The lumbar region of the spine harbors intricate facet joints, vital for stability and movement. Within these joints lie the medial nerves, responsible for transmitting pain signals to the brain when inflammation ensues. Addressing this inflammation, a lumbar medial branch block involves administering a numbing injection to the inflamed facet joint nerves in the lower back. By 'blocking' these pain signals, the procedure aims to alleviate lower back pain and associated sciatica. This intervention serves not only as a pain relief measure but also as a diagnostic tool, pinpointing the precise source of discomfort and guiding subsequent treatment plans. Although the relief provided by the block injection is transient, typically lasting only hours, its significance lies in its role as a trial procedure. It serves to assess the potential efficacy of radiofrequency ablation, offering extended pain relief lasting up to six months or more.

Back pain affects a staggering 80 percent of Americans at some stage in their lives. Remarkably, it ranks as the second most common reason for medical consultations and the third leading cause of surgical interventions in the United States. Lumbar medial branch blocks emerge as a valuable diagnostic and therapeutic approach to address chronic lower back pain with precision and minimal invasiveness.

Am I a suitable candidate for a lumbar medial branch block?

Consider a lumbar medial branch block if you endure chronic lower back pain coupled with radiating leg discomfort. This procedure becomes a consideration when other conservative treatments prove ineffective in alleviating your pain.

What should I anticipate during the lumbar medial branch block procedure?

Prepare to lie face down as the injection site on your lower back is meticulously cleansed and numbed. Depending on your preferences and medical requirements, you may opt for light sedation. Guided by X-ray imaging, your physician delicately inserts a fine needle into the facet joint to administer numbing medication to the medial branch nerves, along with a trace of anti-inflammatory medication. Immediate pain relief post-injection may signify the identification of the pain source.

What outcomes can I anticipate from the block injection?

The numbing effect from the injection typically lasts for a few hours. During this period, you'll be encouraged to engage in activities to gauge pain levels. A notable reduction, typically exceeding 50 percent, may prompt your physician to recommend radiofrequency ablation. While the numbing sensation dissipates shortly, the anti-inflammatory medication may offer prolonged relief for weeks post-procedure. Leveraging this window of relief, your physician may advocate for concurrent physical therapy to address the root cause of inflammation while managing pain effectively.

For those seeking advanced diagnosis and treatment, possibly including medial branch blocks, contacting Hands-On Orthopedics & Injury Center or scheduling an appointment online is recommended.

New patients, call us at 727-645-0925 or 813-945-2663

Existing patients can click here to find an appointment time that works for you.