Facet Joint Radiofrequency Ablation (RFA) for Pain Management at Physio Logic NYC

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Comprehensive Pain Management Solutions

At Physio Logic NYC, we specialize in providing effective pain management solutions, including Facet Joint Radiofrequency Ablation (RFA). This minimally invasive procedure is designed for patients who have tried other treatments, such as nerve blocks and injections, without finding relief from chronic or intense pain. RFA offers long-lasting pain relief for conditions affecting the lumbar, cervical, and thoracic spine.

Effective Facet Joint RFA Treatment

Facet Joint Radiofrequency Ablation is a minimally invasive procedure that uses radiofrequency energy to disrupt nerve signals, providing pain relief that can last between 8 and 12 months. This same-day procedure is performed at our pain treatment clinics in Downtown Brooklyn and Lower Manhattan.

Benefits of Facet Joint RFA

  • Long-Lasting Relief: Provides pain relief for 8-12 months or longer.
  • Minimally Invasive: Quick procedure with minimal recovery time.
  • Targeted Treatment: Specifically targets pain signals from the facet joints.
  • Same-Day Procedure: Patients can return home the same day.

Conditions Treated with Facet Joint RFA

Facet Joint Radiofrequency Ablation is effective in treating:

  • Neck and Back Pain: Chronic pain in the cervical, thoracic, and lumbar regions.
  • Whiplash: Pain resulting from neck injuries.
  • Complex Regional Pain Syndrome: Chronic pain condition affecting a limb.
  • Nerve Entrapment Syndromes: Pain caused by trapped nerves.
  • Spinal Surgery Aftereffects: Pain following spinal surgery.
  • Arthritis (Spondylosis): Degenerative joint disease.
  • Cervicogenic Headache: Headaches originating from the neck.
  • Neuralgia: Nerve pain.

Understanding Facet Joint Pain

Facet joints, also known as zygapophysial joints, are located on the back of each spinal vertebra. They allow for movement between vertebrae and are surrounded by a capsule that contains lubricating fluid. Pain from these joints can result from injuries, degeneration, or inflammation, affecting the lower back, buttocks, neck, and even causing headaches.

Why Choose Physio Logic NYC?

At Physio Logic NYC, our approach to pain management begins with understanding each patient’s unique experience with pain. We evaluate previous treatments and medical history to determine the most effective solution. Our goal is to provide long-term relief and improve the quality of life for our patients.

What to Expect During the Procedure

During the RFA procedure:

  • Preparation: The treatment area is cleaned, and a local anesthetic is applied.
  • Guidance: Using x-ray guidance, the doctor inserts a special radiofrequency needle to the targeted nerve.
  • Procedure: Radiofrequency energy creates a heat lesion on the nerve, disrupting pain signals.
  • Duration: The procedure takes about 20-30 minutes.

Post-Procedure Care and Expectations

After the procedure:

  • Recovery: Patients rest for 15-30 minutes under observation.
  • Initial Discomfort: Some patients may experience a sensation similar to a sunburn or numbness.
  • Pain Relief: Relief typically begins within 1-3 weeks.
  • Activity: Avoid strenuous activities initially and follow any prescribed physical therapy.

Preparing for the Procedure

Preparation steps before your RFA procedure include:

  • Medication Adjustments: Stop taking aspirin and blood thinners as advised by your doctor.
  • Fasting: Do not eat or drink for at least six hours before the procedure.
  • Transportation: Arrange for someone to drive you to and from the appointment.
  • Clothing: Wear loose, comfortable clothing and avoid jewelry.

Risks and Side Effects

While RFA is generally safe, potential side effects include:

  • Temporary Pain: At the injection site and surrounding muscles.
  • Bleeding and Infection: Rare but possible.
  • Nerve Damage: Extremely rare but possible.
  • Swelling or Bruising: At the injection site.

Long-Term Pain Management

The success rate for RFA in relieving facet joint pain is approximately 45-60%. For some patients, pain relief lasts several months to years. If pain returns, additional treatments or alternative pain management strategies may be considered.

Meet Dr. Tanuj Palvia, MD – Board Certified in Pain Management and Anesthesiology

Dr. Tanuj Palvia, MD

Dr. Tanuj Palvia, MD

Board Certified in Pain Management and Anesthesiology


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