Needle Tip

Facet Pain Relief With Medial Branch Blocks
A major cause of low back pain in this country is due to facet syndrome, alsoc called facet joint arthritis. Over 80% of Americans will suffer back pain at some point in life, and a significant amount of those are due to facet related pain exacerbations. Interventional Pain Management procedures are a very effective and very common method of pain relief in the treatment of the facet disease.
One of the main procedures performed as a diagnostic procedure to determine if a specific facet joint is the source of a patient’s pain is called a medial branch block. It is an outpatient procedure which in addition to serving as a diagnostic procedure may also be therapeutic, providing either short or longer term relief.
The medial branches are the small nerve endings that give the facet joint sensation. Joints have their own sensory supply producing either normal sensation or pain. For the facet joints, medial branches are those small nerve endings. If these tiny nerve endings can be deadened with pain medication injections, pain relief will ensue.
During the procedure, an injection is used to block the nerves serving the painful facet joint. Individuals lie prone on a pain table which has a flouroscope for needle guidance. A numbing medicine like Lidocaine or Marcaine is used to anesthetize the skin and all tissue down the medial branch. An Arizona pain management physician slides a needle through the anesthetized track. Dye liquid is placed so the Phoenix pain doctor can utilize fluoroscopy to check the painful areas and make sure correct location of the needle has been achieved.
Next anesthetic medication is injected around the nerves to prevent pain signals from reaching the brain If the patient feels no significant relief after the procedure, another level may be treated to see if that is the source of the pain. If the pain improves soon after the procedure, an injection providing longer term relief may then be performed or a radiofrequency ablation is indicated.
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