Radiofrequency neurotomy

Radiofrequency neurotomy uses heat created by radio waves to target specific nerves. The treatment turns off the nerves' ability to send pain signals for a short time. The procedure also is known as radiofrequency ablation. Needles inserted through the skin near the painful area deliver the radio waves to the targeted nerves. A doctor typically uses imaging scans during radiofrequency neurotomy to make sure the needles are positioned properly.

Radiofrequency neurotomy is usually done by a provider who specializes in treating pain. The goal is to reduce chronic back, neck, hip or knee pain that hasn't improved with medications or physical therapy, or when surgery isn't an option. For example, your provider may suggest the procedure if you have back pain that: Occurs on one or both sides of your lower back Spreads to the buttocks and thighs (but not below the knee) Feels worse if you twist or lift something Feels better when you're lying down Radiofrequency neurotomy might also be recommended to treat neck pain associated with whiplash.

Common side effects of radiofrequency neurotomy include: Temporary numbness. Temporary pain at the procedure site. Rarely, more-serious complications may occur, including: Bleeding. Infection. Nerve damage.

To learn if you're a good candidate for radiofrequency neurotomy, you may be referred to a pain specialist or for more tests. For example, a test may be done to see if the nerves commonly targeted by the procedure are the same nerves responsible for your pain. A small amount of numbing medicine is injected into the precise spots where the radiofrequency needles go. If your pain lessens, radiofrequency treatment at those spots may help you. However, a different procedure may be needed to help your specific symptoms.