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Cervical Facet Radiofrequency Neurotomy

A cervical Radiofrequency Ablation (RFA), which is the same as a neurotomy in our practice, is an outpatient procedure for treating headaches, neck, shoulder and upper back pain. It is also called cervical facet thermal coagulation or rhizotomy. This information has been provided by your doctor so you can better understand this procedure. Your doctor will make the best recommendation for your specific needs.

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    What is a cervical RFA?

    RFA uses radiofrequency energy to disrupt nerve function. When this is done to a cervical medial branch nerve, the nerve can no longer transmit pain signals from an injured facet joint.

    Cervical Radiofrequency Ablation (RFA) is a minimally invasive medical procedure designed to alleviate chronic neck pain, particularly pain stemming from facet joint arthritis. The technique employs radiofrequency energy to disrupt the function of specific nerves, particularly the medial branch nerves that transmit pain signals from the facet joints in the cervical spine.

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    What happens during an RFA?

    An IV may be inserted to administer intravenous medication(s) to help you relax. A local anesthetic will be used to numb your skin.

    Fluoroscopy, a type of x-ray, will be used to insure the safe and proper position of the needle. The doctor will then check that the needle is in the proper position by stimulating the nerve. This may cause muscle twitching and provoke some of your pain. With the needle in the correct position, the area will be numbed.

    Your doctor will then use radiofrequency energy to disrupt the medial branch nerve.

    This process generates heat, which blocks the nerve’s ability to transmit pain signals to your brain. The entire procedure typically takes 30 to 90 minutes, depending on the number of nerves being treated. Once completed, you will be monitored for a short period before being allowed to go home. Recovery is usually quick, and most patients can resume normal activities within a day or two.

    What happens after an RFA?

    You will be monitored for up to 30 minutes after the injection. Before you leave, you will be given discharge instructions. You may feel sore for one to four days. This is normal, and may be caused by muscle and nerve irritation. Your neck or upper back may feel numb, weak, or itchy for a couple of weeks. Be patient, as full pain relief normally takes two to three weeks.

    After a Radiofrequency Ablation (RFA), the patient will be observed for up to 30 minutes to ensure there are no immediate side effects. Before discharge, the patient will be given detailed instructions for aftercare. It is common to experience pain for 1 to 4 days, often due to muscle or nerve irritation. In addition, sensations such as numbness, weakness or itching in the treated area, such as the neck or upper back, may persist for several weeks. Complete pain relief usually occurs only after 2-3 weeks, so patience is required during recovery.

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    What Are the Benefits of Cervical RFA?

    Undergoing cervical Radiofrequency Ablation can bring a whole slew of benefits for those suffering from chronic neck pain, including:

    All in all, RFA is a safe, non-surgical alternative with fewer risks and complications, which can help delay or eliminate the need for surgery altogether.

    How long can I expect pain relief?

    While it varies from patient to patient, nerves can take up to 18 months to regenerate after an RFA. Your pain may or may not return when the nerves regenerate. If it does, another RFA can be done.
    Cervical Facet Radiofrequency Neurotomy is an effective and minimally invasive treatment option for individuals suffering from chronic neck pain caused by facet joint dysfunction. This procedure works by using radiofrequency energy to target specific nerves in the cervical spine, providing lasting pain relief. It is a highly specialized technique designed to reduce pain, improve mobility, and enhance the quality of life for patients who have not responded to conservative treatments. If you’re struggling with persistent neck pain, consult with a qualified specialist at New York Pain Care to determine if cervical facet radiofrequency neurotomy could be the right treatment for you.

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    Page Updated on Dec 2, 2024 by Dr. Hosny (Interventional Spine Specialist) of New York Pain Care
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