Radiofrequency Ablation for Spine Pain: A Closer Look at Why Some Patients Choose It
Evidence-Based Relief with Radiofrequency Ablation for Facet Joint Pain
By Dr. Jackie Weisbein, DO, Board Certified in Physical Medicine & Rehabilitation and Pain Medicine, Fellowship-trained in Interventional Pain Management
Quick Insights
Radiofrequency ablation for facet joint pain is a minimally invasive medical procedure that uses targeted heat to interrupt pain signals from small nerves in the spine. Typically used for persistent lumbar or neck pain that hasn't responded to other treatments, it aims to restore comfortable movement. Relief can last 6 to 15 months, according to high-quality medical research.
Key Takeaways
- About 41% of patients report at least a 50% reduction in pain after radiofrequency ablation for facet joint pain
- This procedure is endorsed by national pain management guidelines for persistent facet joint pain
- Relief can last anywhere from 6 to 15 months following the treatment, based on clinical studies
- Radiofrequency ablation for facet joint pain is considered when pain continues for over three months despite conservative care
Why It Matters
Living with untreated facet joint pain can impact daily joy—from parenting to work to simple movement. Understanding radiofrequency ablation for facet joint pain empowers you to break free from cycles of frustration and take action toward reclaiming comfort, function, and confidence in your everyday life.
Introduction
As a dual board-certified interventional pain specialist serving Napa, CA, and the surrounding wine country, I bring focused expertise to radiofrequency ablation for facet joint pain—combining advanced procedural training with a deep understanding of how chronic pain can disrupt every part of your life. Learn more about Dr. Jackie Weisbein, DO—board-certified pain management physician and her qualifications.
Radiofrequency ablation for facet joint pain is a minimally invasive procedure where targeted heat interrupts pain signals from tiny spinal nerves. This treatment is often considered when lumbar or neck pain just won't let up, even after physical therapy or injections.
For so many patients from Yountville to American Canyon, persistent pain means missing out on family hikes, work, or even just a good night's sleep.
Research shows that national guidelines now endorse radiofrequency ablation for treating facet joint pain, making it a trusted option when other approaches fall short.
My practice at Napa Valley Orthopaedic Medical Group centers on delivering these advanced, office-based solutions right here in Napa, CA—so you don't have to travel far for relief.
If you're tired of feeling dismissed or stuck in a cycle of failed treatments, you're in the right place.
What Is Radiofrequency Ablation for Facet Joint Pain?
Radiofrequency ablation for facet joint pain (also called RFA neurotomy) is a minimally invasive procedure that uses controlled heat to disrupt pain signals from the small nerves that supply your facet joints—called the medial branch nerves.
By targeting just these nerves, we can interrupt the specific pain pathway coming from arthritic or irritated facet joints in your neck or lower back.
Key benefits of radiofrequency ablation for facet joint pain:
- Minimally invasive: No large incisions or hospital stays—just a small needle under imaging guidance
- Targeted pain relief: Focuses specifically on the nerves causing your pain, not the entire area
- Long-lasting results: Relief often lasts 6–15 months for most patients
- Quick recovery: Most people are back to routine activities within just a few days
In my practice, I often meet patients who've spent years trying everything—from medications to therapy—without finding lasting relief, not realizing how much their spine health can improve with the right diagnosis and intervention.
National guidelines now recommend radiofrequency ablation for facet joint pain for persistent conditions, confirming its role as a safe, evidence-backed approach when other treatments haven't worked (systematic review: RFA for facet pain).
If you're feeling stuck after months of therapies that didn't help, know that precise, targeted RFA neurotomy can offer a path forward—especially when expertly matched to the real pain source.
How Does Radiofrequency Ablation Work?
Radiofrequency ablation for facet joint pain works by delivering a precise, brief pulse of heat through a specialized needle to the medial branch nerve right next to the affected facet joint.
This controlled heat "disables" the nerve, stopping it from sending pain messages to your brain and giving your spine a chance to move comfortably again.
During the procedure:
- You'll lie comfortably, and I'll use a local anesthetic to numb the target area
- Using real-time X-ray (fluoroscopy) guidance, I thread a thin needle to the correct nerve
- Once we double-check the position, a radiofrequency current heats the needle tip, treating the nerve for about 60–90 seconds
The entire process typically takes less than an hour. Most patients are able to walk out of the office the same day.
From my perspective as a dual board-certified interventional pain physician, the key is matching the right minimally invasive treatment—like RFA neurotomy—to the specific source of your pain. Precision matters.
In fact, research demonstrates that radiofrequency ablation for facet joint pain is often more effective in relieving lumbar or neck pain than steroid injections or physical therapy alone (network meta-analysis: comparative outcomes), especially when other approaches have failed.
In my experience treating thousands of Napa, CA, patients, RFA neurotomy is an excellent bridge—helping people return to life while avoiding surgery or daily medication. Learn more about our minimally invasive back pain procedures tailored for those struggling with lumbar and neck pain.
Why Do Patients Consider RFA After Other Treatments?
Many people seek radiofrequency ablation for facet joint pain after cycling through physical therapy, pain medications, or steroid injections with only temporary relief.
Chronic facet joint pain can feel never-ending and discouraging, especially when you just want life to go back to normal.
Having performed over 100,000 pain procedures, I've seen firsthand how restoring movement and reducing pain isn't just clinical—it's emotional. It's about giving people their lives back.
Radiofrequency ablation for facet joint pain can be a game-changer because, instead of masking pain, it targets the actual nerves causing your discomfort.
Most commonly, patients consider RFA neurotomy because:
- Pain persists despite trying PT, medications, or multiple injections
- Prior treatments only helped for a few weeks or not at all
- Daily function (like sitting, parenting, working, or exercise) is limited
Clinical studies confirm that radiofrequency ablation for facet joint pain provides longer-lasting relief and improved function compared to repeat steroid injections or medications (cohort study: RFA clinical outcomes).
In my practice, I take the time to hear your story—often finding opportunities for precise diagnosis missed elsewhere—which sets you up for a better, more lasting result.
Who Can Benefit From Facet Joint RFA?
Radiofrequency ablation for facet joint pain is most helpful for adults dealing with chronic neck pain or lumbar pain that hasn't improved after at least three months of conservative therapy.
The best candidates are people whose pain truly originates from the facet joints, which we confirm with a diagnostic nerve block before moving forward.
Who typically sees the best results?
- Persistent pain with activities like twisting, bending, or sitting/standing for long periods
- Pain relief, even temporarily, from prior medial branch nerve blocks
- A desire to avoid spine surgery or reduce opioid/pain pill use
In my experience, those most likely to benefit are motivated to reclaim the ability to work, support family, or enjoy hobbies without limitations. Unlike high-volume clinics where patients may see different providers each visit, I personally guide each patient through every stage of their care—from diagnosis to recovery—so they feel heard, understood, and supported.
When to seek urgent care: If you suddenly notice severe weakness, new numbness, or changes in bladder or bowel control, contact a physician immediately.
What to Expect: Before, During, and After the Procedure
Preparation
Before scheduling RFA neurotomy, I conduct a detailed review of your medical history, examine you, and confirm the diagnosis with targeted imaging and nerve block testing.
Some medications may need to be paused, and I make sure to answer every question personally so you know exactly what to expect.
Procedure Day
On the day of your procedure at our Napa, CA, office, you'll be kept comfortable with local anesthesia.
Positioning is adjusted for your spine, and I use a state-of-the-art X-ray machine to guide a thin electrode exactly where it needs to go. Once positioned, the nerve is treated with a brief controlled heat pulse.
The entire process usually takes less than an hour.
Recovery and Follow-Up
Most patients are up and walking immediately after and go home within 30–60 minutes.
Mild soreness at the site is common for a day or two but rarely interferes with activities. You can typically resume light activity within 24–48 hours and gradually return to your normal routine.
Follow-up visits help us monitor your progress and plan the next steps if needed. National guidelines affirm the safety and appropriateness of radiofrequency ablation for facet joint pain for long-standing conditions (Cigna guideline: medical necessity and criteria).
Unlike many clinics, I believe follow-up is just as important as the procedure itself—combining interventional pain management with wellness support for exercise, sleep, and movement to encourage the best possible outcome.
If you are searching for effective chronic pain care, review our chronic pain treatment options and learn how comprehensive chronic pain management can help you achieve lasting relief.
Results and Safety: What Does the Research Show?
Radiofrequency ablation for facet joint pain is supported by high-quality research and endorsed by national clinical guidelines.
From my years as a national implant educator, I insist on only offering procedures proven to be effective and safe for real-world patients.
How Long Does Relief Last?
Most patients experience meaningful pain relief for six to fifteen months after RFA neurotomy.
For some, the benefit stretches even further. If the pain does return, radiofrequency ablation for facet joint pain can be safely repeated (guidelines support and median pain relief duration).
What Percentage of Patients Experience Relief?
A recent study found about 41% of patients enjoy at least a 50% reduction in pain at follow-up (observational study: pain relief rates).
Many achieve restored function—walking, working, traveling, or simply living again.
National guidelines from the American Society of Pain and Neuroscience and the U.S. Department of Veterans Affairs endorse radiofrequency ablation for facet joint pain for persistent conditions (guidelines support and median pain relief duration).
In my practice, witnessing patients reclaim mobility and confidence after years of chronic lumbar or neck pain has been incredibly rewarding—and it's why I remain dedicated to evidence-based, patient-first care in Napa, CA.
Risks, Limitations, and Considerations
RFA neurotomy is considered very safe, but—as with any procedure—risks exist. In my practice, I make sure you know all the facts before making your decision.
Potential side effects:
- Mild soreness, bruising, or swelling at the needle site
- Temporary numbness or tingling in the skin
- Rarely, infection or nerve injury
Serious complications are extremely uncommon.
According to current clinical guidelines, radiofrequency ablation for facet joint pain is medically necessary for conditions lasting at least three months and is widely covered when prior treatments have been unsuccessful (Cigna guideline: medical necessity).
Who is RFA neurotomy NOT right for?
- Active infection at the injection site
- Bleeding disorders not stabilized
- Certain neurological conditions
Several studies, including randomized controlled trials, have evaluated the safety and effectiveness of radiofrequency ablation neurotomy techniques, with ongoing research continuing to explore these outcomes. (ongoing research on novel techniques).
I always tailor my recommendations to your unique health goals and history.
If you're wondering about the risks versus benefits, know that I aim to educate—never "sell"—so you can choose what's truly best for you.
Facet RFA vs. Other Treatment Options
When weighing radiofrequency ablation for facet joint pain against other spine pain treatments, precision and longevity of relief stand out.
- RFA neurotomy vs. Injections: Radiofrequency ablation for facet joint pain offers significantly longer-lasting relief than steroid injections, which may only help for weeks or a few months (network meta-analysis: comparative outcomes)
- RFA neurotomy vs. Physical Therapy: PT is essential for long-term function, but radiofrequency ablation for facet joint pain can help reduce lumbar or neck pain to make physical therapy possible and productive
- RFA neurotomy vs. Surgery: Radiofrequency ablation for facet joint pain is much less invasive, doesn't require an incision, and lets you avoid long recovery periods or higher risks of surgical complications
A large cohort study found RFA neurotomy provides superior pain relief to sham treatments and is at least as effective as most alternatives (cohort study: RFA clinical outcomes).
Cost analyses also indicate radiofrequency ablation for facet joint pain is a reasonable investment compared to repeated injections or more invasive surgery (comparative evaluation of clinical and cost utility).
In my Napa, CA, practice, I regularly design care plans that combine RFA neurotomy with personalized rehabilitation and wellness tools, achieving results not seen with "one size fits all" care.
Why Choose Dr. Jackie Weisbein and Napa Valley Orthopaedic Medical Group?
Choosing a pain specialist is about more than just the procedure—you deserve advanced options and a physician committed to your personal journey.
As a dual board-certified, fellowship-trained interventional pain specialist and one of the nation's top 100 neuromodulation implanters, I deliver advanced, minimally invasive procedures (including RFA neurotomy, ReActiv8®, SI joint fusion, and more) here in Napa, CA.
My boutique practice at Napa Valley Orthopaedic Medical Group means you always see me—from your first assessment through every stage of treatment and recovery.
Unlike high-volume clinics, I believe in personalized care and direct communication—your questions are always answered by your doctor, not an assistant. My approach blends advanced pain interventions with holistic support for exercise, movement patterns, and lifestyle, empowering you to reclaim your best life.
If you've felt dismissed or overlooked in larger systems, you'll discover a welcoming, expert-driven alternative close to home. Whether you're in Yountville or American Canyon, you can access nationally recognized expertise without leaving the Napa, CA, area.
Frequently Asked Questions (FAQ)
How do I know if my pain is coming from the facet joints?
A diagnostic medial branch nerve block (temporary numbing injection) is usually performed first—if it relieves your pain, you may be a good candidate for radiofrequency ablation for facet joint pain.
Is radiofrequency ablation for facet joint pain safe?
Yes. RFA neurotomy is supported by systematic reviews and national guidelines as a safe and effective treatment when performed by qualified professionals (systematic review: safety and indications).
How long does the pain relief last?
Relief typically lasts 6–15 months and can often be repeated if needed (systematic review: median duration).
What happens if pain returns?
If your lumbar or neck pain comes back after months, the procedure can generally be safely repeated with similar outcomes (systematic review: repeatability and outcomes).
Will I still need physical therapy?
Physical therapy is often recommended after RFA neurotomy to build strength and prevent future pain episodes.
Is this procedure covered by insurance?
Most major insurers—including Medicare—cover radiofrequency ablation for facet joint pain that has persisted for at least three months after conservative treatment (Cigna guideline: coverage criteria).
How does RFA neurotomy compare to facet joint injections or surgery?
A recent systematic review found radiofrequency ablation for facet joint pain resulted in longer pain relief than steroid injections or conservative therapy and is much less invasive than surgery (systematic review: risks and comparisons; cost utility analysis).
Patient Experience: Real Testimonial
"After years of living with lower back pain and going from doctor to doctor, I finally found Dr. Jackie. She listened, explained my options, and performed my RFA procedure with care. Within weeks, I was back to hiking with my family. Thank you for giving me my active life back!" – Susan M.
Read real patient reviews for Dr. Jackie Weisbein
Schedule Your Consultation Today
Ready to finally get answers about your back or neck pain?
If you're seeking advanced, evidence-based solutions in Napa, CA, I'm here to guide you every step of the way—so you're never just another number.
Take charge of your pain—schedule a consultation now to explore radiofrequency ablation for facet joint pain and other minimally invasive, restorative options tailored to your needs.
Glossary
- Facet joint: Small joints at the back of each spinal segment, enabling movement but prone to arthritis
- Medial branch nerve: Tiny nerve fibers that carry pain signals from the facet joint to the brain
- Radiofrequency ablation for facet joint pain (RFA): Procedure using controlled heat to "turn off" nerves causing pain
- RFA neurotomy: Another term for radiofrequency ablation for facet joint pain, emphasizing "nerve disabling"
- Fluoroscopy: Live X-ray used to guide needles safely and precisely
- Diagnostic block: Test injection to see if numbing a nerve relieves pain and confirms the source
- Lumbar pain: Pain in the lower back region
- Neck pain: Pain in the cervical (upper) spine region
What Our Patients Say on Google
Hearing directly from patients is one of the most meaningful parts of my work. Every story is unique, and each bit of feedback helps me refine how I approach care for those struggling with spine pain.
I recently received feedback that captures what we aim to provide at Napa Valley Orthopaedic Medical Group. This reviewer shared their experience with our practice, highlighting the impact of our team's dedication:
"Dear Dr. Weisbein, I've always had very positive experiences, and results, at your practice. Thank you for your contribution to a vastly improved lifestyle. Also, recognition to Ryan, a very strong asset to the entire process. Again, thank you Dr. Weisbein for your hard work and what it has meant to my life. 🙂"
— Michael
You can see more patient experiences and reviews on Google here.
Stories like this remind me why I'm committed to providing evidence-based, compassionate care for every patient seeking relief from facet joint pain.
Radiofrequency Ablation for Facet Joint Pain in Napa, CA
If you're living in Napa, CA, and struggling with persistent lumbar or neck pain, you don't have to travel far for advanced solutions like radiofrequency ablation for facet joint pain.
Our region's active lifestyle—whether it's hiking local trails, tending vineyards, or simply enjoying time with family—means that spine pain can be especially disruptive.
Access to specialized treatments like RFA neurotomy is essential for Napa, CA, residents who want to restore movement and get back to what they love. At Napa Valley Orthopaedic Medical Group, I offer boutique, highly personalized care with a focus on minimally invasive options and holistic support, right here in our community.
Napa, CA, is fortunate to have excellent healthcare resources nearby. Institutions like Providence Queen of the Valley Medical Center and Adventist Health St. Helena provide comprehensive medical services that complement specialized pain management care.
These facilities serve our community with dedication, and I'm proud to offer advanced interventional pain solutions that help patients throughout the region.
Many patients appreciate not having to leave Napa, CA, for expert care, and I'm proud to bring national-level expertise to our local medical landscape.
If you're ready to explore whether radiofrequency ablation for facet joint pain is right for you, schedule a consultation today and take the first step toward lasting relief—close to home.
Conclusion
To wrap up, radiofrequency ablation for facet joint pain is a proven, minimally invasive option that can help you finally break free from the cycle of chronic back or neck pain.
In my Napa, CA, practice, I've seen firsthand how this treatment restores not just movement, but hope—helping patients get back to family hikes, work, and the simple joys of daily life. Research shows that national guidelines support radiofrequency ablation for lasting relief, especially when other treatments have failed.
As a dual board-certified, fellowship-trained pain specialist, I'm committed to delivering boutique, highly personalized care at Napa Valley Orthopaedic Medical Group—so you're never just another number.
Serving patients from Yountville to American Canyon, I bring nationally recognized expertise right here to Napa, CA. If you're ready to stop missing out and want answers from an expert who truly listens, schedule a consultation today to explore personalized pain management options.
Pain Management. Redefined.
This article is for educational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment options. Never disregard professional medical advice or delay in seeking it because of something you have read in this article.
Frequently Asked Questions
What is radiofrequency ablation for facet joint pain?
Radiofrequency ablation for facet joint pain is a minimally invasive procedure where I use targeted heat to "turn off" tiny nerves causing pain in your spine. This approach is backed by strong clinical research and can provide relief for six to fifteen months, especially when other treatments haven't worked.
Where can I get radiofrequency ablation for facet joint pain in Napa, CA?
You can receive radiofrequency ablation for facet joint pain right here in Napa, CA, at my practice, Napa Valley Orthopaedic Medical Group. I offer advanced, personalized care so you don't have to travel far for expert treatment and follow-up.
How do you determine if I'm a good candidate for this procedure?
I start with a detailed evaluation and a diagnostic nerve block to confirm your pain is coming from the facet joints. If you get relief from the block, you're likely a good candidate for radiofrequency ablation for facet joint pain. This careful approach ensures the best chance for lasting results.
