Medial branch block specialist

The medial branch nerves connect to facet joints in your spine and transmit pain signals to the brain. A medial branch block is a diagnostic procedure that helps determine if the medial branch nerves are the source of your pain. Interventional pain management specialist Samiullah Kundi, MD, at Indiana Neurology and Pain Center, with offices on the east and west side of Indianapolis, Indiana, performs medial branch block procedures. Book your appointment today.

Medial branch block Q & A

Your spine is a complex system made up of bones, joints, discs, ligaments, and nerves. The medial branch nerves are sensory nerves that run through your spine’s facet joints and send pain signals to your brain. The facet joints support spinal mobility. The reason behind the chronic back pain may be spinal stenosis or herniated disc

The medial branch block at Indiana Neurology and Pain Centre is a process of diagnosing the underlying cause of back or neck pain. During the procedure, your provider at Indiana Neurology and Pain Center injects an anesthetic directly into the affected nerve. Patients who report pain relief after the diagnostic procedure may be further advised on the long-term pain management solution by the Medial branch block specialist.


It may take around 30 to 60 minutes to perform the medial branch block as an outpatient procedure. The process begins after the patient is given a sedative by the doctor to relax.

You’re then positioned on the exam table face down, and your provider injects a local anesthetic to numb the skin. When the injection is inserted, the patient may experience a burning or tingling sensation. The medication is injected using the needle that is placed at the right place using the image-guided technique.


After a medial branch block, the medial branch block specialist sends the patient to the recovery area for monitoring and then discharges. For up to 24 hours, the patient is not advised to drive. If successful, the patient should experience pain relief soon after the injection. Indiana Neurology and Pain Center recommends you keep a pain log and asks you to return to the office about a week after the procedure to discuss the next steps. A medial branch block may help determine the source of pain so the patient can get treatments that provide long-term pain relief.

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