\n\n<\/p>\n
If you are living with chronic neck pain or persistent shoulder aching that has not improved with conventional treatment, a Cervical Medial Branch Block<\/b> may be the procedure that helps identify the source of your pain \u2014 and opens the door to effective, longer-lasting relief.<\/p><\/p>\n
<\/p>\n
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Accurate pain classification is the essential first step before any treatment decision is made. Neck pain falls into two clinically distinct categories, each with a different underlying mechanism and a different treatment approach:<\/p><\/p>\n
\n\n<\/p>\n
Localised neck pain<\/b> \u2014 pain confined to the neck itself, with possible referral into the shoulder and shoulder blade. This pattern typically originates from dysfunction or degeneration of the cervical facet joints<\/b> \u2014 the small paired joints that connect the vertebrae of the neck. It does not travel down the arm.<\/p><\/li>\n Radicular neck pain<\/b> \u2014 pain, tingling, or numbness that radiates from the neck down the arm into the hand or fingers. This pattern suggests irritation or compression of a cervical nerve root rather than isolated facet joint pathology, and is generally better managed with a Cervical Epidural Steroid Injection (Cervical ESI)<\/b> rather than a medial branch block.\n\n<\/li>\n<\/ul>\n \n\n<\/p>\n \n\n<\/p>\n \n\n<\/p>\n Patients with cervical facet joint syndrome<\/b> \u2014 confirmed or suspected degeneration or inflammation of the small joints of the cervical spine<\/p><\/li>\n Patients with chronic localised neck and shoulder pain<\/b> \u2014 persistent pain in the neck and shoulder area without any radiation down the arm or into the fingers<\/p><\/li>\n Patients diagnosed with Office Syndrome<\/b> \u2014 chronic neck and shoulder pain arising from prolonged desk work and poor posture, who have undergone physiotherapy but continue to experience recurring pain that does not fully resolve<\/p>\n\n\n\n<\/li>\n<\/ul>\n \n\n\n\n<\/p>\n This is a safe, minimally invasive procedure. General anaesthesia is not required and the total procedure time is only 10\u201315 minutes.<\/p><\/p>\n \n\n\n\n<\/p>\n The patient lies on their side in a comfortable, relaxed position<\/p><\/li>\n The physician uses real-time ultrasound guidance or fluoroscopy (live X-ray)<\/b> to precisely locate the target medial branch nerve at the relevant cervical level <\/li>\n A small volume of local anaesthetic is injected onto the target nerve. Patients may feel mild pressure at the injection site, but the procedure is generally well tolerated with minimal discomfort<\/p>\n\n\n\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n \n\n<\/p>\n \n\n<\/p>\n \n\n<\/p>\n The primary purpose of the Cervical Medial Branch Block is diagnostic<\/b> \u2014 it confirms whether the cervical facet joints are the true source of the patient's pain, which then directly guides the treatment plan: <\/p>\n \n\n<\/p>\n \n\n<\/p>\n \n\n<\/p>\n Driving:<\/b> Do not drive on the day of the procedure. Mild dizziness is possible following the injection \u2014 arrange for someone to take you home.<\/p><\/li>\n Rest:<\/b> Avoid strenuous physical activity and heavy exertion for the remainder of the day.<\/p><\/li>\n Injection site:<\/b> Mild redness or soreness at the injection point is normal and typically resolves on its own within 1\u20132 days.<\/p>\n\n\n\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n \n\n<\/p>\n Posture correction<\/b> \u2014 adjust your sitting position at work, and be mindful of your neck posture when using a mobile phone; avoid prolonged forward head posture or looking down at a screen.<\/p><\/li>\n Targeted exercise<\/b> \u2014 regularly strengthen the neck, shoulder, and deep cervical stabiliser muscles; a physiotherapist can guide you on which exercises are most appropriate for your specific pattern of pain.<\/p><\/li>\n Movement breaks<\/b> \u2014 when working in a fixed position for extended periods, stand up and change position or stretch every 1\u20132 hours to reduce cumulative muscle tension and joint stress.<\/p><\/li>\n Ergonomic equipment<\/b> \u2014 choose a pillow that supports the natural curve of the neck and a chair that supports the natural lumbar curve; good ergonomic support over time meaningfully reduces stress on the cervical facet joints.<\/p>\n\n\n\n\n\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n \n\n<\/p>\n \n\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\u0e1a\u0e25\u0e47\u0e2d\u0e01\u0e40\u0e2a\u0e49\u0e19\u0e1b\u0e23\u0e30\u0e2a\u0e32\u0e17\u0e40\u0e25\u0e35\u0e49\u0e22\u0e07\u0e02\u0e49\u0e2d\u0e15\u0e48\u0e2d\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e2a\u0e31\u0e19\u0e2b\u0e25\u0e31\u0e07\u0e2a\u0e48\u0e27\u0e19\u0e04\u0e2d \u0e2b\u0e32\u0e01\u0e04\u0e38\u0e13\u0e01\u0e33\u0e25\u0e31\u0e07\u0e40\u0e1c\u0e0a\u0e34\u0e0d\u0e01\u0e31\u0e1a\u0e2d\u0e32\u0e01\u0e32\u0e23\u0e1b\u0e27\u0e14\u0e04\u0e2d\u0e40\u0e23\u0e37\u0e49\u0e2d\u0e23\u0e31\u0e07 \u0e2b\u0e23\u0e37\u0e2d\u0e21\u0e35\u0e2d\u0e32\u0e01\u0e32\u0e23\u0e1b\u0e27\u0e14\u0e23\u0e49\u0e32\u0e27\u0e1a\u0e23\u0e34\u0e40\u0e27\u0e13\u0e1a\u0e48\u0e32\u0e17\u0e35\u0e48\u0e23\u0e31\u0e01\u0e29\u0e32\u0e14\u0e49\u0e27\u0e22\u0e27\u0e34\u0e18\u0e35\u0e17\u0e31\u0e48\u0e27\u0e44\u0e1b\u0e41\u0e25\u0e49\u0e27\u0e22\u0e31\u0e07\u0e44\u0e21\u0e48\u0e14\u0e35\u0e02\u0e36\u0e49\u0e19 \u0e01\u0e32\u0e23\u0e1a\u0e25\u0e47\u0e2d\u0e01\u0e40\u0e2a\u0e49\u0e19\u0e1b\u0e23\u0e30\u0e2a\u0e32\u0e17\u0e40\u0e25\u0e35\u0e49\u0e22\u0e07\u0e02\u0e49\u0e2d\u0e15\u0e48\u0e2d\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e2a\u0e31\u0e19\u0e2b\u0e25\u0e31\u0e07\u0e2a\u0e48\u0e27\u0e19\u0e04\u0e2d (Cervical Medial Branch Block) \u0e2d\u0e32\u0e08\u0e40\u0e1b\u0e47\u0e19\u0e41\u0e19\u0e27\u0e17\u0e32\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e01\u0e29\u0e32\u0e17\u0e35\u0e48\u0e0a\u0e48\u0e27\u0e22\u0e43\u0e2b\u0e49\u0e04\u0e38\u0e13\u0e1e\u0e1a\u0e04\u0e33\u0e15\u0e2d\u0e1a\u0e02\u0e2d\u0e07\u0e1b\u0e31\u0e0d\u0e2b\u0e32\u0e14\u0e31\u0e07\u0e01\u0e25\u0e48\u0e32\u0e27 \u0e1b\u0e23\u0e30\u0e40\u0e20\u0e17\u0e02\u0e2d\u0e07\u0e2d\u0e32\u0e01\u0e32\u0e23\u0e1b\u0e27\u0e14\u0e04\u0e2d \u0e01\u0e48\u0e2d\u0e19\u0e40\u0e02\u0e49\u0e32\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e23\u0e31\u0e01\u0e29\u0e32 \u0e2a\u0e34\u0e48\u0e07\u0e2a\u0e33\u0e04\u0e31\u0e0d\u0e04\u0e37\u0e2d\u0e01\u0e32\u0e23\u0e08\u0e33\u0e41\u0e19\u0e01\u0e1b\u0e23\u0e30\u0e40\u0e20\u0e17\u0e02\u0e2d\u0e07\u0e2d\u0e32\u0e01\u0e32\u0e23\u0e1b\u0e27\u0e14 \u0e40\u0e1e\u0e37\u0e48\u0e2d\u0e01\u0e32\u0e23\u0e23\u0e31\u0e01\u0e29\u0e32\u0e17\u0e35\u0e48\u0e15\u0e23\u0e07\u0e08\u0e38\u0e14 \u0e42\u0e14\u0e22\u0e41\u0e1a\u0e48\u0e07\u0e2d\u0e2d\u0e01\u0e40\u0e1b\u0e47\u0e19 2 \u0e1b\u0e23\u0e30\u0e40\u0e20\u0e17\u0e2b\u0e25\u0e31\u0e01 \u0e14\u0e31\u0e07\u0e19\u0e35\u0e49: \u0e2d\u0e32\u0e01\u0e32\u0e23\u0e1b\u0e27\u0e14\u0e04\u0e2d\u0e40\u0e09\u0e1e\u0e32\u0e30\u0e17\u0e35\u0e48: \u0e04\u0e37\u0e2d\u0e2d\u0e32\u0e01\u0e32\u0e23\u0e1b\u0e27\u0e14\u0e17\u0e35\u0e48\u0e40\u0e01\u0e34\u0e14\u0e02\u0e36\u0e49\u0e19\u0e40\u0e09\u0e1e\u0e32\u0e30\u0e1a\u0e23\u0e34\u0e40\u0e27\u0e13\u0e25\u0e33\u0e04\u0e2d \u0e2b\u0e23\u0e37\u0e2d\u0e2d\u0e32\u0e08\u0e21\u0e35\u0e2d\u0e32\u0e01\u0e32\u0e23\u0e1b\u0e27\u0e14\u0e23\u0e49\u0e32\u0e27\u0e44\u0e1b\u0e17\u0e35\u0e48\u0e1a\u0e48\u0e32\u0e41\u0e25\u0e30\u0e2a\u0e30\u0e1a\u0e31\u0e01\u0e23\u0e48\u0e27\u0e21\u0e14\u0e49\u0e27\u0e22 \u0e2a\u0e32\u0e40\u0e2b\u0e15\u0e38\u0e21\u0e31\u0e01\u0e40\u0e01\u0e34\u0e14\u0e08\u0e32\u0e01\u0e04\u0e27\u0e32\u0e21\u0e1c\u0e34\u0e14\u0e1b\u0e01\u0e15\u0e34\u0e02\u0e2d\u0e07\u0e02\u0e49\u0e2d\u0e15\u0e48\u0e2d\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e0a\u0e34\u0e49\u0e19\u0e40\u0e25\u0e47\u0e01\u0e43\u0e19\u0e04\u0e2d (Facet Joints) \u0e2d\u0e32\u0e01\u0e32\u0e23\u0e1b\u0e27\u0e14\u0e04\u0e2d\u0e23\u0e49\u0e32\u0e27\u0e25\u0e07\u0e41\u0e02\u0e19: \u0e40\u0e01\u0e34\u0e14\u0e08\u0e32\u0e01\u0e01\u0e32\u0e23\u0e23\u0e30\u0e04\u0e32\u0e22\u0e40\u0e04\u0e37\u0e2d\u0e07\u0e2b\u0e23\u0e37\u0e2d\u0e01\u0e32\u0e23\u0e01\u0e14\u0e17\u0e31\u0e1a\u0e40\u0e2a\u0e49\u0e19\u0e1b\u0e23\u0e30\u0e2a\u0e32\u0e17\u0e1a\u0e23\u0e34\u0e40\u0e27\u0e13\u0e04\u0e2d \u0e0b\u0e36\u0e48\u0e07\u0e21\u0e31\u0e01\u0e23\u0e31\u0e01\u0e29\u0e32\u0e14\u0e49\u0e27\u0e22\u0e01\u0e32\u0e23\u0e09\u0e35\u0e14\u0e22\u0e32\u0e2a\u0e40\u0e15\u0e35\u0e22\u0e23\u0e2d\u0e22\u0e14\u0e4c\u0e40\u0e02\u0e49\u0e32\u0e0a\u0e48\u0e2d\u0e07\u0e40\u0e2b\u0e19\u0e37\u0e2d\u0e42\u0e1e\u0e23\u0e07\u0e1b\u0e23\u0e30\u0e2a\u0e32\u0e17\u0e2a\u0e48\u0e27\u0e19\u0e04\u0e2d (Cervical ESI) \u00a0 \u0e1c\u0e39\u0e49\u0e17\u0e35\u0e48\u0e40\u0e2b\u0e21\u0e32\u0e30\u0e2a\u0e21\u0e01\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e23\u0e31\u0e01\u0e29\u0e32\u0e14\u0e49\u0e27\u0e22\u0e27\u0e34\u0e18\u0e35\u0e19\u0e35\u0e49 \u0e1c\u0e39\u0e49\u0e1b\u0e48\u0e27\u0e22\u0e17\u0e35\u0e48\u0e21\u0e35\u0e20\u0e32\u0e27\u0e30 \u0e02\u0e49\u0e2d\u0e15\u0e48\u0e2d\u0e01\u0e23\u0e30\u0e14\u0e39\u0e01\u0e15\u0e49\u0e19\u0e04\u0e2d\u0e40\u0e2a\u0e37\u0e48\u0e2d\u0e21 (Facet Joint Syndrome) \u0e1c\u0e39\u0e49\u0e17\u0e35\u0e48\u0e21\u0e35\u0e2d\u0e32\u0e01\u0e32\u0e23\u0e1b\u0e27\u0e14\u0e04\u0e2d\u0e40\u0e23\u0e37\u0e49\u0e2d\u0e23\u0e31\u0e07\u0e41\u0e1a\u0e1a\u0e40\u0e09\u0e1e\u0e32\u0e30\u0e17\u0e35\u0e48 (\u0e1b\u0e27\u0e14\u0e04\u0e2d\u0e41\u0e25\u0e30\u0e1a\u0e48\u0e32) \u0e42\u0e14\u0e22\u0e44\u0e21\u0e48\u0e21\u0e35\u0e2d\u0e32\u0e01\u0e32\u0e23\u0e1b\u0e27\u0e14\u0e23\u0e49\u0e32\u0e27\u0e25\u0e07\u0e41\u0e02\u0e19\u0e2b\u0e23\u0e37\u0e2d\u0e1b\u0e25\u0e32\u0e22\u0e19\u0e34\u0e49\u0e27 \u0e1c\u0e39\u0e49\u0e1b\u0e48\u0e27\u0e22\u0e17\u0e35\u0e48\u0e44\u0e14\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e27\u0e34\u0e19\u0e34\u0e08\u0e09\u0e31\u0e22\u0e27\u0e48\u0e32\u0e40\u0e1b\u0e47\u0e19 \u0e2d\u0e2d\u0e1f\u0e1f\u0e34\u0e28\u0e0b\u0e34\u0e19\u0e42\u0e14\u0e23\u0e21 (Office Syndrome) \u0e0b\u0e36\u0e48\u0e07\u0e1c\u0e48\u0e32\u0e19\u0e01\u0e32\u0e23\u0e17\u0e33\u0e01\u0e32\u0e22\u0e20\u0e32\u0e1e\u0e1a\u0e33\u0e1a\u0e31\u0e14\u0e41\u0e25\u0e49\u0e27\u0e41\u0e15\u0e48\u0e2d\u0e32\u0e01\u0e32\u0e23\u0e1b\u0e27\u0e14\u0e21\u0e31\u0e01\u0e01\u0e25\u0e31\u0e1a\u0e21\u0e32\u0e40\u0e1b\u0e47\u0e19\u0e0b\u0e49\u0e33 \u00a0 \u0e02\u0e31\u0e49\u0e19\u0e15\u0e2d\u0e19\u0e41\u0e25\u0e30\u0e23\u0e30\u0e22\u0e30\u0e40\u0e27\u0e25\u0e32\u0e43\u0e19\u0e01\u0e32\u0e23\u0e23\u0e31\u0e01\u0e29\u0e32 \u0e2b\u0e31\u0e15\u0e16\u0e01\u0e32\u0e23\u0e19\u0e35\u0e49\u0e21\u0e35\u0e04\u0e27\u0e32\u0e21\u0e1b\u0e25\u0e2d\u0e14\u0e20\u0e31\u0e22\u0e2a\u0e39\u0e07 \u0e43\u0e0a\u0e49\u0e40\u0e27\u0e25\u0e32\u0e40\u0e1e\u0e35\u0e22\u0e07 10-15 \u0e19\u0e32\u0e17\u0e35 \u0e41\u0e25\u0e30\u0e1c\u0e39\u0e49\u0e1b\u0e48\u0e27\u0e22\u0e44\u0e21\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e14\u0e21\u0e22\u0e32\u0e2a\u0e25\u0e1a \u0e42\u0e14\u0e22\u0e21\u0e35\u0e02\u0e31\u0e49\u0e19\u0e15\u0e2d\u0e19\u0e14\u0e31\u0e07\u0e19\u0e35\u0e49: \u0e1c\u0e39\u0e49\u0e1b\u0e48\u0e27\u0e22\u0e19\u0e2d\u0e19\u0e43\u0e19\u0e17\u0e48\u0e32\u0e15\u0e30\u0e41\u0e04\u0e07\u0e40\u0e1e\u0e37\u0e48\u0e2d\u0e40\u0e15\u0e23\u0e35\u0e22\u0e21\u0e04\u0e27\u0e32\u0e21\u0e1e\u0e23\u0e49\u0e2d\u0e21 \u0e41\u0e1e\u0e17\u0e22\u0e4c\u0e08\u0e30\u0e43\u0e0a\u0e49\u0e40\u0e04\u0e23\u0e37\u0e48\u0e2d\u0e07 \u0e2d\u0e31\u0e25\u0e15\u0e23\u0e32\u0e0b\u0e32\u0e27\u0e14\u0e4c […]<\/p>\n","protected":false},"author":3,"featured_media":3225,"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-2443","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
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The Procedure (Approximately 15\u201320 Minutes)<\/strong><\/h3>\n
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Expected Outcomes<\/strong><\/h3>\n
\nIf pain is immediately and significantly reduced following the injection:<\/b> This confirms that the cervical facet joints are the pain source. The physician will typically recommend proceeding to Cervical Medial Branch Radiofrequency Ablation (Cervical RFA)<\/b> \u2014 a procedure that uses radiofrequency energy to deactivate the same nerve branches and deliver pain relief lasting months rather than hours.
\nIf pain relief is partial or the block is used therapeutically:<\/b> The physician may recommend repeating the block as part of an ongoing treatment plan, or explore alternative approaches based on the patient's response.
\nThe information obtained from this single procedure allows the physician to make a confident, evidence-based decision about the most appropriate long-term treatment pathway for each individual patient.<\/p><\/p>\nPost-Procedure Care<\/strong><\/h3>\n
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Long-Term Prevention of Neck Pain<\/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