Appointments: (Mon – Fri)

Office: 8 AM – 5 PM Clinics: 7 AM – 4 PM

Office: 8 AM – 5 PM Clinics: 7 AM – 4 PM

Lumbar Medial Branch
Block

For localized low-back pain that worsens with extension or rotation, we confirm the facet joint as the source using diagnostic medial branch blocks. A strong response supports radiofrequency ablation for longer relief.

What is a Medial Branch block?

This is an injection of numbing medicine. It bathes the medial branch nerves, which attach to the facet joints of your spine. These nerves hurt when facet joints are injured or diseased. The injection helps find the source of your pain. And it may relieve your pain for a brief time. The facet joints are the joints in your spine that allow mobility such as bending & twisting. These joints may be the source of pain due to trauma, inflammation, degeneration, as well as other causes.

How It Works

Identify Nerves

We carefully locate the lumbar medial branches next to the affected spinal levels.

Confirm Targeting

Sensory and motor tests ensure precise targeting of the pain source.

Apply Treatment

Fluoroscopy guides accurate lesions to calm the pain nerves.

What to Expect at Your Visit

Temporary Relief from Blocks

Diagnostic blocks usually provide short-term pain relief.

Longer Relief with RFA

Radiofrequency ablation (RFA) often eases pain for 6–18 months.

Strengthening Through Rehab

Physical Therapy & Rehab—focusing on hinge mechanics, core endurance, and gait training—helps make the relief last.

Request Your Same-Day Lumbar Medial Branch Block Evaluation

Don’t wait in pain — our expert spine specialists are available for same-day evaluations.

Request Your Same-Day Lumbar Medial Branch Block Evaluation


Or call 214-441-7962

Frequently asked questions

What is a facet injection?

A facet injection is a procedure that delivers medication directly into the facet joints of the spine. These joints, located where vertebrae meet, can become irritated or inflamed, causing pain and stiffness. The injection helps reduce inflammation and provides relief, making movement easier and supporting other treatments as part of a comprehensive care plan. See related care in Cervical Joint Injection.

Why would I need a facet injection?

You may need a facet injection if degeneration or injury in your facet joints is causing chronic back or neck pain. These joints can send strong pain signals when inflamed. By calming irritation with medication, the injection provides targeted relief and helps you tolerate therapies that support long-term improvement. Explore nonsurgical spine options in Orthopedics.

How is the facet injection procedure performed?

During the procedure, our team uses imaging guidance to place a needle precisely into the affected facet joint. Steroid medication is then injected to reduce swelling and irritation. The process is minimally invasive, safe, and designed to directly target the source of joint pain without affecting surrounding tissues. Learn about related options like Cervical Epidural Injection.

What types of pain can facet injections relieve?

Facet injections are used to treat pain caused by irritated spinal joints. This discomfort may be localized near the back or neck, or radiate into nearby regions. By reducing inflammation, the injections help decrease stiffness, ease daily activities, and make it easier to move without constant pain. See other options for pain relief in Pain Management.

How long does pain relief from a facet injection last?

Relief varies depending on the individual and the severity of joint issues. Some patients notice improvement shortly after the injection, while others take more time. The benefits may last for weeks or months, offering short-term comfort while you continue with therapy or exercise to build long-term results. Physical Therapy have huge impact in recovery.

Is a facet injection safe?

Yes. Facet injections are considered safe when performed by experienced doctors using imaging guidance. Because the treatment is localized and minimally invasive, risks are low. Most patients tolerate the procedure well, with only mild or temporary soreness at the injection site. Serious side effects are rare.

Ready to start recovery?

Contact us and set up your doctor visit today to start your journey to pain-free living