Medial branch block

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About Medial branch block

Facet joints in the spine appear between and behind the vertebrae, and they help to provide flexibility and movement. However, when these joints become damaged or inflamed, they cause severe back pain that occurs when an individual bends or rotates their spine. There are several conditions that can create pain in the facet joints, which is why Dr. Jerry Lewis of Lewis Pain Management performs medial branch blocks to diagnose if the facet joint is the source of back pain. A medial branch block is typically a diagnostic procedure that works by injecting a numbing medicine into the medial nerves that are connected to the facet joints. If there is significant pain relief after the injection, then the facet joint can be diagnosed as the source of the previous back pain. Dr. Lewis will perform a medial branch block if the patient has already received a facet joint injection to see if a facet rhizotomy is needed. To learn more, contact our Frisco, TX office today to schedule a consultation.


An ideal candidate for a medial branch block is an individual who is experiencing chronic back or neck pain that occurs most often during movements such as bending forward or twisting the spine. Dr. Lewis may suggest a medial branch block as a diagnostic test and if it is successful, other treatments may be recommended. A medial branch block can help to determine if a facet rhizotomy may be a successful next step in the treatment of back pain. Dr. Lewis can consult with you to help you decide if a medial branch block is the best form of treatment for you.


A medial branch block is performed as an outpatient procedure with the patient under a a local anesthetic. Dr. Lewis will guide a small needle into the correct position using a fluoroscopy x-ray. Once the needle is placed over the medial branch nerve, Dr. Lewis will inject the numbing anesthetic into the nerve. Several nerves can be treated with one treatment..


Following the procedure, patients may need to be monitored before they are allowed to leave the outpatient center. Patients may also need to perform certain movements and record their pain levels to ensure the success of the procedure. Typically, pain relief can be felt within hours following the procedure, but results may vary from patient to patient. A follow-up appointment with Dr. Lewis will be held so that he can recommend further treatment option


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Neck and back pain can originate from several different conditions and locations in the spine. Dr. Jerry Lewis of Lewis Pain Management can help diagnose and treat your chronic pain using a medial branch block procedure, which works by finding the exact source of your pain. Schedule a consultation with Dr. Lewis at our Frisco, TX office to learn more about managing your pain.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.

COVID-19 Notice
In accordance with Texas Medical Board guidelines as of May 1, 2020 the following must be met: (I) A mask must be worn by both the patient and physician or Physician's delegate when in proximity of a patient (meaning less than a 6-foot distance between the patient and Physician or the physician's delegate); (II) All patients must follow the COVID-19 screening policy in place; (III) Before any encounter, patients must be screened for potential symptoms of COVID-19 or verified previously screened within last 20 days; and (IV) prior to care involving a medical procedure or surgery on the mucous membranes, including the respiratory tract, with a high risk of aerosol transmission, the minimum safety equipment used by a physician or physician's delegate should include N95 masks, or an equivalent protection from aerosolized particles, and face shields