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Radiofrequency Ablation RFA

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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  • 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 "Professional, efficient, willingness to answers questions, great followup after procedure was done." Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "Your daily concern with my condition is appreciated." Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "Everything was positive! The assistant who showed me to my room and took my vitals was friendly and knowledgeable. Dr. Charlu and his assistant were professional and kind." Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "She listens to my needs and cares about my life. I would Highly recommend her to anyone else who needs pain management. She's Great" Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "I was able to get a quick appointment for my treatment. Very pleased!" Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "They were very pleasant and knowledgeable. Also great at explaining the details of options and treatment." Provider: Kimberly Safman MD
  • Pain Management "Super caring, very knowledgeable, handles you with care." Provider: Balaji (Bobby) S Charlu 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 "Every one was polite and service timely and so was follow up." Provider: Balaji (Bobby) S Charlu MD
  • Pain Management "Dr. Ravski gave practical help and insight for pain and improvement. My experience with her was very positive." Provider: Emilia Ravski DO
  • Spinal Injections Epidural/Facet "Obviously very knowledgable and fully explained the procedure." Provider: Kimberly Safman MD
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