PainExam Podcast

Facet Mediated Pain for the Pain Boards


Listen Later

πŸŽ™οΈ PainExam Podcast & Video Show Notes Facet-Mediated Pain, RFA, and Advanced Interventional Strategies πŸ”₯ Episode Overview

In this episode of the PainExam Podcast, David Rosenblum delivers a high-yield, board-focused deep dive into:

  • Lumbar, cervical, and thoracic facet-mediated pain
  • Medial branch blocks (MBB) and radiofrequency ablation (RFA)
  • Key Medicare / LCD criteria for performing procedures
  • Advanced therapies including multifidus stimulation and regenerative medicine (PRP)

This episode is essential for pain physicians preparing for the ABA, ABPM, ABIPP, and FIPP board exams β€” and for those looking to refine their interventional practice.

🧠 Key Topics Covered 🦴 Facet-Mediated Pain (Lumbar, Cervical, Thoracic)
  • Axial, non-radicular pain
  • Worse with extension and rotation
  • Cervical facet pain β†’ often post-whiplash
  • Thoracic facet pain β†’ underdiagnosed
πŸ”¬ High-Yield Anatomy & Innervation
  • Dual innervation of facet joints
  • L5–S1 facet β†’ L5 dorsal ramus (board favorite)
  • C2–3 facet β†’ third occipital nerve
πŸ’‰ Diagnosis & Medicare Criteria
  • Gold standard: Medial branch blocks (NOT imaging)
  • Medicare requires:
    • Chronic pain β‰₯ 3 months
    • Failed conservative therapy
    • Two diagnostic blocks with β‰₯80% relief
⚑ Interventional Treatment
  • Radiofrequency ablation (RFA)
    • 6–12 month relief
    • Repeatable
  • Proper needle placement and stimulation techniques
πŸš€ Advanced & Emerging Therapies
  • Multifidus stimulation
    • Restores spinal stability
    • Treats underlying dysfunction
  • PRP / Regenerative Medicine
    • Targets inflammation and tissue healing
    • Growing role in pain management
🎯 Board Prep Takeaways
  • Facet pain = axial + extension-based
  • Diagnosis = medial branch blocks
  • Know cervical vs lumbar differences
  • Medicare requires dual blocks before RFA
  • L5 dorsal ramus = high-yield exam concept
πŸŽ“ Pain Board Prep & CME Resources

If you're preparing for your boards or want to advance your clinical skills:

πŸ‘‰ Start your Pain Board Review: https://nrappain.org

πŸ‘‰ Access Question Banks, Lectures & Virtual Fellowship: https://nrappain.org

πŸ‘‰ PainExam Platform: https://painexam.com

πŸ† Why Pain Physicians Choose NRAP Academy
  • Comprehensive ABA / ABPM / ABIPP / FIPP board prep
  • High-yield lectures + MCQs
  • Ultrasound-guided procedure training
  • Regenerative medicine education
  • Virtual Pain Fellowship curriculum
🎀 Upcoming Live Training & Conferences

Join Dr. Rosenblum at upcoming events:

  • ASPN 2026 Annual Meeting β€” Ultrasound & regenerative medicine labs
  • PainWeek 2026 β€” Lectures on:
    • Image-guided interventions
    • Ultrasound integration
    • Regenerative pain therapies
    • AI in pain management
πŸ”— Connect & Learn More
  • 🌐 NRAP Academy: https://nrappain.org
  • πŸ“š PainExam Board Prep: https://painexam.com
  • πŸŽ₯ YouTube: NRAP Academy
  • πŸŽ“ Courses: Ultrasound & Regenerative Medicine Training
πŸ“’ Call to Action

If you're serious about passing your pain boards and mastering interventional pain:

βœ… Subscribe to the PainExam Podcast βœ… Join the Virtual Pain Fellowship βœ… Attend a live ultrasound or regenerative medicine course

...more
View all episodesView all episodes
Download on the App Store

PainExam PodcastBy David Rosenblum, MD

  • 4
  • 4
  • 4
  • 4
  • 4

4

29 ratings


More shows like PainExam Podcast

View all
Freakonomics Radio by Freakonomics Radio + Stitcher

Freakonomics Radio

32,246 Listeners

Fresh Air by NPR

Fresh Air

38,430 Listeners

Hidden Brain by Hidden Brain, Shankar Vedantam

Hidden Brain

43,687 Listeners

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast by Jed Wolpaw

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

1,468 Listeners

The Peter Attia Drive by Peter Attia, MD

The Peter Attia Drive

8,043 Listeners

Locked On LSU - Daily Podcast On LSU Tigers Football & Basketball by Locked On Podcast Network, Caroline Fenton

Locked On LSU - Daily Podcast On LSU Tigers Football & Basketball

433 Listeners

The Orthobullets Podcast by Orthobullets

The Orthobullets Podcast

320 Listeners

Anesthesia & Pain Management Success by Justin Harvey

Anesthesia & Pain Management Success

70 Listeners

The NASS Podcast by North American Spine Society

The NASS Podcast

13 Listeners

ASRA News by American Society of Regional Anesthesia and Pain Medicine

ASRA News

18 Listeners

Cautionary Tales with Tim Harford by Pushkin Industries

Cautionary Tales with Tim Harford

5,109 Listeners

Money Meets Medicine by Doctor Podcast Network, Jimmy Turner MD

Money Meets Medicine

227 Listeners

All-In with Chamath, Jason, Sacks & Friedberg by All-In Podcast, LLC

All-In with Chamath, Jason, Sacks & Friedberg

10,254 Listeners

Huberman Lab by Scicomm Media

Huberman Lab

29,272 Listeners

Pain Unfiltered by American Society of Pain & Neuroscience

Pain Unfiltered

23 Listeners