By Chris Faubel, MD –
The importance of recognizing the lumbar facet joints as a common source of low back pain can not be emphasized enough.
Knowing the innervation of the lumbar facet joints is critical for performing two very common and related interventional pain procedures.
- Medial Branch Blocks
- Radiofrequency Ablation/Neurotomy (of the medial branches) – RFA
Being able to correctly and effectively perform these two procedures requires an excellent understanding of the course of the medial branch of the
dorsal primary ramus, along with the knowledge that each facet joint has dual innervation.

