Program Cervical Medial Branch Radiofrequency (RFA)

Struggling with chronic neck pain that keeps coming back? Cervical Medial Branch RFA might be the key to long-term relief. Here’s what you need to know:

Types of Neck Pain

1. Isolated Neck Pain
   Pain focused in the neck area or radiating to the shoulder blades. This is often due to dysfunction in the facet joints—the small joints in the neck that can become inflamed or worn out.
2. Neck Pain with Radicular Symptoms
   Pain that travels down the arm, often caused by nerve compression or irritation. This condition may be better treated with a cervical epidural injection.

Who Can Benefit from Cervical Medial Branch RFA?

If you have chronic neck pain that temporarily responds to medial branch blocks but keeps returning, and clinical symptoms point to facet joints as the source, RFA could provide longer-lasting relief.

What is Cervical Medial Branch RFA?

Cervical Medial Branch RFA is a minimally invasive procedure that uses controlled heat generated by radiofrequency energy to disable the medial branch nerves responsible for transmitting pain signals from the facet joints.

How Long Does the Procedure Take?

The procedure typically takes 30–45 minutes and is performed under local anesthesia. Sedation may be offered if needed for your comfort.

What Happens During the Procedure?

1. You’ll lie on your side while the anesthesiologist administers sedation if required.
2. The doctor will use ultrasound or fluoroscopy to locate the medial branch nerves precisely.
3. A small RFA probe is inserted, and controlled heat is applied to disrupt the targeted nerves, blocking pain signals.

What Results Can I Expect?

Cervical Medial Branch RFA can provide significant pain relief, lasting for 3–6 months or longer. Patients often report improved mobility and reduced reliance on pain medications.

What Should I Do After the Procedure?

• Avoid driving on the day of the procedure.
• Rest for 24 hours, avoiding strenuous activities.
• Mild soreness or swelling at the treatment site is normal and usually resolves quickly.
• Follow your doctor’s aftercare instructions and attend any recommended follow-up appointments.

Compiled by;Rarinthorn Choomsai Na Ayuthaya, M.D. Interventional Pain Specialist