Center for Advanced Pain Management and Rehabilitation, LLC has radiofrequency neurotomy available as a pain relief procedure when other methods have failed. Prior to this procedure, we have to determine that your nerves are where the pain lies by way of a spinal injection diagnostic procedure. If your joints and branch nerves are shown as the source of pain and other treatment methods have not worked, radiofrequency neurotomy is the next step.
When effective, this treatment provides facet or sacroiliac joint relief lasting anywhere from 9 to 14 months or even longer.
The Treatment Process
Radiofrequency Neurotomy (also known as Radiofrequency Ablation) uses a specialized needle that carries heat generated via radiofrequency energy to lesion and destroy the functionality of the specific nerves carrying the pain signals which you are experiencing. This will effectively “silence” the nerves and reduce or eliminate your pain. Prior to inserting this needle, we will numb the local insertion site using anesthetics in order to minimize pain. We typically then target anywhere from 2 to 6 nerves for the procedure.
We typically perform 2 types of radiofrequency ablation:
A medial branch neurotomy/ablation will “silence” nerves carrying pain signals from facet joints.
A lateral branch neurotomy/ablation will “silence” nerves carrying pain signals from sacroiliac joints.
Prior to a radiofrequency neurotomy, we will have performed a selective nerve root block
(either medial or lateral branch) to verify that your pain is indeed coming from the specific joint region that we suspect. This diagnostic block would happen during a previous visit.
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"A friend of mine recommended Dr. Chen several years ago and I have been coming ever since. I have had multiple injuries from different accidents. Dr. Chen is a top pain management doctor. I have gone to many physical therapy offices before coming to Dr. Chen's, and none of them helped me. If you have pain, Dr. Chen's is the best pain management office I have ever been to."