During this minimally-invasive procedure, the physician uses heat from radio waves in order to treat painful facet joints in your neck. This procedure is also known as radiofrequency rhizotomy and it can treat pain that does not respond to physical therapy or medications.
Cervical Facet Radiofrequency Neurotomy
Overview
During this minimally-invasive procedure, the physician uses heat from radio waves in order to treat painful facet joints in your neck. This procedure is also known as radiofrequency rhizotomy and it can treat pain that does not respond to physical therapy or medications.
Preparation
While preparing for the procedure, you lie on your stomach and you are given medicine which relaxes you. The skin and tissue of your neck is numbed.
Inserting the Cannula
The physician inserts a tube called a "cannula." A video x-ray device called a "fluoroscope" helps the physician guide the cannula to the medial branch nerves in your spine. These tiny nerves carry pain signals from your facet joints to your brain.
Treating the Nerves
An electrode is inserted through the cannula by the physician. In order to test its position, a weak electric jolt is used. It is positioned correctly if the jolt recreates the pain without causing any other muscular effects. Afterwards, the physician uses the electrode to heat the nerve, thus disrupting its ability to transmit pain signals. If necessary, multiple nerves may be treated.
End of Procedure
The electrode and cannula are removed when the procedure is complete and a small bandage is placed on your skin. You will be monitored for a short period of time before the physician allows you to go home. After the procedure, your injection site may feel sore and you may still have neck pain. You will gradually experience pain relief as you heal, if the correct nerves were treated. This process may take several weeks.
