Cervical Facet Radiofrequency Ablation

Cervical Facet Radiofrequency Ablation (RFA) is a minimally invasive outpatient procedure used to treat chronic neck pain caused by arthritis or inflammation of the facet joints—the small joints that connect the bones in the spine and help with movement.

RFA works by using heat generated from radiofrequency energy to interrupt pain signals from the medial branch nerves, which supply the facet joints.

Cervical RFA may be recommended if you:

• Have chronic neck pain lasting 3 months or longer
• Have been diagnosed with facet joint arthritis (also called cervical spondylosis)
• Experienced temporary relief from medial branch nerve blocks (used to confirm the pain source)
• Want long-term relief without surgery or ongoing use of pain medications

• Long-term pain relief
• Improved range of motion and daily function
• Reduced need for opioids or other pain medications
• Minimally invasive with no surgical incision
• Performed under local anesthesia with optional light sedation

• Discuss all medications, especially blood thinners
• You may need to pause certain medications before the procedure
• Do not eat or drink 6–8 hours prior if sedation will be used
• Arrange for transportation home after the procedure

• You will lie face down on a table
• The skin over your neck is cleaned and numbed
• Your provider uses fluoroscopy (live X-ray) to guide special needles to the targeted nerves
• A small electrical signal confirms proper placement
• Radiofrequency heat is then used to treat the nerves
• Procedure time: Approximately 30–45 minutes
• Sedation: Local anesthetic; light sedation optional

What to Expect:

• Mild soreness, pressure, or bruising at the injection site for a few days
• Pain may temporarily increase before improving
• Most patients notice gradual relief within 1 to 3 weeks
• Relief can last 6 to 12 months, depending on the individual

Activity:

• Rest the day of the procedure
• Resume light activity the next day
• Avoid strenuous activity or heavy lifting for several days

• Your provider will evaluate your response over the coming weeks
• If successful, RFA can be repeated once symptoms return—typically after 6 to 12 months
• Combining RFA with physical therapy and lifestyle changes may enhance long-term results