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"They seemed to be right on top of everything"Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Her compassion and expertise. Her team is very caring and efficient."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"Until last series of injections was very, very happy with results. I clearly overdid after last series and had very poor results. Need more information or warnings. Also need more information or other possible applications or use areas."Provider: Balaji (Bobby) S Charlu 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"Everyone was attentive professional and pleasant. A great smooth and stress free experience."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"Staff was friendly and supportive"Provider: Balaji (Bobby) S Charlu 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"The exam was very caring, helpful and professional."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Setting of expectations: that the injection might or might not work, and that another may be needed. The follow-up care has also been very helpful and is appreciated."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"On time and very caring and professional."Provider: Kimberly Safman MD
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