Radiofrequency Ablation, also known as Facet Rhizotomy and Medial Branch
Neurotomy, utilizes a radiofrequency probe to electrochemically denervate
the medial branches, thus rendering the facet joints pain free. The medial
branches do in fact re-innervate over time to a mild degree, whereby the
RFA can be done again.
How does Radiofrequency Ablation Work?
First the medial branch is localized using sensory / motor stimulation
and imaging. Next, the targeted area is locally anesthetized for comfort.
Finally, the RFA device generates a radial sphere of "electrical
frequency" at 80 degrees for 90 seconds at the tip of the probe over
each Medial Branch Block. Applying the radiofrequency energy to the facet
joint nerve involves placing an insulated wire near the nerve tissue.
Advantages of Radiofrequency Ablation
RFA is a semi-permanent procedure for facet joint pain in the lower back.
No steroid is necessary for this procedure. It is useful for axial low
back pain and neck pain from degenerative spine conditions even after
surgery. Little risk to the patient if it is done properly by a board
certified physiatrist. It is important to note that this procedure is
not recommended for patients suffering from neuropathic radicular pain.
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Related Testimonials
Interventional Procedure"Dr. Safman is caring and communicates well. The discomfort from the spinal injection is very minor. She makes it an easy procedure."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"The description of the diagnostics were very well explain including the recommendations for the treatment."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"They answered every question and took a genuine interest and concern for me."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"Very useful and effective way to stay in contact with medical team and to get questions answered."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Her compassion and expertise. Her team is very caring and efficient."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"Dr and his team always listen and remember me and my various problems ...I don't feel like a stranger"Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"The entire process was flawless. The doctor was great along with all the nurses in the pre-op and after op care! That's why I have no qualms about having to do this again."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"They made me feel comfortable when I had my injection"Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Got back to me quickly with answers to my questions"Provider: Kimberly Safman MD
Pain Management"Dr. Safman provided a clear explanation of my back condition and provided valuable options on how to relieve my pain."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"Everyone was very friendly & encouraging"Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"The office seams to run so efficiently. I hardly waited at all. Everyone seems genuinely concerned for my comfort and about my recovery. Best doctor/doctor's office I have ever been to."Provider: Kimberly Safman MD
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