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A radiofrequency ablation (Rhizotomy), or RFA, is a therapeutic same-day procedure that applies heat to the spinal nerves that innervate the facet joints in the spine. When heat is applied to the nerve, the nerve degenerates and therefore, no longer transmits painful signals to the brain. When this occurs, patients experience pain relief, which can…

This procedure involves using a local anesthetic to numb the spinal nerve that provides innervation to a facet joint. This nerve can become irritated and cause pain. A medial branch block procedure is a diagnostic injection used to determine the specific spinal level that is causing the pain. It is a required procedure before performing…

The facet joint refers to a joint in the spine where two adjacent lumbar vertebrae come together. When the facet joints become inflamed from arthritis, they can cause localized pain. Facet joint injections using a steroid and anesthetic can be used to decrease inflammation and alleviate pain. At Janerich Pain Specialists, we use real-time x-ray…

Epidural steroid injections are performed to treat pain caused by disc herniations, spinal stenosis, and/or degenerative disc disease. It can be performed to alleviate sciatica pain. These conditions cause inflammation to the spinal nerves and an epidural steroid injection is performed to reduce the inflammation. The goal is to reduce pain in the neck, back,…