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[Music] hi this dr. Hannah at Florida Spine Institute and over here today to perform a procedure called cervical middle bench block I will perform certainly the branch block for patients with cervical facet joint disease which is a major cause of cervical pain or neck pain usually those patients will have a good response to service the facet joint injections but unfortunately the relief does not last too long so then would perform a diagnostic self can either bench block we numb de nerve the supplied the facet joints and if patients get a good immediate relief at least 50 to 60 percent of immediate relief then pitch will be good candidate for another procedure called radiofrequency ablation or RFA which is basically burning the nerves that supply the facet joints and that usually lasts about 6 months to about a year of relief so today were going to start the procedure and vegetable kle is our needle under x-ray and patient is very slightly sedated and then we insert the needle until