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Radiofrequency Neurolysis of Facet Joint



What is radio-frequency ablation (RFA)?

Radio frequency is a way to interrupt pain signals. An electric current that produces radio waves is used to heat a small area of ​​nerve tissue, thereby reducing pain signals from that specific area that nerve supplies. The nerve element joint is the target for RFA. Clinical data show that radio-frequency ablation can effectively provide permanent pain relief.

Contraindications to the procedure

Infection in the area to be injected, current use of blood sweeteners (antidepressants)

Prior to the Joint Radiofrequency Feature Procedure

o You will be evaluated. The doctor should explain the procedure in detail, including possible complications and side effects and answer any questions you may have at this time.

o Discontinue aspirin, non-steroidal anti-inflammatory and blood sweeteners (antidepressants) 3 days before the procedure.

Joint Radiofrequency Partnership Day

o Discontinue clear liquids and food at least 6 hours before the procedure

o Continue to take all your medication (including pain medication) with only sips of water up to 4 hours before the procedure

o Bring all medicines with you so that you can take it after the procedure

o Do not discontinue any medication without first consulting your GP or referral doctor

o If you have diabetes and use insulin, you will need to adjust the dose of insulin on the day of the procedure. Your primary care physician will help you with this adjustment. Bring your diabetes medication with you so you can take it after the procedure.

o An intravenous (IV) line will be inserted into a vein in your hand before the procedure so that you receive sedative medication during the procedure.

o A responsible adult must be present to drive you home as you will not be able to do it yourself.

During a Joint Radiofrequency Partnership Procedure

o The procedure takes about 10 – 45 minutes depending on the number of nerves treated.

o You will lie on your stomach or back during the procedure.

o Mild local anesthesia and sedative may be used to reduce any discomfort during the procedure.

o You will be awake during the process to help find the nerve properly.

o After administering local anesthesia, your doctor will insert a small needle into a general area where you are in pain.

o Using an X-ray, your doctor will direct the needle to the target area. A micro-hydride is then inserted through the needle to begin the stimulation process

o During the process, your doctor will ask you if you can feel a tingling sensation.

o The purpose of the stimulation process is to help your doctor determine if the electrode is in the best possible condition for treatment.

o Once the needle and electrode arrangement are verified, a small radio-frequency current is passed through the electrode into the surrounding tissue, causing the tissue to heat up.

Following the Joint Radiofrequency Feature Procedure

o You will lie in a recovery room for 30 – 60 minutes for observation.

o A nurse will check your blood pressure and pulse.

o A bandage may be applied to the injection site.

o The nurse will give you a drink and review your discharge instructions.

o You will be given a pain diary to complete before your follow-up appointment.

o You may have localized back and or leg pain for several days to weeks after the procedure

o Post-injection physical therapy may be required to stabilize the feature joint

o If there are any problems after the procedure call your Pain Specialist.

The information provided here varies depending on the pain doctor you go to. Also ask the executive doctor what the procedure will involve. This article is intended as a guide to Radiofrequency and the exact procedure will vary from doctor to doctor.

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