Medial Branch Neurotomy: Your Experience

The treatment is done in a hospital or surgery center. You'll be asked to fill out some forms, including a consent form. You may also be examined. You may be given an IV (intravenous) line for fluids and medications.

Getting Ready for Your Treatment

• Ask your doctor whether you should stop taking any medications before treatment.

• Tell your doctor if you are pregnant or allergic to any medications.

• Stop eating or drinking 8 hours before you check in for your treatment.

During the Procedure

To help you relax, medication may be given through the IV line. You will lie on an exam table on your stomach, back, or side, depending on where the problem joint is.

• The skin over the treatment site is cleaned and then numbed with medication.

• Fluoroscopy (x-ray imaging) is used to help your doctor see the spine and guide the treatment. A contrast "dye" may be injected into the affected region to help get a better image.

• Heat, cold, or chemicals are used to destroy part of the nerve near the inflamed facet joint. Nearby nerves may also be treated.

Relax at home for the rest of the day after your treatment, even if you feel good.

After the Procedure

Most often, you can go home in about an hour. Have an adult friend or relative drive you. The treated spot may be swollen and may feel more sore than usual. This is normal and may last for a day or so. It will be a few days before you feel relief from your symptoms. Your doctor may prescribe pain medications for you during that time. Ask him or her when it's okay for you to go back to work.