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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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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 "Your daily concern with my condition is appreciated." Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "Until last series of injections was very, very happy with results. I clearly overdid after last series and had very poor results. Need more information or warnings. Also need more information or other possible applications or use areas." Provider: Balaji (Bobby) S Charlu 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 experience was above and beyond, even the fun banter during the actual procedure. I really appreciate the post procedure follows! Thanks to the entire team, well done" Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "Extremely nice, caring attitude" Provider: Balaji (Bobby) S Charlu 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 "Great communication with doctor and he listens to my issues. He has stopped my pain. He has a really good PA too!" Provider: Balaji (Bobby) S Charlu MD
  • Pain Management "Dr. Safman and her team sincerely care about helping you with your orthopedic needs. Dr. Safman's knowledge for care is more focused than anyone else I have had contact with over my years of orthopedic needs." Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "I like the whole team. I feel very comfortable with them." Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "Always professional!" Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "Dr. Charlu and his team are very good and compassionate with their patients." Provider: Balaji (Bobby) S Charlu MD
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