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lumbar medial branch block

Sep 22, 2015 2:40 PM

Hi all. Praying your today is better than yesterday.

Has anyone had this procedure before? How did it go? Was it successful?

I told my Dr that I didn't want to do the ESI. He says the medial branch block is injected around the spine like ESI. (DX: spondylothis, facet disease, high blood pressure, lupus, bursitis)

Thoughts, comments.
Any and all is appreciated

Sep 22, 2015 2:49 PM

Confused, I had Facet joint injections only(mid July). Bilateral, worked wonderfully. Have had no problems except at L4-5 and that has been just recently. At this point, chiro is helping to get that area to stop locking up so badly. Might need to do another set later in October but so far, so good. Hope that helps.

Sep 22, 2015 4:21 PM

Do you mean a epidural type injection? Ive had them before have S1/L5 had quite a few the 1st 1 was fab but as i felt pain free in back i did some things i couldnt do before so when it wore off boom!! So b aware of what u can/cant do but they were helpful im hoping once refered again i can have another back pain at min un real!! Good luck

Sep 22, 2015 6:56 PM

"A medial branch nerve block is a procedure in which an anesthetic is injected near small medial nerves connected to a specific facet joint."

This it the procedure he plans to do.

Sep 23, 2015 11:06 PM

Is this percedure FDA approved? Finding conflicting information

Sep 24, 2015 12:19 PM

I'm having a dozen or so of my nerves cauterized next week.

Sep 24, 2015 11:16 PM

Yabo: is that the same has having them numbed?

Sep 25, 2015 5:36 AM

No Confused mom. I used to have my nerves numded a few years ago which (if I remember correctly ) involves cortisone injections into or around the facet joints. My operation is similar but instead of a normal needle being inserted they use a hollow needle. Once this is in place & touching the correct nerve they then insert another needle type probe into the hollow needle until this rests on this he nerve. This probe is connected to a machine . Once everything is in place they this he urn the machine on which then passes electricity down the probe. It is this he urn urn ed up until it reaches 85 degrees & kept in place for around an minute or so. This then cauterized (burns off) the nerve. This will be repeated between 12 or 16 times until they've got all the problem nerves. I am so looking forward to this next Tuesday ...... NOT !!!!!!! 😒😭

Sep 25, 2015 8:39 AM

Hi yanbo do u mind me asking are u in us/uk? As my back if awful & have S1/L5 & nerve probs if uk even tho it sounds bad as hell id like that done to mine! Thank u

Sep 25, 2015 9:19 AM

I'm in the UK debz. I got referred to a specialist through my GP , who luckily is fantastic. First off on had the nerves numbed with cortisone injections very 6 months or so for a couple of years & when this started to become too regular I have been moved on to this procedure. I'm having it done on Tuesday & I will let you all know how it went & how I'm getting on afterwards. I'll gladly answer any questions anyone has & I will answer truthfully.

Sep 25, 2015 9:23 AM

Yanbo, I pray that your procedure goes smoothly and that you heal quickly and have a positive outcome. I wish you good luck and minimal pain from the procedure. You'll be in my prayers and I look forward to hearing how you are. πŸŒ»πŸ™πŸ»

Sep 25, 2015 11:27 AM

Thanks Alwayzinpain πŸ˜€

Sep 25, 2015 11:58 AM

No Problem, Yanbo!! I'm here if you need me. 😊

Sep 25, 2015 12:57 PM

Thank you yanbo im speaking to my gp monday & ill talk to him about it good luck :) & b great if you let us know hoe it went i have a S1/L5 & now pain all across my lower back i really cant take the pain anymore & im on loads of medz anyway so i doubt my gp will give any more just cant describe hoe it feels :( :(x

Sep 25, 2015 4:40 PM

I know how u feel . Hopefully the operation will give me some relief at the very least. You might want to ask your GP about a referal to a specialist. It's worth a try.

Sep 25, 2015 8:56 PM

Wishing you the best Yanbo!

But could you tell me how (if any) the numbing percedure helped you. Was it a painful percedure?

Sep 26, 2015 4:36 AM

It wasn't really painful as such more uncomfortable than anything. It helped a hell of a lot for about 2& a half years or so. Well worth doing.

Oct 15, 2015 9:32 PM

Hello all. I had my first medial block done Tuesday. It was painful but it didn't last long. I didn't get any pain relief from it. Ended up with more instense, shooting pains in my back. Next one is schelude for tomorrow.

Oct 17, 2015 9:25 AM

ConfusedMom, I am sorry you didn't get relief from the procedure. I hope that with the next one you get the relief that to seek. Sometimes it takes more than one session to get it to start working. I am going in on December 7th to have the nerves in my neck burned. The doctor told me I would have bad headaches and a lot of pain for the first week afterwards.. I'm scared to death because the pain is already at the limit and I don't even know if it will work. Hang in there. Sending {{{{Hugs}}}} and prayers your way. πŸŒ»πŸ™πŸ»

Oct 17, 2015 3:56 PM

Thanks, Always.. I had to reschedule my appointment because no one would go with me. They will not do procedure if you don't have someone to drive you afterwards. I go back November 4th.

Its frustrating and depressing. I go out my way to help others. In a lot of cases I have given my last or went without just to help my "friends" and "family". As a rule i dont ask for a lot from people. But when I need someone for something serious, I more often then not end up along.

Feeling alone in pain

Oct 17, 2015 8:47 PM

Confusedmom, I'm so sorry you didn't have the support you needed. And that you had to reschedule. Setting aside your own needs to help others can and generally does end up being taken for granted. It's sort of like at work, "there are those who will do the work, and those that will sit back and let them.". I've been there myself. I've had the facet injections and it took three before I felt relief without added pain. The first two hurt, but the second was less painful than the first. And it's been almost 2 years since the last one. You'll be in my thoughts and prayers! πŸ™πŸŒΌ

Oct 18, 2015 11:31 AM

Confusedmom, I can tell you that I always do the same thing. I will do without or skip my meds and deal with the pain to sit with a family member having chemo for 7 hours and I'm certain that it would not happen the other way around. When I told my Mother about the nerve burning I'm going to have in December, the first thing she said is maybe I could aske the neighbor to take me!!! What about one of my brothers or sisters taking time from work and going with me?!?! It's not an all day affair, only a couple of hours. But, nope, my 86 year old Dad who walks with a walker and can hardly get around himself was finally volunteered by my Mom to take me. I don't want to do that to my Father and think I'm going to have to put my foot down and get someone else to take me. There are 4 able bodied siblings who could help me. It's hard and hurts and is frustrating but somehow we all make it through. I hope all goes well on the 4th. I'll be thinking of you. {{{Hugs}}}πŸŒ»πŸ™πŸ»

Oct 18, 2015 6:39 PM

Confused, I'm not sure if I want any more facet joint injections at this point, but my back is beginning to grumble at me already(been 3 months already). Oh well, pain management this coming Wednesday morning so we shall see.

Oct 19, 2015 9:30 PM

I don't like the facet blocks. It wasn't until the third one I finally got relief. πŸ™πŸŒΌ

Oct 20, 2015 4:52 PM

Flappys, I'm ready to try it again, but my mom has convinced me to hold off on that one until the other surgery is over. I really don't want to do it, but with the way my back locked up on me today, I'm running out of options at this point.

Oct 21, 2015 2:23 PM

I truly know how you feel! Hugs & prayers! πŸ™πŸŒΌ

Oct 21, 2015 2:32 PM

And pain management agreed as well to hold off on them until later in November. She said that my body needed a rest and I totally agree.

Nov 11, 2015 5:31 PM

Had second medial block branch injection done. He did 3 instead of 4 like first time. There was no relief from pain. It actually increase for a few hours than smooth out to bout a 5. This time however I got very nausated and dizzy for bout an hour. Follow-up in December.

Nov 11, 2015 8:21 PM

Confusedmom, that doesn't sound good. πŸ™πŸŒΌ

Nov 11, 2015 8:34 PM

No, that does not sound good at all. Did you let your doctor know?

Nov 22, 2015 4:42 PM

I have had the nerve burns done 4 times bilateral on lower lumber. The 1rst one lasted about 5 months which was great(and no side affects)after them they were not lasting as long as before,so ins.quit paying for them.

Nov 22, 2015 5:45 PM

Confusedmom, the dizziness could have very well been caused by the additional pain that this procedure caused you. Also, I've heard that they can cause migraines (if you have cervical blocks), among other side effects. I was going to have 5 done on December 8th and after doing further research, being told by the doctor that my spine is so bad that if be in a tremendous amount of additional pain for a week or two while I try to heal. THEN he said they may not work at all!! That's when I said, To Hell with that crap. How do I know that is going to be good or not (I don't). I was getting so scared I cancelled the procedure. πŸ’•πŸ™πŸ»πŸŒ»πŸ˜Š

Jan 17, 2016 9:27 AM

Thanks all for advice and comments.
Sorry for late reply my Internet has been out.

I had another session of MNBB in December which was also unsuccessful. My pain management doctor has discharge me from his care, says there's nothing else he 5do since the MNBB didn't help.

Jan 17, 2016 9:51 AM

I've had medial branch blocks, they sometimes worked and sometimes didn't. They're supposed to do test injections to see if it will help. Also it hurts worse before it gets better.

Jan 17, 2016 6:47 PM

I'm sorry Confusedmom. It's sad when the doctors just give up like that. Been there several times myself. Maybe you can research and find someone else soon.

I recently had EMGs on my hands and feet. The neurologist asked why we were doing them. I told him to get a baseline test in case my doc decides to put a spinal cord stimulator in for the bladder and bowel nerves. He looked at me and said, "You don't want a SCS. Sometimes they work but most times they don't work. And sometimes they cause more problems than they help." I had already been concerned because of other's experiences on here. I thanked him for his honesty. Sending you hugs & prayers! πŸ™‚πŸ™πŸŒΌπŸ’•

Jan 17, 2016 11:07 PM

Thanks a lot. Neurologist is next. Hopefully primary will refer me without a lot of hassling on my end

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