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Lower back pain does more than disrupt daily comfort \u2014 it interferes with work, limits physical activity, and when left inadequately treated, can progressively restrict movement and erode quality of life. While many cases of acute back pain resolve with conservative measures such as rest and heat or cold therapy, a significant proportion of patients find that their pain transitions from acute to chronic<\/b> \u2014 persisting beyond 3 months and requiring a more targeted approach to management.
\nA Lumbar Facet Joint Nerve Block is one such targeted approach. It is both a diagnostic tool and a therapeutic procedure that forms an important first step in the interventional treatment pathway for chronic lower back pain.<\/p><\/p>
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A Lumbar Medial Branch Block (also called a Lumbar Facet Joint Nerve Block) is a procedure in which a pain management specialist injects a small amount of local anaesthetic precisely onto the medial branch nerves \u2014 the specific nerve branches that carry sensation from the lumbar facet joints to the brain.\nThe lumbar facet joints are the small paired joints at the back of each vertebra that connect the spine's segments together and control the direction of movement. When these joints become inflamed \u2014 from degeneration, injury, or cumulative strain \u2014 they produce a characteristic pattern of lower back pain that radiates into the hip and upper thigh, typically worsening with movement, prolonged standing, or extension (arching the back).\nBy temporarily blocking the nerves that supply these joints, the procedure interrupts the pain signal and allows both patient and physician to assess whether the facet joints are the true source of the pain.<\/p><\/p>\n
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This procedure serves a dual function \u2014 diagnostic and therapeutic<\/b> \u2014 and the outcome directly guides the next step in the patient's care:<\/p><\/p>\n
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If pain is temporarily relieved (for hours to 1\u20132 days before returning):<\/b> This confirms that the lumbar facet joints are the source of the pain. The physician will recommend proceeding to Lumbar Medial Branch Radiofrequency Ablation<\/b> \u2014 a procedure that uses radiofrequency energy to permanently deactivate the pain-transmitting nerve branches, providing significantly longer-lasting relief.<\/p><\/li>\n If pain relief is sustained beyond the expected duration of the local anaesthetic:<\/b> The physician may recommend repeating the nerve block as an ongoing therapeutic treatment to maintain pain control.<\/p><\/li>\n<\/ul>\n <\/p>\n <\/p>\n Patients with chronic lower back pain<\/b> \u2014 specifically, localised persistent lower back pain that has been present for more than 3 months<\/p><\/li>\n Patients who have not responded to conservative treatment<\/b> \u2014 including physiotherapy, oral medication, and other injections that have not achieved adequate pain relief<\/p><\/li>\n Patients suspected to have facet joint-mediated pain<\/b> \u2014 characterised by pain that worsens with spinal extension, rotation, prolonged standing, or sitting for extended periods; and pain that is reproduced by pressing on the facet joint area<\/p><\/li>\n<\/ul>\n <\/p>\n <\/p>\n The patient lies face down on the procedure table<\/p><\/li>\n The physician uses real-time fluoroscopy (live X-ray guidance)<\/b> to accurately locate and confirm the position of the target medial branch nerve at each lumbar level<\/p><\/li>\n A small volume of local anaesthetic is injected precisely onto the target nerve<\/p><\/li>\n Following the procedure, the patient is transferred to the recovery area and monitored for approximately 30 minutes before discharge<\/p><\/li>\n<\/ul>\n <\/p>\n <\/p>\n Travel:<\/b> Do not drive yourself home after the procedure. Arrange for a companion to drive you, or use public transport.<\/p><\/li>\n Bathing:<\/b> Showering is permitted. Do not submerge in a bath or swimming pool for 48 hours following the procedure.<\/p><\/li>\n Activity:<\/b> Avoid strenuous physical activity for the remainder of the day. Light activities can typically be resumed the following day.<\/p><\/li>\n<\/ul>\n <\/p>\n <\/p>\n <\/p>\n If the facet joints are the source of the pain, the local anaesthetic effect will produce noticeable pain relief lasting from a few hours up to 1\u20132 days. When the anaesthetic wears off and pain returns, this is a diagnostically positive result \u2014 it confirms the pain source and establishes a clear treatment path.\nIn this scenario, the physician will typically recommend Lumbar Medial Branch Radiofrequency Ablation<\/b> as the next step: a procedure that uses radiofrequency heat to deactivate the same nerve branches, delivering pain relief that lasts months rather than days.<\/p><\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n The following patients should discuss their individual circumstances with the physician before proceeding:<\/p><\/p>\n <\/p>\n Patients with a known allergy to local anaesthetic agents<\/p><\/li>\n Patients who are currently pregnant<\/p><\/li>\n Patients with a bleeding disorder or coagulopathy \u2014 including those taking anticoagulant or antiplatelet medications (blood thinners)<\/p><\/li>\n Patients with an active infection \u2014 either systemic or localised at or near the planned injection site<\/p><\/li>\n<\/ul>\n <\/p>\n <\/p>\n At Bangkok Interventional Clinic, we focus on personalised, in-depth pain management tailored to each individual.<\/p>\n Our goal is to meaningfully improve the quality of life of every patient we treat. If you are living with pain that affects your daily life, the right diagnosis and the right treatment plan are where change begins.<\/p>\n <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":" \u0e01\u0e32\u0e23\u0e09\u0e35\u0e14\u0e22\u0e32\u0e1a\u0e25\u0e47\u0e2d\u0e01\u0e40\u0e2a\u0e49\u0e19\u0e1b\u0e23\u0e30\u0e2a\u0e32\u0e17\u0e02\u0e49\u0e2d\u0e15\u0e48\u0e2d\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e2a\u0e31\u0e19\u0e2b\u0e25\u0e31\u0e07\u0e2a\u0e48\u0e27\u0e19\u0e40\u0e2d\u0e27 \u0e2d\u0e32\u0e01\u0e32\u0e23\u0e1b\u0e27\u0e14\u0e2b\u0e25\u0e31\u0e07\u0e2a\u0e48\u0e27\u0e19\u0e25\u0e48\u0e32\u0e07 (Low Back Pain) \u0e44\u0e21\u0e48\u0e40\u0e1e\u0e35\u0e22\u0e07\u0e41\u0e15\u0e48\u0e23\u0e1a\u0e01\u0e27\u0e19\u0e01\u0e32\u0e23\u0e43\u0e0a\u0e49\u0e0a\u0e35\u0e27\u0e34\u0e15\u0e1b\u0e23\u0e30\u0e08\u0e33\u0e27\u0e31\u0e19 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\u0e04\u0e37\u0e2d\u0e2b\u0e31\u0e15\u0e16\u0e01\u0e32\u0e23\u0e17\u0e35\u0e48\u0e41\u0e1e\u0e17\u0e22\u0e4c\u0e1c\u0e39\u0e49\u0e40\u0e0a\u0e35\u0e48\u0e22\u0e27\u0e0a\u0e32\u0e0d\u0e14\u0e49\u0e32\u0e19\u0e01\u0e32\u0e23\u0e23\u0e30\u0e07\u0e31\u0e1a\u0e1b\u0e27\u0e14\u0e17\u0e33\u0e01\u0e32\u0e23\u0e09\u0e35\u0e14\u0e22\u0e32\u0e0a\u0e32\u0e40\u0e02\u0e49\u0e32\u0e44\u0e1b\u0e17\u0e35\u0e48 \u201c\u0e40\u0e2a\u0e49\u0e19\u0e1b\u0e23\u0e30\u0e2a\u0e32\u0e17\u0e41\u0e02\u0e19\u0e07\u0e2a\u0e48\u0e27\u0e19\u0e01\u0e25\u0e32\u0e07 (Medial Branch Nerves)\u201d \u0e0b\u0e36\u0e48\u0e07\u0e40\u0e1b\u0e47\u0e19\u0e40\u0e2a\u0e49\u0e19\u0e1b\u0e23\u0e30\u0e2a\u0e32\u0e17\u0e17\u0e35\u0e48\u0e17\u0e33\u0e2b\u0e19\u0e49\u0e32\u0e17\u0e35\u0e48\u0e2a\u0e48\u0e07\u0e2a\u0e31\u0e0d\u0e0d\u0e32\u0e13\u0e04\u0e27\u0e32\u0e21\u0e23\u0e39\u0e49\u0e2a\u0e36\u0e01\u0e08\u0e32\u0e01 \u201c\u0e02\u0e49\u0e2d\u0e15\u0e48\u0e2d\u0e1f\u0e32\u0e40\u0e0b\u0e47\u0e17 (Facet Joints)\u201d 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“\u0e01\u0e32\u0e23\u0e08\u0e35\u0e49\u0e40\u0e2a\u0e49\u0e19\u0e1b\u0e23\u0e30\u0e2a\u0e32\u0e17\u0e14\u0e49\u0e27\u0e22\u0e04\u0e25\u0e37\u0e48\u0e19\u0e27\u0e34\u0e17\u0e22\u0e38” (Lumbar Medial Branch Radiofrequency Ablation) \u0e0b\u0e36\u0e48\u0e07\u0e40\u0e1b\u0e47\u0e19\u0e01\u0e32\u0e23\u0e43\u0e0a\u0e49\u0e04\u0e25\u0e37\u0e48\u0e19\u0e27\u0e34\u0e17\u0e22\u0e38\u0e17\u0e33\u0e25\u0e32\u0e22\u0e40\u0e2a\u0e49\u0e19\u0e1b\u0e23\u0e30\u0e2a\u0e32\u0e17\u0e17\u0e35\u0e48\u0e19\u0e33\u0e2a\u0e31\u0e0d\u0e0d\u0e32\u0e13\u0e04\u0e27\u0e32\u0e21\u0e1b\u0e27\u0e14 \u0e17\u0e33\u0e43\u0e2b\u0e49\u0e2d\u0e32\u0e01\u0e32\u0e23\u0e1b\u0e27\u0e14\u0e25\u0e14\u0e25\u0e07\u0e22\u0e32\u0e27\u0e19\u0e32\u0e19\u0e22\u0e34\u0e48\u0e07\u0e02\u0e36\u0e49\u0e19 \u0e2b\u0e32\u0e01\u0e1b\u0e27\u0e14\u0e25\u0e14\u0e25\u0e07\u0e2d\u0e22\u0e48\u0e32\u0e07\u0e15\u0e48\u0e2d\u0e40\u0e19\u0e37\u0e48\u0e2d\u0e07: \u0e41\u0e1e\u0e17\u0e22\u0e4c\u0e2d\u0e32\u0e08\u0e1e\u0e34\u0e08\u0e32\u0e23\u0e13\u0e32\u0e17\u0e33\u0e1a\u0e25\u0e47\u0e2d\u0e01\u0e40\u0e2a\u0e49\u0e19\u0e1b\u0e23\u0e30\u0e2a\u0e32\u0e17\u0e0b\u0e49\u0e33\u0e40\u0e1e\u0e37\u0e48\u0e2d\u0e1c\u0e25\u0e01\u0e32\u0e23\u0e23\u0e31\u0e01\u0e29\u0e32 […]<\/p>\n","protected":false},"author":3,"featured_media":3233,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[13,30],"tags":[],"class_list":["post-2441","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-all-symptoms","category-other-symptoms"],"acf":[],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\tWho Is This Procedure Suitable For?<\/strong><\/h3>\n
\n
The Procedure (Approximately 15\u201320 Minutes)
<\/b>\n This is a safe, minimally invasive outpatient procedure. General anaesthesia is not required and patients can go home the same day. <\/span><\/strong><\/h3>\n\n
Self-care After the Procedure<\/strong><\/h3>\n
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Expected Outcomes<\/strong><\/h3>\n
Important Precautions and Contraindications<\/strong><\/h3>\n
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Pain Management at Bangkok Interventional Clinic<\/strong><\/h3>\n
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Bangkok Interventional Clinic <\/b><\/span>\u2014 Pain and Nerve<\/b> <\/b>Specialist Clinic
<\/b><\/h3>\n