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
Pain Management"Lindsay always shows a lot of insight when reviewing my needs. She's courteous, professional and still has the personal touch. She feels like a friend as well as a physician assistant."Provider: Lindsay Charlu Baumhefner PA-C
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
Spinal Injections Epidural/Facet"He was very nice & personable. The pain I was having is gone...."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Very efficient in providing the L4-L5 lumbar epidural. It has definitely helped."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"The description of the diagnostics were very well explain including the recommendations for the treatment."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Very professional and empathetic; also, very responsive"Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"Dr. Charlu, Darren & the office staff were competent and sensitive to my questions and my care."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Every one was polite and service timely and so was follow up."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Got back to me quickly with answers to my questions"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"Obviously very knowledgable and fully explained the procedure."Provider: Kimberly Safman MD
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