Radiofrequency Ablation ( RFA )

As a part of your treatment at our office, the physician will be performing a procedure called ( Radio frequency Thermal Coagulation – also known as: RFA, Branch Neurotomy, Nerve cauterization or “Nerve Burn”)

This procedure is done to treat pain caused by the facet joints by creating a lesion or burn in the facet nerve also known as the Medial Branch of the posterior primary ramus.

The purpose of RFTC of the medial branch is to decrease pain and improve function. This is done only if pain is relieved temporarily by facet joint injections and then by medial branch nerve blocks. It is accomplished by placing a special needle along side the facet joint under x-ray control. Following this, a controlled heat lesion is made to decrease the sensation of the facet joints.

Prior to this procedure, a written consent will be obtained that will include the possible risks and hazards. Certain effects are to be expected: bruising at the injection sites, soreness and swelling. Possible effects include: burning sensation at the injection site, numbness, itching and occasionally 2-3 weeks of increased pain. This is only temporary. An intravenous solution may be started so that any medications or short acting sedative if necessary can be given during the procedure.

If is imperative that our patients be informed and have a full understanding of their treatment plan and of this procedure. If you have any questions, please contact us at 615-550-8500 well in advance of your scheduled appointment so that we can clear any misconceptions and answer any questions that you may have.

If you are unable to keep your appointment, please give notice as soon as possible and AT LEAST 24 hours in advance. Thank you.