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
Pain Management"As stated before, she is kind, supportive and professional."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"I felt like the entire team was very caring."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"They made me feel comfortable when I had my injection"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"My appointments have always been professional, caring, and on time."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"I think Dr. Safman is an excellent clinician. I totally trust her sticking long needles into me. She is good at explaining what she is doing and at asking how you are doing during the course of the treatment."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"He and team really listened."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Staff was friendly and supportive"Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Always professional!"Provider: Balaji (Bobby) S Charlu 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"I like Dr Charlu. He really cares about his patients and tries to make us comfortable at time of injections."Provider: Balaji (Bobby) S Charlu MD
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