Radiofrequency Neurotomy of the Lumbar Facets
Radiofrequency neurotomy of the lumbar facets is a minimally invasive procedure that uses controlled heat to disrupt pain signals traveling through the nerves connected to the facet joints in the lower spine. For patients who have already confirmed through a medial branch block that facet joints are the source of their pain, this procedure offers longer-lasting relief than repeat injections alone, without surgery, incisions, or general anesthesia.
At Pain & Spine Physicians, our team performs image-guided procedures designed to target pain at its source with precision. Call (972) 350-0225 or contact us online to find out whether this treatment is right for you.
What Lumbar Facet Pain Feels Like
The facet joints along the lower spine support movement and stability. When they become irritated or inflamed, they produce persistent aching and stiffness in the lower back that often worsens with twisting, prolonged standing, or transitioning between positions. In some cases, discomfort extends into the hips or upper legs. Radiofrequency neurotomy (also called ablation) targets the medial branch nerves that carry those pain signals, interrupting the pathway at its source rather than temporarily masking symptoms.
How the Procedure Works
The procedure is performed in an outpatient setting using imaging guidance to position a specialized needle near the medial branch nerves. Radiofrequency energy delivers a precise amount of heat to the targeted nerve, reducing its ability to transmit pain signals from the facet joint to the brain. No general anesthesia is required, and most patients return home the same day.
Mild soreness at the treatment site is common in the first few days following the procedure. Pain relief typically develops gradually as the treated nerves stop transmitting signals, with many patients noticing meaningful improvement in mobility and comfort within one to two weeks.
Benefits of Radiofrequency Neurotomy
Some of the benefits include:
- Longer-lasting relief, with pain reduction often lasting several months to a year or more
- No surgery or incisions required
- Targeted treatment focused on the specific nerves generating pain
- Same-day outpatient procedure with minimal downtime
Why Patients Choose Pain & Spine Physicians
Pain & Spine Physicians focuses on non-surgical solutions that offer faster recovery and fewer risks than traditional spine surgery. All physicians are board-certified in pain medicine, and procedures (including radiofrequency neurotomy) are performed in state-of-the-art in-office suites throughout DFW and North Texas, with in-house capabilities that keep care coordinated and cost-effective.
Frequently Asked Questions
How Long Does Relief Last?
Relief typically lasts from several months to a year or longer, depending on individual response and the degree of facet joint involvement.
Is the Procedure Painful?
Most patients experience only mild discomfort. Local anesthesia is used throughout, and no general anesthesia is required.
How Soon Can I Return to Normal Activities?
Most patients resume normal activities within a few days. Some temporary soreness at the treatment site is expected and resolves quickly.
How Is This Different From an Injection?
Injections provide temporary relief by reducing inflammation. Radiofrequency neurotomy targets the nerve itself, interrupting pain signals for a significantly longer period.
Schedule an Appointment With Pain & Spine Physicians
Persistent lower back pain from facet joint involvement does not have to be managed with repeated short-term treatments. Radiofrequency neurotomy of the lumbar facets at Pain & Spine Physicians offers a targeted, longer-lasting alternative performed in-office, without surgery, and with minimal recovery time.
To schedule at the location nearest you, call (972) 350-0225 or contact us online now.