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Facet Mediated Pain for the PM&R Boards

The PMRExam Podcast

Release Date: 04/16/2026

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More Episodes

πŸŽ™οΈ AnesthesiaExam Podcast & Video Show Notes

Spine Pain, Facet Syndromes, and Interventional Concepts for the Anesthesia Boards


πŸ”₯ Episode Overview

In this episode of the AnesthesiaExam Podcast, David Rosenblum delivers a high-yield, board-focused review of spine pain concepts every anesthesiologist must know:

  • Lumbar, cervical, and thoracic facet-mediated pain
  • Key anatomy and spinal innervation patterns
  • Medial branch blocks and radiofrequency ablation (RFA)
  • Important clinical correlations for anesthesia and pain boards

This episode bridges the gap between anesthesiology board knowledge and real-world interventional pain practice.


🧠 Key Topics Covered

🦴 Facet-Mediated Spine Pain

  • Common cause of axial back and neck pain
  • Mechanical pain pattern:
    • Worse with extension
    • Improved with flexion

πŸ”¬ High-Yield Anatomy for Boards

  • Dual innervation of facet joints
  • L5–S1 facet β†’ L5 dorsal ramus (classic exam question)
  • C2–3 facet β†’ third occipital nerve

πŸ’‰ Diagnostic & Interventional Concepts

  • Diagnosis via medial branch blocks (MBB)
  • RFA for longer-term pain relief
  • Understanding procedural anatomy is key for:
    • Regional anesthesia
    • Pain procedures
    • Board exams

⚑ Why This Matters for Anesthesia Boards

Even if you don’t perform interventional pain procedures, these concepts are critical for:

  • Spine anatomy questions
  • Regional anesthesia understanding
  • Pain management scenarios
  • Oral boards and OSCE-style cases

🎯 Board Prep Takeaways

  • Facet pain = axial, mechanical
  • Dual innervation = high-yield test concept
  • L5 dorsal ramus = commonly tested
  • Understand difference between:
    • Radicular vs axial pain
    • Facet vs discogenic pain

πŸŽ“ Anesthesia Board Prep Resources

If you're preparing for the ABA Anesthesiology boards, start here:

πŸ‘‰ AnesthesiaExam Board Review Platform:
https://nrappain.org

πŸ‘‰ Full Question Bank + Lecture Series:
https://nrappain.org

πŸ‘‰ Pain + Anesthesia Integrated Learning:
https://painexam.com


πŸ† Why Anesthesiologists Choose NRAP Academy

  • Comprehensive ABA anesthesiology board prep
  • Integrated pain + anesthesia curriculum
  • High-yield MCQs and rapid review lectures
  • Ultrasound and regional anesthesia content
  • Real-world clinical correlations

🎀 Live Courses & Advanced Training

Enhance your skills beyond the boards:

  • Ultrasound-guided regional anesthesia courses
  • Pain + regenerative medicine workshops
  • Hands-on training for real clinical application

πŸ”— Connect & Learn More


πŸ“’ Call to Action

If you’re serious about passing your anesthesia boards and mastering pain + regional techniques:

βœ… Subscribe to the AnesthesiaExam Podcast
βœ… Join the NRAP Board Review Platform
βœ… Explore advanced training courses