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hello this is Dr David Green CEO of the Arizona Pain Network where we bring you anything and everything educational for pain management today the topic is an overview of medial branch blocks well first letamp;#39;s talk about back and neck pain and how rampant it is it affects 90% of Americans at some point in life so nine out of 10 itamp;#39;s the second most common reason that people see a doctor behind the common cold is for back pain back pain a leading cause of disability in those under the age of 45 up to 40% of those who undergo back surgery are unsuccessful so theyamp;#39;re left with failback surgery syndrome and the cost of back and neck pain in the US exceeds a hundred billion dollar a year when you look at the spine um at every level there are two joints called the facet joints and Iamp;#39;ll Point those out with my cursor here and here these are the bumps on the back called the spinus processes and every side thereamp;#39;s a thumbnail side joint size joint called th