Radiofrequency Ablation

Piedmont offers a variety of non-surgical and minimally invasive options to treat chronic back pain. A radiofrequency ablation (RFA), sometimes referred to as a radiofrequency neurotomy or rhizotomy, is a minimally invasive procedure that reduces or eliminates the pain of damaged facet joints by disrupting the medial branch nerves that carry the pain signals. This procedure is performed with local anesthetic.

Although each patient experience is unique, here is what you can expect with an RFA:

Cannula Inserted

A needle-like tube called a cannula is inserted and positioned near the irritated medial branch nerves. An X-ray or fluoroscope is used to help position the cannula properly.

Electrode Inserted

A radiofrequency electrode is inserted through the cannula. The surgeon tests the electrode's position by administering a weak electric jolt. If the stimulation recreates the pain without any other muscular effects, the electrode is positioned correctly.

Nerve Treated

The surgeon uses the electrode to heat and cauterize the nerve. This disrupts its ability to communicate with the brain, blocking the pain signals. The surgeon may treat multiple nerves if needed.

End of Procedure

After the procedure, the electrode and cannula are removed. Although pain may increase for the first week after the procedure, the patient usually has relief from pain within a month. Successful RF neurotomies can last longer than steroid block injections.

Learn more about minimally invasive treatment options