The response to capsular blocks should be more or less the same as medial branch blocks. There are no other treatments other than rhizotomy or fusion that can change the outcome of a degenerative facet.
Removing the spur off a degenerative joint only works on only one joint, the great toe. Removing the spur off a very degenerative facet does not resort the worn-out articular surface nor does this procedure restore the smooth joint surfaces that have eroded away.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.