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"I was able to get a quick appointment for my treatment. Very pleased!"Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Everyone is very nice"Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Very professional, created a peaceful environment and my pain treatment was effective."Provider: Balaji (Bobby) S Charlu MD
Pain Management"Lindsey listened to what I told her and helped me with my problems."Provider: Lindsay Charlu Baumhefner PA-C
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
Spinal Injections Epidural/Facet"Just explaining what he was doing during the procedure made it very easy."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"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"The entire process was flawless. The doctor was great along with all the nurses in the pre-op and after op care! That's why I have no qualms about having to do this again."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"He was very nice & personable. The pain I was having is gone...."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Positivity. They want you to get better and suggest things that need to be done."Provider: Kimberly Safman MD
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