Medial Branch Blocks

Medial branch blocks (MBBs) are minimally-invasive, diagnostic nerve blocks that help determine if pain is coming from the joints of the spine, also known as the facet joints. The facet joints in the spine transmit pain signals to the brain by the medial branch nerves. By blocking these nerves with local anesthetic medications, pain sensation of the facet joints will be rapidly relieved. This will inform your physician if your pain is truly coming from the facet joints and will allow your therapy to be specifically targeted to these joint levels. The procedure can be performed at any level of the spine, including the cervical, thoracic, and lumbar spine, and is very successful in the treatment of chronic arthritis-related neck and back pain.

Facet-mediated pain typically occurs at multiple joint levels and is often on both sides of the spine. Your physician will likely perform the medial branch blocks on one side at a time so that the pain relief can be isolated to that side and compared to the untreated side. The procedure is limited to two or three joint levels and is often repeated to yield the greatest diagnostic information. If the patient experiences successful pain relief from these blocks, a long-term treatment option, called a radiofrequency ablation (RFA), can be performed. This treatment will result in the same pain relief experienced with the medial branch block, but the pain relief will last for at least 6-9 months, with many patients experiencing pain relief for 12-18 months or more. The medial branch blocks will not need to be repeated once an RFA is performed, but the RFA can be repeated, should a patient’s pain return in the future.

The procedure takes less than 15 minutes to perform. Patients are encouraged to resume their normal activities after their procedure to better determine how successful the block was in producing pain relief. Risks of medial branch blocks are extremely rare, but include bleeding, infection, and nerve damage. Multiple, large evidence-based studies have shown medial branch blocks and radiofrequency ablation to be among the most successful procedures in the diagnosis and treatment of chronic joint pain in the spine.

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The current list of pain treatments we provide (Please note: this is not an exhaustive list, please contact us if you do not the pain treatment you are looking for):

Ankle Injections
Back Pain Treatments
Carpal Tunnel Syndrome
Caudal Steroid Injection
Celiac Plexus Block
Cervical Steroid Injection
Continuous Catheter Nerve Blocks
Disc Denervation
Dorsal Root Ganglion (DRG)
Epidural Steroid Injection
Facet Injections
Ganglion Impar Block
Hip Injections
Intercostal Nerve Block
Interscalene Block
IntraDiscal Electrothermal Therapy
Intrathecal Pump Implants
Joint Injections
Knee Joint Injections
Medial Branch Blocks
Occipital Nerve Block
Percutaneous Discectomy
Platelet Rich Plasma
Peripheral Nerve Stimulation
Radiofrequency Ablation
Sacroiliac Joint Injections
Sphenopalatine Ganglion Block
Spinal Cord Stimulator Implants
Spinal Disc Decompression
Stellate Ganglion Block
Superior Hypogastric Plexus Block
Sympathetic Block
Trigger Point Injections
Vertebroplasty & Kyphoplasty
Whiplash and Back Injuries From Car Accidents


Pain Management

We are double board-certified in pain management and specialize in spinal and neuromuscular pain conditions. Beyond providing safe and appropriate medication management options,We are highly-skilled experts in non-surgical interventions, using state-of-the art treatments to relieve pain and improve function.



Chiropractic Care

At Mountain View Pain Center,  it is our mission to deliver the very best chiropractic care to all of our patients. Our Chiropractors deliver first class care incorporating the latest developments in treatment standards to make sure you get out of pain and stay out of pain. Contact any of our eight treatment offices to get started today!




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Insurance Plans Accepted

Mountain View Pain Center accepts almost every insurance plan and if you have been in a car accident we accept all auto insurance providers as well. If you do not see your insurance plan in the list of major plans we work with.please contact our office to verify that we accept your plan provider.

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