Radiofrequency Ablation & Rhizotomy Lumbar Spine

Radiofrequency ablation/rhizotomy at Core Alliance offers a precise, minimally invasive solution for lumbar spine pain, helping patients regain mobility without surgery.

Radiofrequency Ablation/Rhizotomy A Precise, Minimally Invasive Option for Lasting Lower Back Pain Relief

Lower back pain can be life-altering, but it doesn’t always require surgery to resolve. At Core Alliance, we offer advanced non-surgical procedures like radiofrequency ablation (RFA)—also known as rhizotomy—for the lumbar spine. Led by board-certified spine surgeon Dr. Aron Rovner, our team delivers effective, image-guided pain relief tailored to your needs. Explore whether lumbar RFA could help you move forward without pain.

What Is Radiofrequency Ablation/Rhizotomy?

Radiofrequency ablation, also known as rhizotomy, is a minimally invasive procedure used to reduce chronic lower back pain caused by conditions like facet joint arthritis or degenerative disc disease. This technique targets the medial branch nerves, which transmit pain signals from the affected joints to the brain.

Using advanced imaging for guidance, Dr. Rovner inserts a small probe into the targeted area and uses heat generated by radio waves to disrupt the nerve's ability to send pain signals. By selectively disabling these pain-conducting nerves, RFA provides long-term relief without the need for incisions or general anesthesia.

Radiofrequency Ablation/Rhizotomy Benefits

This treatment offers a range of benefits for patients seeking nonsurgical relief from chronic lower back pain:

Provides long-term pain relief by interrupting nerve signals that transmit pain to the brain.
Minimally invasive and performed under local anesthesia with no major incisions.
Quick procedure time with most sessions completed in under an hour.
Fast recovery period that allows many patients to return to light activity within a day or two.
Reduces or eliminates reliance on pain medications, improving quality of life and reducing side effects.
May delay or prevent the need for spine surgery in eligible patients.

Who Is a Good Candidate for Radiofrequency Ablation/ Rhizotomy?

Patients with chronic lumbar spine pain that hasn’t improved with conservative measures like physical therapy, rest, or medications may be candidates for RFA. Typically, a successful diagnostic medial branch block is required first to confirm that the pain originates from the facet joints.

If your symptoms respond positively to this test injection, it’s a strong indicator that radiofrequency ablation will be beneficial. Ideal candidates are often those looking for pain relief without undergoing invasive spine surgery.

Your Consultation

At Core Alliance, we offer both in-person and virtual consultations for your convenience. This process begins with a thorough evaluation, which includes a physical examination, imaging studies, and a review of your medical treatment history. If your pain appears to stem from the lumbar facet joints, we may recommend a diagnostic nerve block. A positive response supports proceeding with radiofrequency ablation for longer-lasting relief.

“Dr. Rovner was very knowledgeable and professional. I felt heard and understood right away. The doctor personally followed up to check on my progress and gave clear advice for my treatment plan. I received two cervical epidural steroid injections and felt confident throughout the process. Highly recommend!”

– Jaclyn O’Connor

Schedule A Consultation Tailored Solutions for Every Spine

What to Expect During Your Radiofrequency Ablation/Rhizotomy Procedure

The procedure is typically done on an outpatient basis and takes less than an hour. You will lie comfortably on an exam table, and the treatment area will be numbed with a local anesthetic. Under fluoroscopic (X-ray) guidance, a thin needle-like probe is positioned near the targeted medial branch nerve. Once confirmed, a small amount of electrical stimulation ensures proper placement. The probe then delivers controlled heat through radiofrequency energy to ablate the nerve tissue. Most patients feel only mild pressure or warmth during the procedure. Once finished, the area is bandaged, and you’re monitored briefly before going home the same day.

What Is the Recovery Like After Radiofrequency Ablation/ Rhizotomy?

You may feel sore at the injection site for a few days, but this typically resolves quickly. Most patients return to normal activities within 24–72 hours.

It may take one to three weeks to experience the full pain relief benefits. Results can last from six months to over a year, depending on the individual.

If necessary, the procedure can be repeated when the nerve regenerates.

How Much Does Radiofrequency Ablation/Rhizotomy Cost?

The cost of radiofrequency ablation varies depending on insurance coverage and your personalized treatment plan. Many insurance plans do cover this procedure when medically indicated. Our team can help verify your benefits and provide a cost estimate during your consultation.

Alternatives to Radiofrequency Ablation/Rhizotomy

If RFA is not appropriate for your condition, other options include:

Physical therapy and rehabilitation
Epidural steroid injections
Facet joint injections
Medication management
Minimally invasive surgical procedures

Dr. Rovner will help you determine which treatment best aligns with your health goals and condition.

Why Choose Core Alliance?

With over two decades of experience, Dr. Aron Rovner is a board-certified, fellowship-trained spine surgeon who specializes in both surgical and non-surgical treatments. Core Alliance is known for its patient-centered approach, advanced techniques, and commitment to achieving meaningful outcomes for every patient. Schedule your consultation today and take the first step toward a healthier, pain-free life.

Frequently Asked Questions Radiofrequency Ablation/Rhizotomy

Is radiofrequency ablation permanent?

No. The nerves typically regenerate over time, so the relief may last between 6 and 18 months. The procedure can be repeated if the pain returns.

Does the procedure hurt?

You may feel some discomfort during needle placement and heat application, but local anesthesia is used to minimize pain.

Are there any risks or side effects?

RFA is considered low-risk. Temporary side effects may include bruising, soreness, or mild numbness near the injection site.

How do I know if I’m a candidate for RFA?

A diagnostic medial branch block can help determine if your pain is likely to respond to this treatment.

Can I have other treatments alongside RFA?

Yes. Many patients combine RFA with physical therapy or other non-surgical pain management strategies to optimize results.