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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Stories about our Radiofrequency Ablation RFA Services

- Pain Management
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
Spinal Injections Epidural/Facet
“Just explaining what he was doing during the procedure made it very easy.”

Provider: Balaji S Charlu MD
- Pain Management
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 S Charlu MD
- Pain Management
Spinal Injections Epidural/Facet
“Very positive experience, she even remembered me from several years ago.”

Provider: Kimberly Safman MD
- Pain Management
Spinal Injections Epidural/Facet
“Dr Safman and team care about you. I do not feel like I am just a number to them. I have a lot of Faith in them and love them for caring.”

Provider: Kimberly Safman MD
- Spine
Spinal Injections Epidural/Facet
“Very useful and effective way to stay in contact with medical team and to get questions answered.”

Provider: Balaji S Charlu MD