Lumbar Facet Radiofrequency Ablation, also known as radiofrequency neurotomy or rhizotomy, is a minimally invasive procedure aimed at reducing or eliminating chronic back pain originating from the facet joints in the lumbar spine. Facet joints are small, paired joints that provide stability and control movement in the spine. When these joints become a source of persistent pain, radiofrequency ablation can offer relief.

Procedure

Patient Evaluation: Before the procedure, a thorough evaluation is conducted to identify the specific facet joints causing pain. Diagnostic injections with local anaesthetics help confirm the source of pain.

Preparation: The patient is positioned on the procedure table, and vital signs are monitored. Sedation may be provided to ensure comfort during the procedure.

Radiofrequency Ablation: The skin over the targeted area is cleaned, and a local anaesthetic is administered. Guided by fluoroscopy (X-ray), a specialised needle is positioned near the affected facet joint. A small electrode is then introduced through the needle to deliver radiofrequency energy to the sensory nerves responsible for transmitting pain signals.

Lesioning: The electrode generates heat, creating lesions on the nerves that disrupt their ability to transmit pain signals. This process is carefully controlled to achieve the desired therapeutic effect while preserving other functions.

Post-Procedure Observation: After the ablation, the patient is observed for a brief period to monitor for any immediate adverse effects.

Most patients can return home on the same day.

Considerations
Duration of Pain Relief:

The duration of pain relief varies among individuals but can last from several months to a year or more.

Repeat procedures may be necessary for sustained benefits.

Recovery:

Patients may experience mild discomfort at the needle insertion site, but this typically resolves quickly.

Normal activities can often be resumed shortly after the procedure.

Effectiveness:

Lumbar Facet Radiofrequency Ablation is considered effective in managing chronic facet joint-related pain.

It offers an alternative for patients who may not be suitable candidates for surgical interventions.

Follow-Up:

Follow-up appointments are scheduled to assess the patient's response to the procedure and determine the need for additional treatments.

Risks and Complications:

While generally safe, potential risks include infection, bleeding, or nerve damage.

Patients are thoroughly evaluated, and the procedure is performed with precision to minimise such risks.

Dr. Tushar specialises in interventional pain management and can provide personalised assessments to determine if Lumbar Facet Radiofrequency Ablation is an appropriate option for your specific condition. Schedule a consultation to explore effective pain management strategies tailored to your needs.