Describe the pain pattern
We record where pain starts, what movements affect it, and how it changed after the collision. This gives the block a clear clinical question.
We provide focused care after an auto accident when facet-related neck or back pain needs closer review. Same-day evaluations are often available.
A medial branch block is a targeted injection used to assess whether nerves serving the facet joints contribute to spinal pain. We discuss this option when the injury evaluation supports a possible facet pain source, then explain its purpose and alternatives before treatment.
A targeted test can help connect spinal pain with facet joints.
The findings can guide discussion of later options, including radiofrequency ablation.
You receive a treatment plan tied to your injury evaluation and documented symptoms.
“The second diagnostic procedure may only be performed a minimum of 2 weeks after the initial diagnostic procedure.”
Source: cms.gov
“After the first diagnostic facet joint procedure, there must be a consistent positive response of at least 80% relief of primary (index) pain (with the duration of relief being consistent with the agent used)”
Source: cms.gov

Medial branch blocks help test whether small nerves near the spine carry pain from facet joints. These joints sit between spinal bones and can become painful after a collision. The service fits patients with a suspected facet pain source, but it doesn't answer every cause of neck or back pain. Disc injury, nerve root irritation, muscle strain, and other conditions need separate consideration. Our deeper focus is buyer fit. We review the pain pattern, accident history, prior care, and available records before discussing the procedure. That review helps you understand what the block can answer and what it cannot.
Medial branch blocks are targeted injections that test whether small spinal nerves carry pain from facet joints.
We record where pain starts, what movements affect it, and how it changed after the collision. This gives the block a clear clinical question.
We consider the accident history, exam findings, prior treatment, and available records to assess whether facet pain is a reasonable concern.
We explain the medial branch block, expected purpose, alternatives, and relevant risks before treatment.
After the procedure, we discuss what the response means and whether another treatment, such as radiofrequency ablation, deserves review.
Bring information that helps us connect your symptoms with the auto accident and choose the right next step.
We discuss alternatives before using a targeted block and choose minimally invasive care when clinically appropriate.
We explain how the nerve block fits the interventional plan and document the findings for later decisions.
Doctor is very knowledgeable about injections and spine . Tracy’s customer service was impeccable. She made me feel at ease . Overall great team !
The Premier injury specialists were very kind, professional and thorough in their process to give me treatment. I would certainly recommend anyone to seek their services for pain management.
Procedure went great loved how they talked me thru it and were upfront about how it will go.
Still dealing with focused pain after a collision? Contact Premier Injury Specialists to discuss an evaluation and the next step for medial branch blocks.

Back pain can continue after early care, even when the original crash seemed minor. The key question is whether facet joints, discs, or irritated nerves are driving the symptoms. Bring your prior notes and describe the movements that worsen pain. We can then assess whether a targeted block fits the injury picture in McDonough.
Neck pain after a collision may come from more than one structure. A medial branch block focuses on nerves linked to facet joints, so it isn't a general test for every neck injury. We review your symptoms, exam findings, and available records before discussing this option and its alternatives.
Fear of needles can make an injection feel difficult to consider, especially when pain has lasted after a crash. You deserve a plain explanation of the purpose, risks, and choices before deciding. Tell us about your concern during the consultation, and we'll discuss whether the procedure fits your needs.