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"I like the whole team. I feel very comfortable with them."Provider: Kimberly Safman MD
Pain Management"As stated before, she is kind, supportive and professional."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
Spinal Injections Epidural/Facet"They were very pleasant and knowledgeable. Also great at explaining the details of options and treatment."Provider: Kimberly Safman 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"Everyone was very kind and considerate very helpful"Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"I felt that everyone was very competent and professional and that I was in good hands."Provider: Kimberly Safman MD
Pain Management"Her pleasant manner, making me feel at ease before and during visits and procedures and her skill during injections."Provider: Kimberly Safman 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
Spinal Injections Epidural/Facet"Amazing and very professional. Explained everything that was happening as well as made me feel comfortable."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"She listens to my needs and cares about my life. I would Highly recommend her to anyone else who needs pain management. She's Great"Provider: Balaji (Bobby) S Charlu MD
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