pain Medicine Consultant
Musculoskeletal and Pain Medicine Consultant
Musculoskeletal and Pain Medicine Consultant
Musculoskeletal, Sport & Exercise Medicine Specialist
Musculoskeletal and Sports Medicine Doctor
Consultant in Sport, Exercise & Musculoskeletal Medicine
Pain Medicine Consultant
Consultant in Sport, Exercise & Musculoskeletal Medicine
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Frequently asked questions about Medial Branch Block Diagnostic Injections

You will have a thorough assessment to see if this treatment is appropriate and the treatment will be explained to you.  You may be taken to our fluoroscopy theatre so the doctor can use the x ray or ultrasound equipment for guidance in placing the needle. The doctor will explain what is happening throughout the procedure and you will be closely monitored.  You will have to lie down for a short while after the procedure and you should not drive for the rest of the day.

Local anaesthetic is used so it is not an excessively painful procedure.  The doctor can administer extra pain relief if you do feel pain and will ask you throughout the procedure if you are ok and coping with the treatment.

Once it is clear that the painful joint has been accurately located by the diagnostic medial branch block injection you need to come back to see the doctor to discuss the best form of treatment. There are lots of treatment options such as physio, osteopathy and chiropractic but if you have tried these and are no better the doctor may suggest a steroid injection into the facet joint, radiofrequency denervation or prolotherapy injections.

The doctor may suggest you try physio, osteopathy or chiropractic if you have not tried these.  There are other forms of pain relief such as TENS machines and acupuncture. You could have a steroid injection if appropriate and for severe pain the doctor may suggest radio frequency denervation or prolotherapy.

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