Radiofrequency Treatments (Facet Joint Denervation)

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Radiofrequency Treatment: Radiofrequency thermocoagulation (RFT) is a controlled blocking process in the target tissue depending on the temperature or application time by applying controlled electrical energy.
Features in patients with excessive back pain, the facet joint area that is found to cause back pain is entered with the help of special needles.
The intervention is performed in a controlled manner, accompanied by a C-arm fluoroscopy device.
The location of the nerve to be applied is located using a nerve stimulator.
The exact location of the nerve is determined by giving a very low level of electrical stimulus with a nerve stimulator and observing movements in the lumbar region.
It is understood that the target area is reached when tiny contractions are felt in the lumbar region and slight electrification is felt in that area.
The nerve at our destination is the one that transmits pain signals from this area.
Using radiofrequency energy, the nerve is blocked from transmitting a pain signal.
Thus, low back pain disappears noticeably or even completely.
Cryotherapy: It is a very similar application to radiofrequency treatment.
Features In patients with excessive back pain, the facet joint area that is found to cause back pain is entered with the help of special needles.
The intervention is performed in a controlled manner, accompanied by a C-arm fluoroscopy device.
The location of the nerve to be applied is located using a nerve stimulator.
The exact location of the nerve is determined by giving a very low level of electrical stimulus with a nerve stimulator and observing movements in the lumbar region.
It is understood that the target area is reached when tiny contractions are felt in the lumbar region and slight electrification is felt in that area.
The nerve at our destination is the one that transmits pain signals from this area.
By freezing with a cryotherapy system, the nerve is blocked from transmitting a pain signal.

Who is the ideal patient group?

It can be applied in patients with so-called facet joint syndrome, low back pain that increases with back-to-back, right-to-left movements of the waist (features occur when rotating in bed at night).
In these patients, the pain can usually spread to the waist, hips, and/or upper parts of the leg.

In which group of patients should attention be paid?

Patients taking blood thinners (Depending on the patient’s condition, the procedure can be performed by stopping the drug 3 to 5 days before the procedure)
Pregnant Women
Bleeding-for those who have a coagulation disorder
For those who have an infection in the area where the intervention will be performed

What are the risks?

It has almost no side effects of its own.
Very rarely, infection and bleeding that may occur during each injection process can be considered a risk.