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Home  /  Medial Branch Block

Treatments

Medial Branch Block

Overview
This is an injection of numbing medicine. It bathes the medial branch nerves, which attach to the facet joints of your spine. These nerves hurt when facet joints are injured or diseased. The injection helps find the source of your pain. And it may relieve your pain for a brief time.

Preparation
To begin, your doctor injects local anesthetic. This numbs your skin and tissue around the areas to be injected.

Inserting the needle
Next, your doctor guides a thin needle through the numbed tissue. A video x-ray device called a “fluoroscope” helps find your medial branch nerves. Contrast dye is injected to make sure the needle is in the right place.

Injection
Then, the doctor injects numbing medicine onto the nerves. The medicine temporarily numbs the nerves. If this area is the source of your pain, you’ll feel immediate pain relief. More than one level of the spine may need to be injected.

End of Procedure
When the procedure is finished, you’ll be watched for a brief time. Then you can go home. You may feel pain relief for the next few hours. You may be asked to keep track of your pain level as the medicine wears off. If the block was successful, your doctor can recommend a procedure to provide long-lasting relief.

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Patient Reviews

Over 500 five star reviews
Teresa Storie
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I have been a patient of Dr. Igor's for 2-3 years now. He is one of the best pain doctors I have been to since becoming sick 12 years ago. He listens to the issues I have and works out a pain management plan with me. He takes the time to explain what is going on and makes me understand. He also has a great sense of humor. I'm so happy to have finally found a great doctor.
Melanie Lynch
Melanie Lynch
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Dr. Igor has done a wonderful job of meeting my needs with pain management. He is very careful with me concerning medications. Although medicine is a necessary evil, he makes sure that my pain management is manageable without "overdoing" the drugs. He is very thorough and does a great job with back procedures. I'm so thankful to have him for my pain management doctor.
Nancy Ladd
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I have a lot of issues with pain in my hips and back. I have always been very fearful of going to doctors until I was sent to Dr. Igor Smelyansky. He has been so wonderful to me and always makes me feel like the only patient he has. Thank you.
Paul T. Ondako
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I have known Dr. Igor for 3 or 4 years and am so pleased with his work as a doctor. He is a super doctor. I would be very unhappy if I were told that Dr. Igor was not going to be my doctor. He is a very pleasant person to have as my doctor. I hope that he never stops being by doctor. Thank you Dr. Igor.
Sharon Prater
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I would like to say I’ve been seeing Dr. Igor for a year now. I really like his attitude he has towards me and tries the best he can to do what he can to help me with my pain management and I would highly recommend him to anyone that needs treatment for pain.
Michael J. Hornyak
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I have been a patient of Dr. Igor’s for the past three years. I’m 53 years old and have been a carpenter all my life. I have no cartilage in my left knee since 1979, I suffered breaks of L1, T 11, T 12 in 1987 from a fall (30 feet). Have broken right hand several times as a result of my work. Over the years I have seen many different doctors for these issues. Dr. Igor is the only doctor that ...
 Edith Compton
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I have been a patient of Dr. Igor for several years and I’m very happy with his care and concern for my well-being. I would not hesitate to recommend Dr. Igor.
Timothy A. Couch
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I have been treated for my lower back pain by Dr. Igor for three years at Roanne County and Crossville. The injections he has given me have greatly helped. Overall he has taken excellent care of me.
Garland Gibson
Garland Gibson@username
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I have been to Dr. Igor many times and he has helped me a lot. He takes time to ask questions + listens to your problems. He gave me injections and they helped a lot also.
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