03/30/2026
Are you under 40 with back pain?
Chances are if you've tried and failed physical therapy, maybe had an epidural that didn't work, your Pain Management Doctor is now recommending a Medial Branch block in preparation for a Radiofrequency Ablation.
Stop and listen!
Burning those nerves will paralyze the Multifidus, the small muscle supporting each segment. Without this muscle it is likely you will further the instability that is already underway.
Instead, consider stimulating this nerve for equivalent, or better, pain relief. Add some PT back in once the pain is tolerable and you are now set up for long term success!