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Radiofrequency NeurotomyA Radiofrequency neurotomy is a procedure that can effectively treat pain coming from the joints in the back of the spine, called the facet or zygopophyseal joints. The procedure is done by placing a specially designed probe onto the nerve leading to these joints. Once in place, the probe is attached to a special machine that heats the tip of the needle. This will cauterize, or burn, the nerve and relieve the pain coming from the joint supplied by that nerve. Since this nerve, called the medial branch nerve, does not supply any other structures such as skin or muscle, the procedure is safe and does not lead to weakness or numbness. The procedure is done in a manner similar to the diagnostic medial branch nerve or facet joint injections which you will have had prior to a neurotomy. The radiofrequency probe is placed using fluoroscopy X-ray. Once the probe is in place, the nerve will be stimulated, to further test placement and insure safety prior to cauterization. Success with the procedure is about 60%. While it can give long-term relief, the cauterized nerves can, on occasion, regenerate and repeat procedures may be necessary. Usually, this does not occur for about 9-12 months. While the procedure is quite safe, there are always some risks of side effects or complications with any procedure involving the spine. These include, but are not limited to: bleeding, infection, nerve damage, or paralysis. All of these events are quite rare. Please feel free to discuss any questions or concerns you might have with your doctor or his staff. We can be reached at (541) 482-1712. |
