Rhizotomy Treatment for Chronic Back and Neck Pain
Rhizotomy, often performed as radiofrequency ablation, targets selected sensory nerves that carry pain from arthritic or irritated facet joints. PPSI considers this treatment when diagnostic blocks suggest the facet joints are a meaningful source of chronic neck or back pain.
Who this treatment may help
Patients with chronic neck or low back pain from facet joint arthritis, pain with extension or rotation, and temporary relief from diagnostic medial branch blocks may be candidates.
What to expect at PPSI
The physician reviews your diagnosis, prior imaging, response to diagnostic injections, medications, and function. During treatment, heat energy is used to interrupt targeted pain signals while preserving a broader recovery plan.
- Review of symptoms, prior treatment, medications, and imaging when available.
- Clear explanation of the likely pain source and practical treatment options.
- Follow-up plan focused on pain relief, mobility, work needs, and long-term function.
Safety, candidacy, and alternatives
Appropriate diagnosis matters. Rhizotomy is not designed for every type of back pain, disc herniation, spinal instability, or nerve compression. PPSI explains risks such as temporary soreness, numbness, or incomplete relief and discusses alternatives.
Recovery and coordinated care
Patients often return home the same day. Relief may take days to weeks. Follow-up focuses on pain reduction, improved movement, therapy tolerance, and whether additional levels or different treatments are needed.
Frequently Asked Questions
Is rhizotomy permanent?
Pain relief is not always permanent because nerves can regenerate. The duration varies by patient and diagnosis.
Why are diagnostic blocks needed?
Diagnostic blocks help confirm whether the targeted facet-related nerves are likely contributing to pain before a longer-lasting procedure is considered.
Can rhizotomy help sciatica?
Rhizotomy for facet pain is different from treatment for sciatica. Radiating nerve pain may require a separate evaluation.
Care across New Jersey
Precision Pain & Spine Institute serves patients in Edison, Clifton, Elizabeth, Hamilton, Jersey City, North Brunswick, Passaic, Somerset, and nearby communities.