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 attentive professional and pleasant. A great smooth and stress free experience."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"Always professional!"Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Very efficient in providing the L4-L5 lumbar epidural. It has definitely helped."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"The professionalism he and his team displays on each visit."Provider: Balaji (Bobby) S Charlu 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 seemed to be right on top of everything"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"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"They were professional and friendly."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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