Lumbar Medial Branch Radiofrequency Ablation

lumbar medial branch

Lumbar Medial Branch Radiofrequency Ablation: A Solution for Chronic Back Pain

Back pain affects millions of people and can significantly impact daily life. Conditions such as arthritis, herniated discs, and spinal stenosis often cause this discomfort. When medications, physical therapy, or injections fail to provide relief, lumbar medial branch radiofrequency ablation (RFA) offers a promising solution to restore pain-free living.

At The Pain Experts of Arizona, our pain specialists use advanced, minimally invasive procedures to treat difficult pain conditions. By employing cutting-edge techniques, our pain clinic focuses on long-term recovery and helping patients regain their quality of life.

What is Lumbar Medial Branch Radiofrequency Ablation?

Lumbar radiofrequency ablation is a minimally invasive treatment designed to relieve chronic lower back pain. This procedure targets and disrupts the nerve pathways that transmit pain signals from the facet joints in your lower spine. By applying radiofrequency energy, a pain doctor heats and destroys a small section of nerve tissue, blocking pain signals from reaching your brain.

While the idea of disrupting nerve tissue may sound concerning, this procedure is both safe and highly effective for patients who have not found relief through other treatments. Our pain specialists frequently perform this procedure at our pain clinic in Phoenix, Scottsdale, Gilbert, and Mesa, helping patients return to a more active lifestyle.

Conditions Treated with Lumbar Radiofrequency Ablation

Our pain specialists use lumbar radiofrequency ablation to treat pain originating from the facet joints in the lower back. This treatment benefits individuals with conditions such as:

  • Facet Joint Arthritis – Degeneration of the small joints in the spine, leading to inflammation and pain.
  • Sacroiliac Joint Dysfunction – Pain in the lower back and buttocks that may radiate down the legs.
  • Chronic Lower Back Pain – Pain that does not respond to medications or physical therapy.

Patients experiencing lower back pain that radiates outward—but not below the knee—often find relief with RFA. If your pain worsens with movement (such as twisting or lifting) but improves when lying down, this procedure may be an effective solution.

How the Procedure Works

Our pain doctors perform radiofrequency ablation as an outpatient procedure, allowing you to return home the same day. The entire process typically takes less than an hour.

Here’s how it works:

  • Preparation: You will change into a gown and lie face down on the examination table. Your pain doctor will clean and sterilize the treatment area.
  • Local Anesthesia: A local anesthetic is injected to minimize discomfort during the procedure.
  • Guided Placement: Using fluoroscopic (X-ray) guidance, the pain specialist inserts a thin needle near the targeted nerve.
  • Radiofrequency Energy: Once the needle is in place, a radiofrequency probe delivers a high-frequency electrical current to generate heat, creating a small lesion on the nerve. This lesion stops the nerve from transmitting pain signals.
  • Completion: The procedure typically lasts between 30 minutes and an hour, with most patients experiencing minimal discomfort.

What to Expect During the Procedure

Most patients remain awake and alert during lumbar RFA, as sedation is usually unnecessary. However, if you feel anxious or worried about pain, your pain doctor may offer a mild sedative to help you relax.

Patients generally tolerate the procedure well, experiencing only mild pressure or warmth at the treatment site. Significant pain during the procedure is uncommon. Afterward, your pain specialist will monitor you briefly before allowing you to recover at home.

Recovery and Aftercare

One of the biggest advantages of lumbar radiofrequency ablation is the quick recovery time. Many patients stand up and walk immediately after the procedure, with some noticing pain relief within a few hours. However, for others, the full benefits may take up to three weeks to appear.

Here’s what to expect during recovery:

  • First 24-48 Hours: You may experience mild discomfort or swelling around the treatment site. Ice packs and over-the-counter pain relievers can help manage these symptoms.
  • Aftercare Instructions: Avoid strenuous activities for a few days to promote proper healing. Your pain doctor will advise you on when you can resume work and regular activities.
  • Follow-up: Your pain specialist will schedule a follow-up appointment to track your progress. If necessary, they may recommend additional treatments or repeat procedures.

Risks and Side Effects

Like any medical procedure, lumbar radiofrequency ablation carries some risks, though serious complications are rare. Potential side effects include:

  • Temporary numbness or tingling at the treatment site
  • Infection at the injection site
  • Minor bleeding or swelling
  • Increased pain in the days following the procedure (usually temporary)
  • Nerve damage (rare)
  • Allergic reaction to medications

Following your pain specialist’s aftercare instructions can help reduce the risk of complications. Patients with pacemakers, those taking blood thinners, or those with certain medical conditions may not be suitable candidates for lumbar radiofrequency ablation.

Is Lumbar RFA Right for You?

If you suffer from chronic lower back pain that has not improved with other treatments, lumbar radiofrequency ablation may provide the relief you need. Patients who have already experienced pain relief from medial branch blocks or similar nerve blocks typically respond well to RFA.

At The Pain Experts of Arizona, our pain specialists create personalized, comprehensive pain management plans tailored to each patient’s unique needs. If you’re ready to explore lumbar radiofrequency ablation as a treatment option, reach out to us today to schedule your consultation.

Lumbar RFA in Phoenix, Scottsdale, Gilbert, and Mesa

Our pain clinic serves patients in Phoenix, Scottsdale, Gilbert, and Mesa, offering expert care from experienced pain specialists. Whether you’re dealing with long-term back pain or looking for alternatives to surgery, our pain doctors provide cutting-edge treatments designed to improve your quality of life.

Contact The Pain Experts of Arizona Today

Don’t let chronic back pain control your life. Discover how lumbar radiofrequency ablation can provide long-term relief. Call us today to schedule your appointment or fill out our online form to begin your journey toward a pain-free life. Our team of pain specialists is here to help you regain mobility and comfort.

Call us today at 480-950-9393 to schedule your consultation and take the first step toward feeling better.

The Pain Experts of Arizona – Your Partners in Pain Relief and Recovery.

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