Podcast Episode
Facet Mediated Pain for the PM&R Boards

About this episode
ποΈ AnesthesiaExam Podcast & Video Show Notes
Spine Pain, Facet Syndromes, and Interventional Concepts for the Anesthesia Boards
π₯ 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.
π§ Key Topics Covered
𦴠Facet-Mediated Spine Pain
Common cause of axial back and neck pain
Mechanical pain pattern:
Worse with extension
Improved with flexion
π¬ High-Yield Anatomy for Boards
Dual innervation of facet joints
L5βS1 facet β L5 dorsal ramus (classic exam question)
C2β3 facet β third occipital nerve
π 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
β‘ 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
π― 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
π Anesthesia Board Prep Resources
If you're preparing for the ABA Anesthesiology boards, start here:
π AnesthesiaExam Board Review Platform:
https://nrappain.org
π Full Question Bank + Lecture Series:
https://nrappain.org
π Pain + Anesthesia Integrated Learning:
https://painexam.com
π 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
π€ 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
π Connect & Learn More
π NRAP Academy: https://nrappain.org
π PainExam: https://painexam.com
π₯ YouTube: NRAP Academy
π Courses: Ultrasound + Regional Anesthesia
π’ Call to Action
If you're serious about passing your anesthesia boards and mastering pain + regional techniques:
β
Subscribe to the AnesthesiaExam Podcast
β
Join the NRAP Board Review Platform
β
Explore advanced training courses