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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 "Very personable and like how they find solutions other than surgery. Entire staffing team has been great!" Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "They make you feel comfortable during your procedure and are very compassionate." Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "Actual procedure was well handled" Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "I like the whole team. I feel very comfortable with them." Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "The x-ray tech was very nice and of course Dr Safman was super." Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "Got back to me quickly with answers to my questions" Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "Everyone was so nice. it helped calm my anxiety about the procedure. Also, once I arrived all went smoothly and no wait time." 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. Charlu, Darren & the office staff were competent and sensitive to my questions and my care." Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "Everyone was very kind and considerate very helpful" Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "Very positive experience, she even remembered me from several years ago." Provider: Kimberly Safman MD
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