Why Is Lumbar Radiofrequency Neurotomy Performed?
Facet joints are hinge-like joints that connect the vertebrae and allow flexibility in the spine. When these joints are inflamed or damaged, they can cause significant pain that radiates into the buttocks or legs.
Conditions that may be treated with lumbar radiofrequency neurotomy include:
- Osteoarthritis of the spine
- Lumbar spinal stenosis
- Degenerative disc disease
- Chronic lower back pain after trauma or injury
For many patients, this procedure provides pain relief lasting 6 to 12 months until the nerves regenerate.
The Procedure
Lumbar radiofrequency neurotomy is performed under local anesthesia or mild IV sedation. You will be positioned lying face down. The doctor follows these steps:
- The treatment area is numbed with a local anesthetic.
- A thin needle is guided into position using fluoroscopy (X-ray imaging).
- The target nerve is identified and confirmed with stimulation testing.
- Radiofrequency energy is delivered through the needle, generating heat to disrupt the pain signals from the nerve.
The entire procedure usually takes less than an hour, and patients go home the same day.
Recovery and Post-Operative Care
- Mild soreness or swelling at the injection site is common.
- Most patients can return to daily activities within a day or two.
- Full recovery generally occurs in 3–4 weeks, with pain relief often noticeable soon after.
- Your doctor may recommend following up with physical therapy to improve strength, mobility, and long-term outcomes.
Goals of Lumbar Radiofrequency Neurotomy
- Relieve persistent lower back pain
- Improve overall mobility and function
- Reduce reliance on oral pain medications
- Support long-term rehabilitation through physical therapy
Benefits
- Minimally invasive with no major incisions
- Provides pain relief for 6–12 months in most patients
- Helps patients return to daily activities sooner
- Can delay or prevent the need for surgery
- Complements other treatments such as epidural steroid injections
Risks and Side Effects
While lumbar radiofrequency neurotomy is generally safe, some risks include:
- Temporary pain, swelling, or bruising at the treatment site
- Bleeding or infection
- Rare cases of nerve damage, which could cause numbness or weakness
- Very rare complications such as bowel or bladder changes
Your doctor will review your medical history and imaging to ensure this is the right treatment option.
Videos
Lumbar Radiofrequency Neurotomy
Conclusion
Lumbar radiofrequency neurotomy is a safe and effective way to manage chronic lower back pain caused by facet joint problems. By disrupting the nerves that transmit pain, it can provide months of relief, improve function, and reduce the need for stronger medications. If you have not found relief with conservative treatments, this procedure may be a good next step in your pain management plan.
https://www.treatingpain.com/treatments/radiofrequency-neurotomy/
