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hi Im dr. David Green with preferred pain center com where we bring you anything and everything education for pain management today the topic is what to expect with a medial branch block well medial branch blocks are one of the most popular procedures in the world of pain management and what exactly is it well we all have little joints around the back of our spine the cassette points and those are thumbnail-sized on either side of the spine at every level and they can become arthritic and painful so if you have pain at one level oftentimes you have it at multiple so doing a surgery for that using multiple levels for arthritis pain in the spine is not a good idea and we dont have a facet replacement option like you do for knee or hip or ankle this just dont exist right now but one of the best options that we have for pain relief involves addressing those joints Anna medial branch block can be a very effective diagnostic procedure and a treatment option and heres what happens the joi