Traumatic Facet arthropathy (spondylitis), can result in severe pain and poor range of motion. This trauma causes an inflammatory cascade which ultimately stimulates and irritates a C-fiber nerve called the medial branch nerve (MBN).The MBN causes pain and massive reactive spasm, and the treatment focuses on first blocking the MBN and then, if the block is successful, it proves that denervation will be effective in relieving the patient's pain.
Denervation allows posture to correct and gives the body a chance to heal without constant reinjury from spasm and asymmetric posture and limited range of motion.
Patients should expect the MBN to grow back within 1-5 years if the procedure is done properly, and denervation can be repeated in one year for severe forms of the disease without detriment.
In summary, denervation is a surgical procedure which offers significant long-term, but not always permanent relief.