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"Her individualized personal and professional care really helps."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"Dr. Safman and her staff are highly professional in their manner yet are also personable and calming. Her high level of expertise is evident during each procedure she has performed on me."Provider: Kimberly Safman MD
Spinal Injections Epidural/Facet"Dr and his team always listen and remember me and my various problems ...I don't feel like a stranger"Provider: Balaji (Bobby) S Charlu MD
Pain Management"Super caring, very knowledgeable, handles you with care."Provider: Balaji (Bobby) S Charlu MD
Spinal Injections Epidural/Facet"Friendly and informative team and great results."Provider: Balaji (Bobby) S Charlu 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"The care team is great. They do keep an eye on you if you are having a problem."Provider: Kimberly Safman 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"Such a great staff and doctors"Provider: Balaji (Bobby) S Charlu 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
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