Facet Radiofrequency Denervation
Facet radiofrequency denervation, also known as radiofrequency ablation (RFA), is a minimally invasive procedure that offers long-term relief from chronic spinal pain originating from the facet joints. It works by using thermal energy to disrupt the small sensory nerves—called medial branch nerves—that carry pain signals from inflamed or arthritic facet joints to the brain.
Facet joints are commonly affected by wear and tear, injury, or arthritis. When conservative treatments fail, and pain persists for months, RFA becomes a powerful option for patients seeking relief without surgery.
What Conditions Are Treated with Facet RFA?
Facet radiofrequency denervation is indicated for patients who suffer from chronic axial neck or back pain caused by:
- Facet joint syndrome
- Spinal osteoarthritis
- Degenerative disc disease
- Post-whiplash cervical pain
- Chronic low back pain not due to disc herniation
- Failed back surgery syndrome
Patients must first undergo a successful medial branch block, which confirms the facet joints as the pain source. This diagnostic step is essential before moving on to the RF procedure. Learn more about these conditions in our Conditions section.
How the Procedure Works
During the procedure, the patient is positioned comfortably, and the treatment area is cleaned and numbed. Under fluoroscopic guidance, a needle is placed near the medial branch nerves that innervate the affected facet joints. A thin probe is inserted through the needle, and once correct placement is confirmed, radiofrequency energy is applied.
This energy creates a small, controlled lesion on the nerve, effectively “silencing” it from transmitting pain. The procedure typically lasts 20 to 30 minutes and is performed on an outpatient basis.
Recovery and Pain Relief Timeline
Following the procedure, some patients may feel mild soreness at the injection site for a few days. Pain relief often begins within 1 to 2 weeks and can last between 6 to 12 months, or longer in some cases. The nerves can regenerate over time, and the procedure can be repeated if necessary.
Benefits of Facet Radiofrequency Denervation
- Long-term pain relief without surgery
- Improved function and quality of life
- Reduces need for opioids or oral medications
- Allows greater participation in physical therapy
- Safe, outpatient procedure with minimal recovery time
A Trusted Solution at Ascent Pain
At Ascent Pain, we specialize in advanced, minimally invasive procedures like radiofrequency ablation that allow patients to regain control over their lives. If you’ve already found short-term relief with a medial branch block, radiofrequency denervation may be your next step toward sustained comfort and improved mobility.
Call Ascent Pain at (504) 249-7576 or request your appointment online today to learn if radiofrequency denervation is right for you.