– This procedure is used to treat the painful facet joint(s) or arthritis for more long term relief that where identified with a medial block
– Fluoroscopy (X-Ray) guidance used to identify the target
– Radiofrequency is done with a needle using high-frequency radio waves and heat to interrupt the pain signals from the facet joint
– For lumbar and thoracic procedures patients are positioned in the prone position (face down) using pillows for comfort. For the cervical spine positioning may be supine (face up) or prone.
– An area of skin is cleaned to create a sterile field, sterile equipment is also used for the procedure
– The skin and tissues in the track of needle placement are anesthetized prior to advancing the needle
– Fluoroscopy views are taken to verify the final needle position
– The needle is removed and band aid is applied to keep the injection site clean
– This is a safe procedure that can eliminate the source of the pain for at least 12-18 months
– If there is muscle pain patients may be referred to physical therapy after the procedure