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hi iamp;#39;m dr david green ceo of preferred pain center here in metropolitan phoenix in scottsdale arizona the topic for today is medial branch blocks for facet arthritis the set arthritis is one of the most common problems causing back and neck pain in the united states facet arthritis can occur from generic just wear and tear over a cumulative period of time itamp;#39;s just like any other joint in the body which has cartilage which can start to degenerate and wear away and the end result can be pain to patients facet joints are on each side of the spine at every level so thereamp;#39;s a lot of them itamp;#39;s not just like you have arthritis in one hip say your right hip and youamp;#39;re dealing with that and that alone usually if you have arthritis in one facet joint you have it in probably two three or four so itamp;#39;s not such a simple problem as one joint of an issue so medial branches are the tiny little nerve endings that supply sensation to the facet joint the f
