First it is important to understand what radio frequency ablation is. Radio frequency ablation is an interventional technique used to essentially “burn nerves.” We do not ablate large nerves. We are talking about burning very small nerves that carry pain signals to and from the brain. This is a very safe and effective way to eliminate pain. During Radio frequency ablation we use very small specialized needles and place then adjacent to the painful nerve using X-ray guidance, in much the same way the diagnostic medial branch block is performed. Once placed, the needle tips are heated and this thermal energy ablates the surrounding area, essentially disrupting the pain pathway. RFA is a minimally invasive procedure that requires only the use of small needles for treatment.

https://www.spine-health.com/video/lumbar-radiofrequency-neurotomy-video

We usually complete radio frequency ablation if you experienced short term relief with Medial branch blocks and you are looking for longer lasting relief of your arthritic pain.

To watch a video about Cervical or Thoracic epidural steroid injections, please click below:
http://www.spine-health.com/video/lumbar-radiofrequency-neurotomy-video

Once the diagnosis is made and the painful facet joints are identified, radio-frequency/ablation is performed. Radiofrequency is a relatively safe procedure that provides twelve to eighteen months of pain relief. Heat disrupts the myelin sheath of the nerve, and thus its ability to conduct painful signals. This myelin sheath regenerates, but it typically takes at least a year for this process to occur. A specialized needle is placed in a similar fashion to the medial branch blocks, and the area is tested for sensory and motor. Testing ensures that the needle is far away from the large motor nerves of the spine that are responsible for strength and ambulation. Once testing is completed, the area is anesthetized and the needle tips are heated to 60 – 80 degrees Celsius for 60 – 90 seconds, depending on the level being treated.

Side effects of Medial Branch Blocks and Radiofrequency are uncommon and your provider will discuss them with you. You will be asked to sign a written consent prior to the procedure, as well as a brief medical history questionnaire. You will also be asked to refrain from taking any NSAIDs or other blood-thinning medications within three days of the procedure, to prevent increased bruising.

Medial Branch Blocks and Radiofrequency, as with most other procedures, are performed in our fluoroscopy suite. X-ray, or fluoroscopy, is used for nearly all injections to ensure safety and accuracy. Intravenous sedation is offered. If you receive any anesthesia, you will not be able to drive following your procedure, so please make arrangements for transportation.

You may resume normal activities the day after the procedure, unless otherwise directed by your physician. It may take several days to feel the full effects. Your provider will schedule a follow-up evaluation to evaluate the results of the procedure.