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"Dr Safman and her team were extremely attentive and professional. They made every attempt to see that I was comfortable and at ease with the procedure. I have the utmost confidence in Dr Safman and her associates. Plus, they have a great sense of humor w ..."Provider: Kimberly Safman 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
Spinal Injections Epidural/Facet"The professionalism he and his team displays on each visit."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
Spinal Injections Epidural/Facet"Amazing and very professional. Explained everything that was happening as well as made me feel comfortable."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"On time and very caring and professional."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"He explained my condition well and educating me further. Also he and his team were very caring."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"He seemed hopeful about the outcome"Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"They were friendly, efficient and caring. The whole practice is better than I've ever experienced"Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Your daily concern with my condition is appreciated."Provider: Balaji (Bobby) S Charlu MD
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