Radiofrequency Ablation

Heat applied precisely to the small nerves that carry pain from a spinal joint — the longest-lasting of the injection-based treatments.

What it is

The medial branch nerves supply sensation to the facet joints and do almost nothing else. If blocks have proven those joints are your pain source, a radiofrequency probe can be used to heat and interrupt those nerves. The joint is left alone; only its pain supply is treated.

What we use it for

• Confirmed facet joint pain in the neck or low back
• Whiplash that has not settled and where blocks confirm facet involvement
• Sacroiliac joint pain in selected cases

What to expect

• Two prior medial branch blocks must have given clear temporary relief.
• The procedure takes longer than a plain injection — usually 30 to 45 minutes.
• Position is confirmed by X-ray and by test stimulation before any heat is applied.
• Expect a sore back or neck for one to two weeks afterwards; this is normal and settles.
• Benefit typically begins at two to three weeks, not immediately.

Risks

Every injection carries a small risk of bleeding, infection, an allergic reaction, or a temporary increase in pain. Steroid can raise blood sugar for several days, which matters if you are diabetic. Serious complications are rare, and we will go through the specific risks for your procedure and your health before you consent to anything.

To discuss whether this is appropriate for you, call (314) 310-5577 or request an appointment.