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"Staff was friendly and supportive"Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Professional, efficient, willingness to answers questions, great followup after procedure was done."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"He provided feedback on the procedure step by step to ensure I knew what was going to happen."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"The professionalism he and his team displays on each visit."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"They made me feel comfortable when I had my injection"Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"My appointments have always been professional, caring, and on time."Provider: Balaji (Bobby) S Charlu MD
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
Spinal Injections Epidural/Facet"Dr. Safman explained everything she was doing and really made me feel at ease."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"Very useful and effective way to stay in contact with medical team and to get questions answered."Provider: Balaji (Bobby) S Charlu MD
Pain Management"Dr. Ravski gave practical help and insight for pain and improvement. My experience with her was very positive."Provider: Emilia Ravski DO
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