Endoscopic Medial Branch Nerve Transection for Chronic Back Pain Relief
Finally Treat the Real Cause of Back Pain from Facet Joint Arthritis
If you are living with chronic back pain, you know how much it can take from your life. Simple things like:
- Sitting too long
- Standing up
- Walking
- Sleeping
...can become painful.
If your pain is coming from facet joint arthritis, there is a minimally invasive solution designed to give longer-lasting relief.
What Causes Back Pain from Facet Joint Arthritis?
Facet joints are small joints in your spine that help you move. When they become worn down, they can cause:
- Localized back pain
- A dull, aching feeling
- Stiffness, especially after sitting
- Pain with inactivity
- Muscle spasms
- Weakness
- Pain that can travel into one or both legs (radiculopathy)
This type of pain is often misunderstood or undertreated.
How Facet Joint Arthritis Affects Your Life
Many patients tell us:
- "I can't sit without pain"
- "I feel stiff all the time"
- "The pain spreads into my legs"
- "I just want my life back"
Over time, your body can begin to hold onto pain, making it harder to treat without the right approach.
What Is the Medial Branch Nerve?
Easy Way to Understand It
The medial branch nerve is a small nerve in your back.
- It sends pain signals from the joint to your brain
- It does not control movement
- It does not affect strength
Think of it like a wire that carries pain messages.
What Is Endoscopic Medial Branch Nerve Transection (MBT)?
Endoscopic medial branch nerve transection (MBT) is a small, precise procedure that stops pain at its source.
Using advanced tools from Arthrex, the surgeon:
- Makes a tiny incision (less than 1 cm)
- Uses a camera to see the nerve clearly
- Carefully cuts the nerve to stop pain signals
How the Procedure Works
Step-by-Step
- You are put to sleep
- A small cannula tube (about 7 mm) is placed through a small incision at the spine specific site
- A camera shows the nerve clearly
- The nerve is safely cut
- A small bandage is placed
Takes: 20–30 minutes
Go home: Same day
Why This Is Better Than a Rhizotomy (RFA)
Radiofrequency ablation (RFA) burns the nerve, but:
- The nerve often grows back quickly
- Relief usually lasts 6–12 months
Why Patients Choose MBT
- Directly cuts the nerve under vision
- More precise treatment
- Longer-lasting relief (up to 5 years)
- Fewer repeat procedures
This means more time living your life with less pain.
Fast Recovery, Minimal Downtime
- Home the same day
- Back to activity in 2–3 days
- Very small incision
- Less tissue damage
Who Is This Procedure For?
You may be a candidate if:
- You have chronic back pain
- Pain is from facet joints
- Pain is localized or radiates to the legs
- You had relief from medial branch blocks, but it did not last
Why Choosing the Right Surgeon Matters
This is a precision, camera-guided procedure. The outcome depends on the surgeon’s skill.
Why Robert Myles Is the Right Choice
Dr. Myles is a highly trained orthopedic spine surgeon with deep experience in treating spine conditions.
Advanced Surgical Training That Matters
- Fellowship-trained in spine surgery
- Expert in minimally invasive techniques
- Extensive background in arthroscopic knee and shoulder surgery
Arthroscopy uses a camera and small tools—just like endoscopic spine surgery.
Precision Through Experience
Because of this training, Dr. Myles brings:
- Strong camera-guided surgical skills
- Excellent hand-eye coordination
- Deep understanding of joint-related pain
This allows for:
- More accurate nerve treatment
- Better protection of healthy tissue
- Improved patient outcomes
Focused on Getting You Back to Life
Dr. Myles focuses on:
- Treating the true source of pain
- Using the least invasive option possible
- Helping you return to the life you enjoy
Why Patients Are Choosing This Treatment
- Long-lasting relief
- Minimally invasive
- Quick recovery
- Treats pain at the source
You Don’t Have to Live With Back Pain
You’ve tried to push through the pain. You’ve waited, hoping it would get better. But when pain starts taking over your life… It may be time for a different solution.
Schedule Your Consultation Today
Find out if Endoscopic Medial Branch Nerve Transection is right for you.







