See how it is done
A cervical medial branch block is a diagnostic procedure. Under fluoroscopy we place a small dose of local anaesthetic next to the medial branch nerves that carry pain signals from the facet joints in your neck. If your usual neck pain quiets in the hours that follow, we know the cervical facet joints are the source — and you become a candidate for radiofrequency ablation (RFA), which can give 6 to 12 months of relief.
Relief from the block itself is short-lived (typically hours, not weeks) — its job is to tell us whether the next step is worth taking. We usually repeat the block once before recommending RFA, so two positive responses confirm the diagnosis and spare you an ablation that wouldn’t help.
What this treats
- cervical facet syndrome
- post-whiplash neck pain
- axial neck pain
- cervicogenic headache
Conditions this treats
Common diagnoses we use this procedure for. Tap one to read more.
Before, during, and after — what to do
Before your appointment
Eat a normal meal before your appointment — there is no fasting required for most injections. Take your usual medications unless we have specifically asked you not to. If you take a blood thinner (aspirin, warfarin, clopidogrel, apixaban, rivaroxaban, etc.), tell us in advance — we may need to adjust the timing. Bring your OHIP card and any imaging reports we asked for.
On the day
Wear loose, comfortable clothing — easy to roll up sleeves or pant legs, easy to lie face-down on the table. Plan to be at the clinic about 45 minutes total. You can drive yourself unless we told you otherwise. If you are anxious about the procedure, tell us — we will walk you through every step.
After the procedure
You may feel some soreness at the injection site for 1–3 days. Ice helps; so does Tylenol or ibuprofen if you can take it. Avoid heavy lifting or vigorous exercise for 24 hours, then resume normal activity as comfort allows. The therapeutic effect of the injection usually starts within a few days and reaches full strength by 2 weeks.
When to call us: Call us right away — or go to the nearest emergency department — if you develop a high fever, severe new pain, redness or swelling at the injection site, weakness in a limb, or loss of bladder or bowel control. These are rare but worth knowing.
What happens on the day
We use live fluoroscopy to see exactly where the needle is going. The procedure itself takes about 15 minutes, plus a little time to get you positioned and a short rest afterwards. Most people feel relief lasting Hours (diagnostic).