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Doctor insights on: Bilateral Lumbar Medial Branch Block

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I am having headaches after my bilateral l4/5, l5/s1 lumbar facet medial branch block. Is this normal.

I am having headaches after my bilateral l4/5, l5/s1 lumbar facet medial branch block. Is this normal.

Wait and watch: Typically no reason to have headaches after mediial branch block. Potentially may happen IF the needle accidentally went too deep and caused spinal fluid leak but still the headache in that case would be constant with some change with position (lying down versus sitting up). Alternatively could be from steroids if used for block. Best to ask the office that did the block. ...Read more

Dr. Ana Adelstein
1 Doctor shared a insight

Lumbar (Definition)

Refers to something related to the area about the lower part of the ...Read more


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Why would lumbar facet steroid injections work but when I did the medial branch block to see if a rhizotomy would help, it did nothing?

Why would lumbar facet steroid injections work but when I did the medial branch block to see if a rhizotomy would help, it did nothing?

Muscle pain: Often the lumbar paraspinal musculature can also be the issue. Because the facet joint helped it suggests that the steroid actually improved pain where as the anesthetic only mbb didn't. The other question is that are their other structures that could cause pain like disc, annular tears, muscles, etc. ...Read more

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Is cervical medial branch block a type of epidural block? Or just giving medicines around the medial branch nerve?

Two kinds: Cervical medial branch block can be done with just pain numbing drugs or by radiofrequency ablation which lasts months. These procedures block the medical branch of the pain fibers without invading the spinal canal. This is also done in the lumbar area. ...Read more

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What if a medial branch block does not work?

What if a medial branch block does not work?

Facet Injections!: The good news is that if medial branch blocks are not successful, another option is to ask your doctor about injecting into the facet joint directly with local anesthetic and steroid. ...Read more

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I was consented for Si joint and medial branch block. On discharge note it says that I've had si joint and sacral ala injections, is this branch block?

I was consented for Si joint and medial branch block. On discharge note it says that I've had si joint and sacral ala injections, is this branch block?

NO!: A sacral block is a block of the sacral nerve roots. A medial branch block is a block of the nerves that serve the facet joints, Two very different procedures and two very different anatomic locations. Perhaps the doctor/operator changed his mind when seeing what was present on your imaging. ...Read more

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I have a parasitic infection (unspecified at the moment). Is it safe to have a medial branch block?

I have a parasitic infection (unspecified at the moment). Is it safe to have a medial branch block?

Probably safe!: Facet Joint injections are useful for controlling referred pain from your spine.
Most parasitic infections do not affect your spine!
Trichinella affects your muscle
Neurocysticercosis the brain!
Toxolasmosis can affect muscle and brain!

Depends on the parasite and its body location!
Most parasites are in the GI tract! ...Read more

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Can you tell me about being diagnosed with facet joint pain and had a medial branch block?

Can you tell me about being diagnosed with facet joint pain and had a medial branch block?

Facet Joint Pain: Radiofrequency procedures work well if a previous facet injection or medial branch block was performed with greater than 75-80% relief that was obtained. This is used to determine pain from facet joints. As with anything there are failures, but quite low if the block worked well. Risks are the same as with any spine procedure, no different. Rare that you would be worse off afterwards. ...Read more

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Cervical medial branch block with DEXA lidocaine gave me 1 day of neck pain relief. After 1day neck pain again. Ok to Proceed to radiofreq ablation?

Cervical medial branch block with DEXA lidocaine gave me 1 day of neck pain relief. After 1day neck pain again. Ok to Proceed to radiofreq ablation?

No way!: Be patient. Some times it takes a few weeks for DEXA to get effect. Ablation is a serious procedure with some side effects and no warranties. Rec. See your pain management specialist for medication adjustment (e.g. tramadol, relafen, (nabumetone) Lidocaine 20% patch, etc.)
Also cognitive behavior therapy. East-West integration medicine.
Take care. ...Read more

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Who does lumbar sympathetic block?

Who does lumbar sympathetic block?

See below: Lumbar sympathetic blocks are usually performed by a pain medicine physician trained in interventional procedures. ...Read more

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Any side effects to lower lumbar nerve blocks?

Any side effects to lower lumbar nerve blocks?

Yes: Quite uncommon like infection, nerve damage, spinal headaches and failure to achieve goals. ...Read more

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What is a bilateral lumbar mbb L4 and L5 procedure?

Medial branch block: Mbb stands for medial branch block. The medial branch is a small branch of the spinal nerves that supplies sensation to the facet joints, which are the joints in the back of the spine. L4 and L5 refer to the specific spinal nerves in the lower back (lumbar spine). Likely this procedure would be performed for somebody with pain due to facet joint arthritis at l5-s1 on both sides (bilateral). ...Read more

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How common is it for someone to need a lumbar sympathetic block?

Not very, may need..: The sympathetic nerves coming out of the lower spine, lumbar, send pain impulses down the legs when overstimulated in problems like herniated lumbar discs, severe degenerative arthritis, tumors pressing on lower spinal cord... If pain or arthritic meds, electrical stimulation devices (implantable), epidural injections, morphine pumps all don't control pain, may need to destroy pain nerves to legs. ...Read more

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Is an IV necessary for safety during a lumbar sympathetic block?

Is an IV necessary for safety during a lumbar sympathetic block?

Yes: IV during invasive procedures is necessary for administration of sedation if needed, or in case of blood pressure changes, administration of fluids or medications. Thanks for trusting HealthTap! ...Read more

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What is the definition or description of: lumbar sympathetic block?

What is the definition or description of: lumbar sympathetic block?

Sympathetic block: A lumbar sympathetic block is an injection of local anesthetic around the sympathetic nerves. These sympathetic nerves are a part of the sympathetic nervous system. The nerves are located on the either side of spine, in the lower back. ...Read more

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Three sets of lumbar sympathetic blocks? How much time in between for all three? Weeks or months?

2-4 weeks: Most physicians wait about 2-4 weeks between blocks and limit it to 3 in a 6 month period ...Read more

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How successful is nerve blocks in the lower lumbar for pain and numbness in the legs?

How successful is nerve blocks in the lower lumbar for pain and numbness in the legs?

Highly Variable: My experience in my patients is that for the most part nerve blocks (whether in the lumbar or cervical spines) are not overly successful in terms of duration or amount of relief. The reason is simple. That type of pain management is purely symptomatic & never treats the cause. Pain blocks will NEVER help numbness since that is the result of the neuropathy which is what has to be fixed. ...Read more

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Lumbar media branch vs facet joint?

Lumbar media branch vs facet joint?

Depends: Where they inject and how much relief you get depends on what is causing the pain. Discuss this with your pain mgmt doctor. ...Read more

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Why would a doctor consider doing a lumbar sympathetic block on a patient?

Variety of reasons: A lumbar sympathetic block is performed to block the sympathetic nerves that go to the leg on the same side as the injection. This may in turn reduce pain, swelling, color, sweating and other unusual changes in the lower extremity and may improve mobility. It is done as a part of the treatment of Reflex Sympathetic Dystrophy (RSD), Sympathetic Maintained Pain, Complex Regional Pain Syndrome and Herpes Zoster (shingles) involving the legs. Certain patients with neuropathy or peripheral vascular disease may also benefit from lumbar sympathetic blocks. ...Read more