Facet – Cervical

Cervical Facet Radiofrequency Neurotomy, also called radiofrequency (RF) rhizotomy, is a non-invasive procedure which relieves the pain of damaged facet joints by disrupting the medial branch nerves that carry pain signals. This procedure is preformed with local anesthetic.

During the Procedure

The physician will first administer local anesthetic. The facet block is conducted by the insertion of a needle into the location of a facet joint. The doctor injects a contrast dye, allowing the joint to be visible through a fluoroscope. Once the doctor us sure that the needle is correctly placed, an anti-inflammatory injection is administered. Patients may be offered sedation for comfort.

Who needs this procedure?

Patients with neck pain, lower back pain, or leg pain as a symptom of inflammation or arthritis of the facet joints may benefit from Facet Block injections.

How long does it take?

The process usually takes between 15-30 minutes to complete.

After the Procedure

Most patients can walk immediately after the injection. The patient may be monitored for a short period of time before leaving the clinic, and are expected to rest for the remainder of the day.

If the facet joints are determined to be the cause of pain, the patient will likely be relieved of their pain. The relief can last any time between a few hours to several months. Additional treatment may be required for longer relief.