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Doctor insights on: Bilateral Medial Branch Block

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Dr. Satvinder Dhesi
Board Certified, Pain Management
22 years in practice
215K people helped
1

1
What if a medial branch block does not work?

Dr. Satvinder Dhesi
Board Certified, Pain Management
22 years in practice
215K people helped
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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Dr. Jonathan Jassey
Board Certified
12 years in practice
825K people helped
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Dr. Jonathan Jassey
Board Certified
12 years in practice
825K people helped
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Dr. William Lages
Board Certified, Rheumatology
63 years in practice
1M people helped
2

2
Is cervical medial branch block a type of epidural block? Or just giving medicines around the medial branch nerve?

Dr. William Lages
Board Certified, Rheumatology
63 years in practice
1M people helped
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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Dr. Jonathan Jassey
Board Certified
12 years in practice
825K people helped
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Dr. Jonathan Jassey
Board Certified
12 years in practice
825K people helped
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Dr. Qamar Khan
Board Certified, Pain Management
12 years in practice
7M people helped
3

3
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?

Dr. Qamar Khan
Board Certified, Pain Management
12 years in practice
7M people helped
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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Dr. Qamar Khan
Board Certified, Pain Management
12 years in practice
7M people helped
4

4
Can you tell me about being diagnosed with facet joint pain and had a medial branch block?

Dr. Qamar Khan
Board Certified, Pain Management
12 years in practice
7M people helped
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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Dr. Jonathan Jassey
Board Certified
12 years in practice
825K people helped
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Dr. Paul Grin
Board Certified, Pain Management
31 years in practice
23M people helped
5

5
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?

Dr. Paul Grin
Board Certified, Pain Management
31 years in practice
23M people helped

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, Lidocaine 20% patch, etc.) Also cognitive behavior therapy. East-West integration medicine. Take care. ...Read more

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Dr. Foead Geula
Board Certified, Anesthesiology
12 years in practice
358K people helped
6

6
How much do medial branch blocks cost?

Dr. Foead Geula
Board Certified, Anesthesiology
12 years in practice
358K people helped
How much do medial branch blocks cost?

It depends: The exact cost to you will vary based on your insurance and the number of levels blocked. ...Read more

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Dr. Foead Geula
Board Certified, Anesthesiology
12 years in practice
358K people helped
7

7
Meidial branch blocks. What doesthis do exactly?

Dr. Foead Geula
Board Certified, Anesthesiology
12 years in practice
358K people helped
Meidial branch blocks. What doesthis do exactly?

Diagnose back pain: The medial branches are small nerves that sense pain in the facet joints of your spine. If your doctor suspects that problems in your facet joints, such as arthritis, are contributing to your pain, diagnostic medial branch blocks may be performed to confirm the diagnosis. If two successive diagnostic medial branch blocks are considered positive, your pain doctor may recommend rfa. ...Read more

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Dr. Rick Koch
Board Certified, Cardiology
17 years in practice
22M people helped
8

8
What is the significance of an incomplete bundal branch block ?

Dr. Rick Koch
Board Certified, Cardiology
17 years in practice
22M people helped
What is the significance of an incomplete bundal branch block ?

Right or left BBB?: Incomplete rbbb is a benign variant & very common. Incomplete lbbb is much less common and represent structural heart disease which could be evaluated by an echocardiogram. ...Read more

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Dr. Robert Isaacs
Board Certified, Family Medicine
34 years in practice
912K people helped
9

9
What is the causes of the incomplete right branch bundle block?

Dr. Robert Isaacs
Board Certified, Family Medicine
34 years in practice
912K people helped
What is the causes of the incomplete right branch bundle block?

Incomplete RBBB: This is a relatively innocuous condition where the electrical conduction in the right ventricle is not completely normal. It is believed to be due to an abnormality in the electrical conduction fibers. It is not typically associated with any clinically significant cardiac problem. The vast majority of persons with this do absolutely fine and live normal lives. ...Read more

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Dr. Liviu Klein
Board Certified, Cardiology
18 years in practice
666K people helped
10

10
How do you confirm the presence of bundle branch block?

Dr. Liviu Klein
Board Certified, Cardiology
18 years in practice
666K people helped
How do you confirm the presence of bundle branch block?

ECG: An ECG can show the bundle branch blocks. ...Read more

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Dr. Jonathan Jassey
Board Certified,
12 years in practice
825K people helped
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