Radiofrequency Neurotomy

Targeted Pain Relief for Chronic Back Pain

Radiofrequency neurotomy—also known as facet rhizotomy, neurotomy, or radiofrequency ablation—is a minimally invasive procedure used to relieve chronic facet joint pain in the lower back. This advanced technique involves using radiofrequency energy to interrupt the nerve signals responsible for transmitting pain from the spine’s facet joints.

Before a radiofrequency neurotomy is performed, a diagnostic nerve block (medial branch block) is conducted to confirm that the pain originates from the facet joints. If two separate blocks provide short-term relief, the patient may be a candidate for this long-lasting treatment.

The goal of radiofrequency neurotomy is to deactivate the medial branch nerves that supply the painful facet joints. The result can be significant, long-term pain relief without the need for surgery or ongoing medication.

Related Conditions

Back Pain

Back Pain

Chronic Pain

Chronic Pain

FAQ

What is radiofrequency neurotomy (facet rhizotomy)?

It is a procedure that uses radiofrequency waves to “burn” or deactivate specific nerves in the spine responsible for transmitting chronic facet joint pain.

Who is a candidate for this procedure?

Patients with chronic lower back pain who have experienced temporary relief from two successful medial branch blocks (using anesthetics like Xylocaine and Marcaine) are typically good candidates.

However, this procedure is not recommended for pregnant patients or individuals with a pacemaker, due to safety considerations.

How does the procedure work?

Using image guidance, a needle is precisely positioned near the medial branch nerve. A small electrode delivers radiofrequency energy to create heat, which disables the nerve’s ability to send pain signals.

Is radiofrequency neurotomy safe?

Yes, it is a low-risk, outpatient procedure performed under local anesthesia. It is considered a safe and effective option for managing facet joint-related pain.

What kind of results can I expect?

Many patients experience significant relief that can last several months or longer. Pain may gradually return if the nerve regenerates, but the procedure can be repeated if needed.

Is it painful?

You may feel some discomfort during the procedure, but it is generally well tolerated. Most patients are able to resume normal activities within a few days.

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