COMPLEX SPINAL PAINREZA S. ROGHANI, MD, PhD

Advanced care guide

Advanced rhizotomy & radiofrequency techniques

Understand the terminology and the intended nerve target before choosing a procedure.

Evaluation comes first

Radiofrequency ablation creates a thermal lesion in a selected nerve to reduce pain signaling. The word rhizotomy is sometimes used loosely for these procedures; its meaning depends on the actual technique.

Treatment considerations

Direct nerve transection is a different intervention from a conventional percutaneous thermal lesion. If a technique involves transection, ask which nerve is targeted, why that approach is preferred, what evidence supports it, and how its risks compare with standard RFA. The available options depend on anatomy and the clinical evaluation.

Questions for your clinician

Availability and suitability are determined during clinical evaluation. This page describes options, not an individual treatment recommendation.
Arrange an evaluation

Further reading: Multispecialty lumbar facet intervention guidelines

A clearer path forward.

Begin with an individual evaluation of your pain and goals.

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