This diagnostic procedure is performed to determine if a specific facet joint is the source of a patient’s pain. During the procedure, an injection is administered to block the nerves serving the painful facet joints.
Patients lie on their stomach on a table equipped with a special x-ray (fluoroscopic) unit. A local anesthetic numbs the skin and all the tissue down to the medial branch.
Contrast Dye Injected
The physician slides a needle through the anesthetized track. A contrast solution is injected so the physician can use an x-ray (fluoroscope) to see the painful areas and to confirm the correct location of the needle tip.
Next, anesthetic medicine is injected around the nerves to block pain signals from reaching the brain.
End of Procedure
If there is no significant relief, another level may be treated to see if that is the source of pain. If the pain improves soon after the procedure, an injection providing more long-term relief may be performed at that level.
Our clinics and ambulatory surgery centers (ASCs) are open for patient visits and procedures.
Due to the current public health emergency surrounding COVID-19, our team at Alliance Spine and Pain Centers has updated policies for all in-office appointments and we are following the CDC’s recommendations. TeleVisits on our Health & Online Wellness (healow™) mobile app are available per your physician's discretion.