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Medial Branch Block, Lumbar Spine
Jeffrey S. Ross, MD
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KEY FACTS

  • Terminology

    • Pre-Procedure

      • Procedure

        • Post-Procedure

          • Outcomes

            TERMINOLOGY

            • Abbreviations

              • Medial branch block (MBB)
            • Definitions

              • Selective anesthesia of a lumbar nerve medial branch in diagnostic evaluation of lumbar facet joint pain

            PRE-PROCEDURE

            • Indications

              • Contraindications

                • Getting Started

                  PROCEDURE

                  • Patient Position/Location

                    • Equipment Preparation

                      • Procedure Steps

                        • Findings and Reporting

                          • Alternative Procedures/Therapies

                            POST-PROCEDURE

                            • Expected Outcome

                              • Things to Do

                                • Things to Avoid

                                  OUTCOMES

                                  • Problems

                                    • Complications

                                      Selected References

                                      1. Chou R et al: Nonsurgical interventional therapies for low back pain: a review of the evidence for an American Pain Society clinical practice guideline. Spine (Phila Pa 1976). 34(10):1078-93, 2009
                                      2. Lee CJ et al: Intravascular injection in lumbar medial branch block: a prospective evaluation of 1433 injections. Anesth Analg. 106(4):1274-8, table of contents, 2008
                                      3. Manchikanti L et al: Lumbar facet joint nerve blocks in managing chronic facet joint pain: one-year follow-up of a randomized, double-blind controlled trial: Clinical Trial NCT00355914. Pain Physician. 11(2):121-32, 2008
                                      4. Verrills P et al: The incidence of intravascular penetration in medial branch blocks: cervical, thoracic, and lumbar spines. Spine (Phila Pa 1976). 33(6):E174-7, 2008
                                      5. Manchukonda R et al: Facet joint pain in chronic spinal pain: an evaluation of prevalence and false-positive rate of diagnostic blocks. J Spinal Disord Tech. 20(7):539-45, 2007
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Pre-Procedure

                                          • Procedure

                                            • Post-Procedure

                                              • Outcomes

                                                TERMINOLOGY

                                                • Abbreviations

                                                  • Medial branch block (MBB)
                                                • Definitions

                                                  • Selective anesthesia of a lumbar nerve medial branch in diagnostic evaluation of lumbar facet joint pain

                                                PRE-PROCEDURE

                                                • Indications

                                                  • Contraindications

                                                    • Getting Started

                                                      PROCEDURE

                                                      • Patient Position/Location

                                                        • Equipment Preparation

                                                          • Procedure Steps

                                                            • Findings and Reporting

                                                              • Alternative Procedures/Therapies

                                                                POST-PROCEDURE

                                                                • Expected Outcome

                                                                  • Things to Do

                                                                    • Things to Avoid

                                                                      OUTCOMES

                                                                      • Problems

                                                                        • Complications

                                                                          Selected References

                                                                          1. Chou R et al: Nonsurgical interventional therapies for low back pain: a review of the evidence for an American Pain Society clinical practice guideline. Spine (Phila Pa 1976). 34(10):1078-93, 2009
                                                                          2. Lee CJ et al: Intravascular injection in lumbar medial branch block: a prospective evaluation of 1433 injections. Anesth Analg. 106(4):1274-8, table of contents, 2008
                                                                          3. Manchikanti L et al: Lumbar facet joint nerve blocks in managing chronic facet joint pain: one-year follow-up of a randomized, double-blind controlled trial: Clinical Trial NCT00355914. Pain Physician. 11(2):121-32, 2008
                                                                          4. Verrills P et al: The incidence of intravascular penetration in medial branch blocks: cervical, thoracic, and lumbar spines. Spine (Phila Pa 1976). 33(6):E174-7, 2008
                                                                          5. Manchukonda R et al: Facet joint pain in chronic spinal pain: an evaluation of prevalence and false-positive rate of diagnostic blocks. J Spinal Disord Tech. 20(7):539-45, 2007