Medial Branch Nerve Block (or Medial Branch Block)

The Center for Pain Management uses medial branch nerve blocks (or medial branch blocks) as a pain management treatment option to relieve chronic back pain.

Medial branch nerves are small nerves that feed out from the facet joints in the spine and carry pain signals from those joints. (Think of “media” and its delivery of information.) Facet joint injections are often used simply to identify a pain source.

How it works: A medial branch nerve block temporarily interrupts the pain signal being carried by the medial branch nerves that supply a specific facet joint. If the patient has the appropriate duration of pain relief after the medial branch nerve block, then he or she may be a candidate for radiofrequency neurotomy. A radiofrequency neurotomy (a.k.a. rhizotomy) is an injection procedure in which a heat lesion is created on certain nerves with the goal of interrupting the pain signals to the brain. Rhizotomy can in some cases provide pain relief lasting nine to fourteen months and sometimes much longer.

Updates + Announcements

Christmas Schedule: All Offices Will CLOSE Early Monday, Dec. 24 & All Day Tuesday, Dec. 25

All of the Center for Pain Management’s locations will CLOSE EARLY Monday, December 24 and CLOSE ALL DAY Tuesday, December 25 in observance of Christmas. This includes our Indianapolis, Greenwood and Lafayette, Indiana medical offices and surgery centers. Please keep…
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Dr. Edward Kowlowitz Named One of America’s Top Doctors in Pain Medicine

Castle Connolly Medical Ltd. named Edward Kowlowitz, MD one of America’s Top Doctors in Pain Medicine. Dr. Kowlowitz is 1 of 7 physicians in Indiana to earn this distinguished designation. He has been practicing medicine since 1988 and founded Center…
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September is Pain Awareness Month

Center for Pain Management joins the global health care community in recognizing September as Pain Awareness Month.  This international campaign was first established in 2001 to create greater understanding that pain is a serious public health issue. Pain Awareness Month…
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CBS Affiliate WLFI-18 in Lafayette Indiana Interviews Dr. Edward Kowlowitz About Prescribing Pain Medications

Reporter Kayla Sullivan with WLFI-18 TV (CBS affiliate), interviewed Lafayette pain management doctor, Dr. Edward Kowlowitz, MD at the Center for Pain Management. The news channel has been investigating why major pharmacies are denying prescriptions for pain medications. Dr. Kowlowitz…
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Meet Dr. David Miller, MD in Our Lafayette, Indiana Pain Center

Dr. David C. Miller is a Board Certified interventional pain management physician with more than 25 years of experience. He specializes in the evaluation and treatment of complex pain problems utilizing advanced interventional therapies, injections, implantable technologies, regenerative medicine, palliative…
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