This minimally invasive procedure involves an image-guided injection of numbing medicine that bathes the medial branch nerves, which attach to the facet joints of your spine. These nerves hurt when facet joints are injured or diseased. The injection helps find the source of your pain, and it may relieve your pain for a brief time. You may be asked to track your pain level as the medicine wears off. If the block was successful, your doctor can recommend a procedure to provide long-lasting relief.