Lumbar Medial Branch Radiofrequency Ablation (RFA) is a minimally invasive procedure that treats chronic lower back pain by targeting the medial branch nerves. These nerves transmit pain signals from the facet joints in the lumbar spine to the brain. RFA uses heat generated by radiofrequency energy to disrupt the function of these nerves, preventing them from sending pain signals. This treatment is often recommended for patients with conditions like arthritis, facet joint syndrome, or other degenerative changes in the spine.
Lumbar Medial Branch Radiofrequency Ablation offers a safe, effective, and minimally invasive option for managing chronic low back pain. With minimal downtime and long-lasting relief, this procedure can help patients regain their mobility and quality of life while avoiding more invasive surgical options.
The Lumbar Medial Branch Radiofrequency Ablation procedure is performed on an outpatient basis and usually takes about 30-60 minutes. Patients lie face down, and the treatment area is numbed with a local anesthetic. Using fluoroscopic guidance (real-time X-ray), the physician carefully inserts a specialized needle near the targeted medial branch nerves in the lumbar spine. Radiofrequency energy is then delivered through the needle, generating heat that disables the nerve’s ability to transmit pain signals.
Multiple levels of the spine may be treated depending on the location and severity of the pain. Because the procedure is minimally invasive, there is little to no disruption of surrounding tissues.
Post-treatment care and recovery:
After the procedure, patients may experience mild discomfort or soreness at the injection site, which typically resolves within a few days. Most patients can resume light activities within 24-48 hours, though it’s advisable to avoid heavy lifting or strenuous physical activity for a short time.
The full pain-relief effect of RFA may take up to two weeks to become noticeable, as the nerves are gradually disrupted. Pain relief can last anywhere from 6 months to 2 years, depending on the individual’s condition and response to the procedure. In some cases, the nerves may regenerate over time, and additional RFA treatments may be necessary.
Lumbar Medial Branch Radiofrequency Ablation has helped many patients suffering from chronic lower back pain regain their quality of life. Here are a couple of examples:
One 53-year-old patient with lumbar arthritis had been struggling with severe lower back pain for years. He had tried multiple treatments, including physical therapy and medications, with limited success. After undergoing lumbar RFA, he reported a significant reduction in pain—by 70%—within a few weeks. He was able to return to work and participate in family activities that he had been avoiding due to pain.
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