Rhizotomy (radiofrequency rhizotomy / radiofrequency neurotomy)

What is a Rhizotomy?

Rhizotomy, or radiofrequency neurotomy, is a procedure that uses controlled heat energy to target specific nerves in the spine. The intention is to adjust how pain signals are transmitted, which may lessen the sensation of pain in some patients.

What situations may be considered for this procedure?

Rhizotomy is generally considered for patients whose discomfort has been linked to the facet joints in the spine, typically confirmed through diagnostic testing. It may be performed in the:

• Neck (cervical spine)
• Mid-back (thoracic spine)
• Lower back (lumbar spine)

How is the procedure performed?

Using X-ray guidance, a physician places a specialized needle near the targeted nerve. Radiofrequency energy is delivered through the tip of the needle to create a small, precise lesion designed to modify pain signal transmission.

What can I expect after the procedure?

Most patients go home the same day. Temporary soreness at the treatment site is possible. The duration and degree of benefit vary; in some cases, discomfort can return over time. If appropriate, the procedure may be repeated.

How long might results last?

The length of time patients notice improvement differs from person to person. Some may experience relief for several months, while others may notice longer benefits. Your physician will discuss what to expect based on your specific condition.

What are the risks?

Radiofrequency rhizotomy is considered safe when performed by an experienced specialist. Possible risks include infection, bleeding, temporary numbness, or limited effectiveness. These will be reviewed before any procedure.

Is the procedure covered by insurance?

Many insurance providers, including Medicare, may cover rhizotomy when certain criteria are met. Our office will verify coverage and discuss options with you in advance.

Who is a candidate for Rhizotomy?

Patients are often considered for rhizotomy after diagnostic testing, such as a medial branch block, confirms that the facet joints are a likely source of discomfort. A consultation, physical exam, and imaging review help determine candidacy.

How is Rhizotomy different from other pain treatments like injections or surgery?

Injections are often used for temporary relief by numbing or reducing inflammation. Rhizotomy applies radiofrequency energy to specific nerves to produce a longer-lasting effect on pain signal transmission. Unlike surgery, rhizotomy is minimally invasive and does not involve removing tissue or changing the structure of the spine.

Next step:

If you would like more information about radiofrequency rhizotomy, please contact our office in Humble at 281-570-2961 or Baytown at 832-514-6300 to schedule a consultation and discuss whether this therapy may be an option for you.