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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 "Got back to me quickly with answers to my questions" Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "She communicated with me throughout the procedure." Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "Always professional!" Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "Dr Safman and her team were extremely attentive and professional. They made every attempt to see that I was comfortable and at ease with the procedure. I have the utmost confidence in Dr Safman and her associates. Plus, they have a great sense of humor w ..." Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "The entire experience was above and beyond, even the fun banter during the actual procedure. I really appreciate the post procedure follows! Thanks to the entire team, well done" 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 "His knowledge, patience and he really seemed like he wanted to help me with my pain :)" Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "It's clear to me that Dr. Charlu is extremely good at what he does, and truly cares for me. The team is always upbeat, kind, anxious, and able to help me." 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 "Dr. Charlu and his team was very nice and considerate. Dr Charlu did a good job and I feel better." 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
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