COMPLEX SPINAL PAINREZA S. ROGHANI, MD, PhD

Treatment guide

Facet blocks & radiofrequency ablation

Diagnostic blocks help assess facet pain before a longer-lasting nerve treatment is considered.

What the treatment does

Medial branch blocks temporarily numb nerves supplying the facet joints. Radiofrequency ablation uses heat to interrupt pain signaling through selected medial branch nerves.

Who may be considered

A meaningful response to appropriately performed diagnostic blocks can support consideration of ablation. Selection and insurance requirements vary.

Expectations and risks

Relief is variable and nerves may recover over time. Temporary soreness or altered sensation can occur. Bleeding, infection, nerve injury, and persistent or worsened pain are possible.

Questions to ask at your visit

  • Which pain source is this treatment intended to address?
  • What are the alternatives in my case?
  • What improvement should we measure, and when?
  • What restrictions and follow-up will I need?
This guide is general education. Eligibility, technique, and recovery depend on your individual circumstances.

Learn more: Johns Hopkins spinal cord stimulation guide · Interventional treatment overview

A clearer path forward.

Begin with an individual evaluation of your pain and goals.

Plan your visit