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Medial Branch Nerve Block at CFI Pain

Medial Branch Nerve Block (MBNB) for pain management treatment

November 9, 2023

Introduction to Medial Branch Nerve Block (MBNB)

Chronic neck and back pain can significantly hinder one’s quality of life, making everyday tasks and enjoyment difficult. At Central Florida Interventional Pain, led by Dr. Waleed Elyaman, the focus is on innovative pain management treatments, including Medial Branch Nerve Block (MBNB). This minimally invasive procedure can be a beacon of hope for those suffering from persistent pain.

Medial Branch Nerve Block, a cornerstone therapy at CFI Pain, targets the nerves responsible for transmitting pain signals from the spinal joints to the brain. By introducing a local anesthetic or corticosteroid near the medial branch nerves, MBNB offers a dual benefit: diagnostic and therapeutic. It not only helps identify the pain source but also provides significant relief, allowing patients to resume their daily activities with reduced discomfort​​.

Dr. Elyaman and his team at CFI Pain embrace a patient-centered approach, ensuring each Medial Branch Nerve Block procedure is tailored to individual needs, promising a step towards a pain-free life. This treatment embodies the clinic’s commitment to providing advanced, effective pain management options, reinforcing their status as a leader in the field of interventional pain medicine.

Understanding Medial Branch Nerve Block (MBNB)

A Medial Branch Nerve Block is more than just a pain relief procedure; it’s a carefully executed strategy to combat chronic back and neck pain. These nerves, nestled near the facet joints along the spine, are integral to how we perceive pain. When they transmit signals of distress, the discomfort can be debilitating.

At CFI Pain, the procedure begins with a precise injection of medication, usually a local anesthetic or corticosteroid, targeting the medial branch nerves. The goal is simple yet profound: block the pain signals at their source. This intervention has been pivotal in providing patients with immediate and sometimes lasting respite from pain.

Dr. Elyaman’s team employs MBNB both as a diagnostic tool and a therapeutic treatment. A successful block indicates that the facet joints are implicated in the pain cycle, which can then guide further treatment plans. This could potentially include radiofrequency ablation (RFA) treatments, a longer-lasting solution that CFI Pain offers to those who respond positively to MBNB​​.

Understanding the purpose and process of MBNB is crucial, and the team at CFI Pain ensures that patients are informed and comfortable every step of the way. With this knowledge, patients can approach their treatment with confidence and clarity.

Mechanism of Pain Relief through MBNB

The relief that a Medial Branch Nerve Block provides is rooted in its targeted approach. By delivering a potent anesthetic directly to the medial branch nerves, MBNB effectively silences the pain signals before they can reach the brain. This action not only diminishes the immediate sensation of pain but can also reduce inflammation in the surrounding tissues, offering a reprieve to the overtaxed nervous system.

At CFI Pain, the careful selection of medication for the injection is a key aspect of the personalized care that Dr. Elyaman and his team provide. The immediate impact of the treatment can be liberating for patients, many of whom experience a significant decrease in pain soon after the procedure. This rapid relief is a testament to the efficacy of MBNB as a pain management technique and is a core reason why it is a preferred option for many seeking non-surgical solutions to chronic pain.

Ideal Candidates for MBNB

Medial Branch Nerve Block is particularly effective for individuals grappling with severe and persistent neck and back pain. At CFI Pain, candidates for this procedure typically have conditions like degenerative disc disease, arthritis, herniated discs, sciatica, or facet syndrome. These patients often have not found sufficient relief from conventional treatments.

Dr. Elyaman’s expertise in interventional pain management is crucial for those who have exhausted other options and are seeking a more direct approach to pain relief. The MBNB procedure offers a glimmer of hope for improved mobility and a better quality of life, making it a vital option in the arsenal against chronic pain.

Potential Risks and Side Effects of MBNB

While Medial Branch Nerve Block is a relatively safe procedure with a low risk profile, as with any medical intervention, potential risks and side effects exist. At CFI Pain, Dr. Elyaman ensures that all patients are thoroughly informed of the possible outcomes, which may include temporary discomfort at the injection site, numbness, allergic reactions, or, in rare cases, nerve injury.

Understanding these risks is an integral part of the decision-making process for prospective patients. The clinic’s dedication to patient education and safety is paramount, ensuring that each individual is aware and prepared before proceeding with the treatment.

Preparing for MBNB

Preparation for a Medial Branch Nerve Block at CFI Pain involves a series of steps to ensure the highest degree of safety and effectiveness. Dr. Elyaman and his team advise patients to provide a complete medical history and list all medications to mitigate any risks. Fasting for 6 to 12 hours prior to the procedure is generally recommended.

This preparation is crucial for the success of the MBNB procedure. The team at CFI Pain is dedicated to guiding patients through these preparatory steps, ensuring clarity and comfort leading up to the treatment.

Post-Procedure: What to Expect

Following an MBNB procedure at CFI Pain, patients can anticipate a significant reduction in pain. Dr. Elyaman’s approach ensures that the majority of patients experience immediate relief post-treatment. It’s common to feel some numbness as the anesthetic takes effect, providing a window of comfort as the body begins to heal.

However, it’s important to note that reactions can vary. Some may require additional interventions if pain relief is not felt within a few hours after the procedure. The team at CFI Pain is committed to post-procedure care, ensuring that each patient receives the necessary support for their recovery journey.


In conclusion, Medial Branch Nerve Block is a pivotal treatment option for those suffering from chronic spinal pain. At CFI Pain, under Dr. Waleed Elyaman’s expert care, MBNB is part of a broader, personalized pain management strategy. It promises not just relief but a potential return to a life less defined by pain. For those considering this procedure, CFI Pain represents a beacon of hope and a pathway to recovery.

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