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ALTERNATIVES The non-surgical alternatives to medial branch block may be - activity modification - weight loss - aerobic exercise, such as walking, cycling, and swimming - strength and flexibility exercises - physical therapy - hydrotherapy - heat and cold pads - acupuncture - pain-relieving medications such as acetaminophen or paracetamol, non-steroidal anti-inflammatory drugs, glucosamine, chondroitin The surgical alternatives to medial branch block may be - medial branch neurolysis - surgical fusion.
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