Medial Branch Blocks & Facet Joint Injections in San Antonio

    Targeted injections that reduce inflammation and interrupt pain signals to deliver precise relief at the source of spine-related pain.

    Why patients choose this treatment:

    • Minimally invasive, image-guided procedures
    • Targets spine and joint pain directly
    • Performed by experienced pain specialists
    • Fast appointments available

    What Are Medial Branch Blocks & Facet Joint Injections?

    Medial branch blocks and facet joint injections are non-surgical, outpatient procedures used to diagnose and treat spine-related pain.

    Facet joints are small joints located between each vertebra in the spine. These joints allow movement such as bending and twisting. When they become inflamed or arthritic, they can cause persistent neck or back pain.

    Medial branch nerves transmit pain signals from the facet joints to the brain. Targeted injections can:

    • Reduce inflammation inside the joint
    • Interrupt pain signal transmission
    • Help confirm the precise source of pain

     

    A medial branch block is commonly used as both a diagnostic and therapeutic procedure. A facet joint injection procedure delivers anti-inflammatory medication directly into the affected joint. Both are performed without surgery and typically take only minutes.

    doctor feeling for back pain

    What Conditions Do These Injections Treat?

    These targeted injections are often recommended for patients experiencing:

    • Chronic neck pain
    • Lower back pain
    • Facet joint arthritis
    • Degenerative spine conditions
    • Whiplash-related pain
    • Pain that worsens with twisting, bending, or prolonged standing

     

    If your symptoms are related to spinal joint inflammation, facet joint pain treatment may provide relief without surgery. Patients searching for an injection for back pain often benefit when conservative therapies have not resolved symptoms.

    How These Targeted Injections Relieve Pain

    Precision is critical for pain management. Using imaging guidance, a specialist carefully positions a needle at the targeted nerve or joint. Medication is delivered directly to the source of inflammation or nerve irritation.

    This approach:

    • Improves accuracy
    • Limits medication exposure to the surrounding tissue
    • Helps calm irritated nerves
    • Provides diagnostic clarity for future treatment planning

     

    If a medial branch block provides temporary relief, it may indicate that a longer-lasting treatment such as Radiofrequency Ablation could be appropriate.

    Medial Branch Blocks vs. Facet Joint Injections

    Patients often ask about the difference between the two procedures.

    Medial Branch Block

    Medial Branch Block

    It targets the nerves that transmit pain signals, is often used diagnostically, and can provide short-term relief.

    Facet Joint Injection

    Facet Joint Injection

    It injects medication directly into the joint to reduce inflammation within the joint space and is primarily therapeutic.

    Treatment selection depends on clinical evaluation, imaging findings, and response to prior care.

    What to Expect During the Procedure

    Understanding the process helps reduce anxiety.

    Step-by-step:

    Review of symptoms and imaging
    Local anesthetic for comfort
    Image-guided injection (typically completed within minutes)
    Brief observation period
    Same-day discharge

    Most patients experience minimal discomfort. There are no surgical incisions, and many return to normal activities shortly after the procedure.

    How Long Does Pain Relief Last?

    Relief varies by individual.

    • Some patients notice improvement immediately
    • Relief may last several weeks or months
    • Results help guide long-term planning

     

    Patients frequently ask, “How long does a medial branch block last?” The answer depends on the underlying condition and individual response. When relief is significant but temporary, longer-lasting options such as Radiofrequency Ablation or advanced therapies like Spinal Cord Stimulation may be discussed.

    Recovery, Risks & Safety

    These procedures are considered low-risk when performed by trained specialists. You may experience mild soreness at the injection site or temporary swelling. Serious complications are rare. All injections are performed under imaging guidance with established safety protocols.

    doctor feeling for back pain

      Schedule Your Evaluation

      If chronic neck or back pain is limiting your quality of life, targeted injections may provide focused relief without surgery. Our chiropractic care services offer other pain management methods, so if targeted injections don’t work, we will be sure to find a solution.