Radiofrequency Neurotomy of the Lumbar Facets

Radiofrequency Neurotomy of the Lumbar Facets 2018-01-11T23:12:38+00:00

Overview

During this minimally-invasive procedure, the physician uses heat from radio waves to treat painful facet joints in your lower back. This procedure is also called radiofrequency rhizotomy. It can treat pain that doesn’t respond to medications or to physical therapy.

Preparation

In preparation for the procedure, you lie on your stomach. You are given medicine to make you feel relaxed. The skin and tissue of your back is numbed.

Inserting the Cannula

The physician inserts a tube called a “cannula.” A video x-ray device called a “fluoroscope” helps guide the cannula to the medial branch nerves in your spine. These tiny nerves carry pain signals from your facet joints to your brain.

Treating the Nerves

The physician inserts an electrode through the cannula. A weak electric jolt is used to test its position. If the jolt recreates the pain but does not cause any other muscular effects, it is positioned correctly. Then the physician uses the electrode to heat the nerve. This disrupts its ability to transmit pain signals. Several nerves may be treated if necessary.

End of Procedure

When the procedure is complete, the electrode and cannula are removed. A small bandage is placed on your skin. You will be monitored for a brief time before you are allowed to go home. Your injection site may feel sore after the procedure, and you may still have back pain. If the correct nerves were treated, you will gradually experience pain relief as you heal. This may take several weeks. Your relief may last for several months.

TYPES OF PAIN WE TREAT

GASTROINTESTINAL

Hiatial Hernia
Peptic Ulcer

EAR, NOSE AND THROAT

Trigeminal Neuralgia

GENERAL HEALTH

Herniated Disk
Lumbar Radiculopathy (Sciatica)
Osteoarthritus of the Knee
Osteoporosis
Trigger Point Injections
Where Lower Back Pain Begins
Where Neck Pain Begins
Whiplash

Brain and Mental Health

Depression
Generalized Anxiety Disorder
Post-Whiplash Headache
Stroke
Substance Abuse
Traumatic Brain Injury
Occipital Neuralgia (Arnolds Neuralgia)
Post Traumatic Stress Disorder
Substance Dependence
Tension Headache
Trigeminal Neuralgia

Diabetes Conditions

Diabetic Foot
Hyperglycemia (High Blood Glucose) and Diabetes
Hyperglycemia (Low Blood Glucose) and Diabetes
Prediabetes
Diabetes (Type 2)

Diabetes Treatments

Diabetes and Foot Care
Diabetes and Exercise
Diabetes and Healthy Eating
Managing Type 2 Diabetes

Digestive and Urinary Systems Conditions

Constipation (Adults)

Heart, Blood and Blood Vessel Conditions

High Blood Pressure (Hypertension)

Infectious Diseases

Shingles (Herpes Zoster)

Lung Conditions

Asthma
Bronchitis
COPD
Emphysema

Medications

Opioids Medications
Opioids (Common Side Effects)
Opioids (Dependence and Addiction)
Opioids and Chronic Pain Management
Using Opioids Safely

Sleep Disorders

Insomnia
Restless Leg Syndrome
Sleep Apnea

Systemic and Genetic Disorders and Conditions

Anemia
Chronic Fatigue Syndrome
Complex Regional Pain Syndrome
Fibromyalgia
Overweight and Obesity

Head Non-Surgical Procedures

Botox Injections for Chronic Migraine

Peripheral Non-Surgical Procedures

Fascia Illiaca Block
Brachial Pleaxus Block
Femoral Nerve Block
Poplitea Fossa Block

Spine Conditions

Cervical Radiculopathy
Compression Fractures of the Spine
Facet Joint Syndrome
Herniated Discs
Lumbar Radiculopathy (Sciatica)
Myelopathy
Spinal Stenosis
Spondylolisthesis
Spondylosis
Where Lower Back Pain Begins

Spine Non-Surgical Procedures

Caudal Epidural Steroid Injection
Cervical Epidural Steroid Injection
Discography
Facet Joint Injections
Flouroscopic Guided Piriformis Injection
Lumbar Epidural Steroid Injection
Lumbar Epidural Steroid Injection (without contrast)
Lumbar Transforaminal Epidural Steroid Injection
Medial Branch Block (Cervical)
Radiofrequency Neurotomy of the Lumbar Facets
Sacrolliac Joint Steroid Injection
Stellate Ganglion Block

Spine Surgical Procedures

Anterior Cervical Discectomy and Fusion
Cervical Posterior Foraminotomy
Laminectomy
Laminectomy (cervical) with Fusion
Lumbar Disc Microsurgery
Lumbar Discoscopic Discectomy
Micro Endoscopic Discectomy
Minimally Invasive Lumbar Microdecompression
Posterior Lumbar Interbody Fusion
Spinal Fusion (Lumbar)
Selective Endoscopic Disectomy

Foot and Ankle Procedures

PRP Therapy
PRP Therapy for Achilles Tendon Pain
PRP Therapy for Peroneal Tendonitis
PRP Therapy for Plantar Fasciitis

Hip and Thigh Conditions

Sacroiliac Joint Pain
Hip Joint Injection
PRP Therapy
Ultrasound-Guided Illoinguinal Nerve Block

Knee Procedures

PRP Therapy
Flouroscopic Guided Steroid Injection for Knee Pain
Genicular Nerve Block
HYALGAN Injection for Knee Pain (Flourscopic Guided)
Visco-supplementation for Arthritis of the Knee

Shoulder Procedures

Suprascapular Nerve Block (Flouroscopically Guided)