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"They took the time to explain what was going to happen. Also the follow up."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"He provided feedback on the procedure step by step to ensure I knew what was going to happen."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Very friendly and comforting during the procedure. Great experience in what could be a stressful environment."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"The epidurals went smoothly as I feel that I was well prepared for what was to take place. I appreciate the care that I was given."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"The care team is great. They do keep an eye on you if you are having a problem."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"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"Very positive experience, she even remembered me from several years ago."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"Everyone was very friendly & encouraging"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
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