Corticosteroid placed inside the small paired joints at the back of the spine.
What it is
Where the medial branch block targets the nerve supply, this targets the joint itself. It is used both to confirm the joint as a pain source and to settle inflammation within it.
What we use it for
- Facet arthropathy in the neck or low back
- Neck pain worse on extension and rotation
- Post-accident joint inflammation
What to expect
- Performed under fluoroscopy with contrast confirmation.
- Takes 10 to 20 minutes.
- Local anaesthetic gives early relief; the steroid effect builds over several days.
- Arrange a driver.
Risks
Every injection carries a small risk of bleeding, infection, an allergic reaction, or a temporary increase in pain. Steroid can raise blood sugar for several days, which matters if you are diabetic. Serious complications are rare, and we will go through the specific risks for your procedure and your health before you consent to anything.
To discuss whether this is appropriate for you, call (314) 310-5577 or request an appointment.
Common questions
How is this different from a medial branch block?
The block numbs the nerves to the joint and is mainly a test. The injection puts medication in the joint and is mainly a treatment.
Hurt in an accident? Start here.
You do not need a lawyer, a police report or a referral to be seen. Bring your symptoms and we will work out the rest.
Monday–Friday, 8:00 a.m. – 4:00 p.m. Same-day appointments are often available for new accident and injury patients.