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Facet Injection/Medial Branch Block

What is a Facet Injection/Medial Branch block?

  1. 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.
    1. The cervical facet joints may be the source of pain in the neck, head, shoulders, and shoulder blades.
    2. The lumbar facet joints may be the source of pain in the lower back, buttock, hip or groin.
  2. A medial branch block is a diagnostic injection to verify the facet joints as the source of pain. A needle is inserted through the skin toward the joint capsule via a ‘live’ X-ray machine called a fluoroscopy.  The medial branch is the nerve to the facet joint.  Medication is injected to ‘anesthetize’ the medial branch.  A successful block with good pain relief is usually followed by a Rhizotomy or Radifrquency Ablation.
  3. A Rhizotomy or Radifrquency Ablation is done in the same manner as a medial branch block. Instead of just anesthetizing the nerve, a probe with heat up will stop the medial branch from sending pain.  The procedure is designed to last longer than the medial branch block.

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Mesquite Office

18601 LBJ Freeway, Ste. 618
Mesquite, Texas 75150

North Dallas Office

10 Medical Plaza Parkway Plaza III Ste 206
Dallas, Texas 75234

Fort Worth Office

1000 9th Avenue, Suite A
Fort Worth, Texas 76104

Arlington Office

1000 North Davis Street Ste. G
Arlington, Texas 76012

Lancaster Office

2700 W Pleasant Run Rd. Ste 210
West Enterance
Lancaster, Texas 75146

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