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"Everyone was friendly and showed concern for my problems. My questions were answered and my condition was monitored."Provider: Kimberly Safman MD
Pain Management"Her pleasant manner, making me feel at ease before and during visits and procedures and her skill during injections."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"Every one was polite and service timely and so was follow up."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"The exam was very caring, helpful and professional."Provider: Balaji (Bobby) S Charlu 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"The x-ray tech was very nice and of course Dr Safman was super."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"Every one I came in contact with at Dr Safman office was absolutely some of the best medical staff I ever encountered, can't say enough good things about them."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"He seemed hopeful about the outcome"Provider: Balaji (Bobby) S Charlu MD
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