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Deer's Treatment of Pain pp 419–427Cite as

Lumbar Facet and Medial Branch Block

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Abstract

Chronic low back pain (LBP) is among the most prevalent causes of medical disability in the world. About two-thirds of the population suffers from LBP at some point in their life. The zygapophysial (facet) joint is a common source of LBP. First described in 1963, facet joint injections are the second most commonly performed pain interventions nationwide. Lumbar facet intra-articular injection and medial branch blocks are commonly used for diagnosis and treatment of facetogenic pain. This chapter will describe the common uses and indications, procedural techniques, evidence for efficacy, and some pearls and pitfalls for safely and effectively performing these procedures.

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Author information

Authors and Affiliations

  1. Department of Pain Medicine, Pain Treatment Centers of America, Little Rock, AR, USA

    Sameer Jain

  2. Department of Pain Medicine, Mayo Clinic, Rochester, MN, USA

    Jonathan Hagedorn

  3. Department of Pain Medicine, Weill-Cornell Tri-Institutional Pain Program, New York, NY, USA

    Jay M. Shah

  4. Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Ajax Yang

Authors
  1. Sameer Jain
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  2. Jonathan Hagedorn
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  3. Jay M. Shah
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  4. Ajax Yang
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Editor information

Editors and Affiliations

  1. The Spine and Nerve Center of the Virginias, Charleston, WV, USA

    Timothy R. Deer

  2. Evolve Restorative Center, Santa Rosa, CA, USA

    Jason E. Pope

  3. Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USA

    Tim J. Lamer

  4. Pain Diagnostics and Interventional Care, Sewickley, PA, USA

    David Provenzano

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Jain, S., Hagedorn, J., Shah, J.M., Yang, A. (2019). Lumbar Facet and Medial Branch Block. In: Deer, T., Pope, J., Lamer, T., Provenzano, D. (eds) Deer's Treatment of Pain. Springer, Cham. https://doi.org/10.1007/978-3-030-12281-2_51

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  • DOI: https://doi.org/10.1007/978-3-030-12281-2_51

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-12280-5

  • Online ISBN: 978-3-030-12281-2

  • eBook Packages: MedicineMedicine (R0)

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