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"She communicated with me throughout the procedure."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"Very positive experience, she even remembered me from several years ago."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"Everyone was friendly and showed concern for my problems. My questions were answered and my condition was monitored."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"Her compassion and expertise. Her team is very caring and efficient."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"Staff was friendly and supportive"Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"They were friendly, efficient and caring. The whole practice is better than I've ever experienced"Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Her individualized personal and professional care really helps."Provider: Kimberly Safman MD
Pain Management"Dr. Safman provided a clear explanation of my back condition and provided valuable options on how to relieve my pain."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"Actual procedure was well handled"Provider: Balaji (Bobby) S Charlu MD
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