Radio Frequency Ablation

uses electrical impulses to interrupt nerve conduction

Back Pain patients who have not responded to common pain management interventions such as medications and physical therapy may be candidates for radiofrequency lesioning. Radiofrequency lesioning (RFL) is a procedure that uses electrical impulses to interrupt nerve conduction. RFL is most commonly used on the facet joint nerves, sacroiliac joint nerves and peripheral nerves. An advantage of RFL is that it allows for the interruption of pain signals for an extended period of time. Generally, a patient can expect pain relief for 6 to 9 months.

RFL is an outpatient procedure that takes approximately 30 minutes

Radiofrequency lesioning is done under fluoroscopic (X-Ray) guidance to assist in precise needle placement to stimulate the tissue at the site of pain by a small radiofrequency current. This current generates heat and blocks the pain pathways. Local anesthetic is used to numb the area before the procedure begins. RFL is an outpatient procedure that takes approximately 30 minutes with return to home after a recovery period of up to one hour.
Approximately 80-90% of patients get significant relief from chronic back and neck arthritis pain with radiofrequency lesioning. Although the pain relief lasts longer than many other procedures, it is not permanent. Sensory nerves regenerate over time, causing pain symptoms to reappear. There are some risks associated with radiofrequency lesioning including pain and numbness at the site, and very rarely bleeding, infection or weakness in an extremity. . A more severe, but rare complication is nerve damage, which can lead to a persistent burning sensation and a feeling of numbness or weakness.
Radiofrequency ablation of the nerves to the facet joints of the neck and back provide significant pain relief lasting 6-9 months on average but may last as long as a year. RFL procedures do not use steroids and can be repeated indefinitely without known harm other than the rare risks described above.


non-Surgical Treatments for Back Pain

Short Term: Medications, Trigger Point Injections, Steroid injections

Prescription Back Braces

Radio Frequency Ablation

Orthobiological treatments

Spinal Column and Peripheral Nerve Stimulator

Kyphoplasty and Sacroplasty for compression fractures

MILD® Procedure for Lumbar Spinal Stenosis

The Discseel® Procedure for lower back pain

Platelet Rich Plasma (PRP)

Bone Marrow Aspirate Concentrate