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Diagnostic Medial Branch Block

Learn how a diagnostic medial branch block may help determine whether selected facet-joint nerves are contributing to neck or back pain.

Testing a Possible Source of Facet-Related Pain

Medial branch nerves carry sensation from the facet joints of the spine. A diagnostic medial branch block uses a small amount of local anesthetic near selected nerves to assess whether they may be contributing to pain.

The procedure is designed to answer a clinical question. The timing and degree of temporary change in symptoms can help the physician decide whether another evaluation or treatment should be discussed.

Patients receive instructions for tracking activity and symptoms so the follow-up discussion is based on useful, specific information.

Diagnostic medial branch block procedure illustration

A Diagnostic Step, Not a Standalone Answer

Results are interpreted together with the examination, imaging, usual activity pattern, and the patient’s report during the expected anesthetic window.

Why It May Be Considered

Pain suspected to arise from one or more facet joints

Symptoms that change with extension, rotation, or activity

Clinical findings that support testing selected medial branches

A need to clarify whether radiofrequency treatment should be considered

What to Discuss With Your Specialist

The exact activities that normally reproduce pain

How and when to record symptoms after the block

Medication and preparation instructions

How the result may influence the next step

Conditions We Treat

Pain can have many different causes. Our specialists take time to evaluate each patient, identify the possible source of pain, and recommend care based on their individual needs.

Take the First Step Toward Better Pain Management

Our specialists are here to understand your pain, identify its possible source, and develop a personalized treatment plan focused on improving your function and quality of life.