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"He explained my condition well and educating me further. Also he and his team were very caring."Provider: Balaji (Bobby) S Charlu MD
Pain Management"I can talk easily with both Dr. Safman and Naomi. They seem very caring."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"Everything was positive! The assistant who showed me to my room and took my vitals was friendly and knowledgeable. Dr. Charlu and his assistant were professional and kind."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Great communication with doctor and he listens to my issues. He has stopped my pain. He has a really good PA too!"Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Obviously very knowledgable and fully explained the procedure."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"The exam was very caring, helpful and professional."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Actual procedure was well handled"Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Such a great staff and doctors"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
Spinal Injections Epidural/Facet"Her individualized personal and professional care really helps."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"Dr. Safman explained everything she was doing and really made me feel at ease."Provider: Kimberly Safman MD
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