Doctor insights on:
Bilateral Medial Branch Block
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 moreSee 2 more doctor answers
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, Lidocaine 20% patch, etc.) Also cognitive behavior therapy. East-West integration medicine. Take care. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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
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 moreSee 1 more doctor answer
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
ECG: An ECG can show the bundle branch blocks. ...Read moreSee 1 more doctor answer
Right or left: If it is right bundle branch block then 98% is benign. If it is left bundle branch block 95% are abnormal leading to further work up to rule out cardiomyopathy, conduction problems or coronary artery disease. ...Read moreSee 1 more doctor answer
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